Archived: Hazeldene House Residential Home

About the service

Hazeldene House Residential Home is a residential care home providing personal to up to 21 people. The service provides accommodation and residential care to people either on a permanent basis or for short-term care, as required. At the time of our inspection there were 20 people using the service.

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

At this inspection we saw improvements had been made. Some of these were in response to inspections from health professionals, others were part of a refurbishment plan to change the environment to be more modern and easier to maintain hygiene standards.

Measures were in place in accordance with infection, prevention and control. There were enough staff to provide the care and recruitment checks were made.

Medicine administration was completed safely, and regular checks were in place on the recording of medicine and their storage.

Peoples safety was sustained with risk assessments and maintenance of the home. People were protected from the risk of harm from staff who were trained and knew how and what to report.

There was an open culture and people and staff felt they could raise any concerns, and these would be listened to.

There were a relaxed atmosphere and people told us staff were friendly and kind.

CCTV had been implemented and this had been used to consider peoples safety. Audits had been used and others were being developed to maintain quality and drive improvements.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (published 09 April 2019).

Why we inspected

This inspection was prompted by a review of the information we held about this service. As a result, we undertook a focused inspection to review the key questions of Safe and Well led only.

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 service has changed from requires improvement to good based on the findings of this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively. This included checking the provider was meeting COVID-19 vaccination requirements.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

People’s experience of using this service:

Quality monitoring systems were in place to assess and monitor the service provision. However these systems had failed to identify the areas of concern we found on inspection. The registered manager had recognised that improvements were needed within the service; however, a clear development plan had not been completed to give information about how and when improvements were to be made, including timescales.

People’s care was reviewed to reflect changing needs and systems were in place to ensure staff were aware of any changes. Staff knew people well and understood how to act, although care records did not always contain suitable information to ensure people’s safety.

There were sufficient numbers of staff on duty to meet people’s care needs. However, the staffing was not deployed to enable people to be involved with activities that interested them.

Infection control procedures were in place; there were hand washing facilities and staff had protective equipment to wear. However, the home was not clean in all areas and some furniture was not always in a good state of repair to ensure they could be effectively cleaned.

Systems, processes and practices safeguarded people from abuse as staff understood how to identify potential abuse to keep people safe.

People received their medicines as prescribed and auditing systems were in place. Incidents and accidents were reviewed to ensure lessons were learnt and improvements made.

Staff felt they received training to update their skills and knowledge to deliver effective care. People had a choice of what to eat and drink and when.

People continued to receive healthcare from health professionals to ensure they remained well. Appointments and outcomes were recorded, and information shared.

People could share information about how they would like to be supported towards the end of their life and felt staff would respect their views.

The home met people’s current environmental needs and there were signs and hand rails to help navigate around the home.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Capacity had been assessed upon admission and where restrictions had been identified, applications had been sought to ensure people were safe.

People received respectful, dignified care from staff who they knew well, and people felt the staff were kind and caring.

People and staff could comment on service delivery to influence how the service was developed.

Rating at last inspection: This is the first inspection of the service since the provider registered with us in August 2017

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk