Hazelwood Gardens Nursing Home

Updated 17 January 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Hazelwood Gardens Nursing Home is a care home with nursing care. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the findings from the last inspection of 20 March 2019 to help plan the inspection and inform our judgements.

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

During the inspection

We spoke with six people who lived at the home and one relative.

We spoke with four staff members, the clinical lead, maintenance person and the registered manager who was also the provider.

We reviewed a range of records. This included people’s care records, medication records, three staff files in relation to their recruitment, maintenance records and a variety of records relating to the management of the home. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 17 January 2023

Hazelwood Gardens Nursing Home provides personal and nursing care for up to 36 people. At the time of the inspection, 29 people were living at the home.

People's experience of using this service and what we found

There had been improvements following the inspection of 20 March 2019. We observed medicines as they were being administered to people at lunchtime. The medicines trolley was not found to be left unattended and was kept locked. A medicines fridge with cool storage was now in place. People’s medicine administration records (MARs) were fully signed with no gaps found. They had all been signed to confirm people had received their medicines as prescribed. Written MAR charts were countersigned by a second staff member. If people had their medicines crushed then this was clearly recorded by the clinical lead, family members and professionals. Governance systems at the home had been strengthened. The audits carried out helped to address any shortfalls within the home.

We identified some shortfalls in relation to infection control. On the arrival to the home we found that staff were not wearing face masks. We brought this to the attention of the registered manager who took immediate action and implemented mask wearing straight away. The registered manager told us they thought face masks were no longer needed. Staff demonstrated a good level of understanding in relation to safeguarding. Appropriate referrals to the local safeguarding team had been made. Staff were trained in safeguarding and understood their responsibility to protect people from harm. Staff were recruited safely and there were enough staff to provide safe and effective care. Safety checks of the premises and equipment had been undertaken.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests.

Staff were enthusiastic and happy in their work. The staff told us they felt supported within their roles. Staff described working together as a team, they provided person-centred care and helped people to achieve their potential.

Rating at last inspection

The last rating for this home was rated requires improvement (published 27 April 2019). At a previous inspection carried out 20 March 2019, we rated the home requires improvement in the key question ‘Safe and Well-Led’.

At our last inspection we found the provider had failed to ensure that medicines were safely stored and were accurately recorded. Whilst systems were in place to monitor and evaluate the quality of the service provided, actions were not always promptly taken when there were shortfalls. This placed people at risk of avoidable harm. At this inspection we found improvements had been made

Why we inspected

We carried out an inspection of this service on 20 March 2019. We rated the service requires improvement in Safe and Well-Led due to the shortfalls we identified. During this inspection we followed up on the improvements from the inspection.

The provider completed an action plan after this inspection to show what they would do and by when to improve safe care and treatment.

We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the home has remained good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hazelwood Gardens Nursing Home on our website at www.cqc.org.uk