Hazeldown Care Home

Updated 25 February 2020

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 Care Act 2014.

Inspection team

The inspection was carried out by one inspector and an assistant inspector.

Service and service type

Hazeldown Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. 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.

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 sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

We spoke with five people who used the service. We spoke with six members of staff including, the registered manager, the team leader, three support workers and the chef. We also spoke with three visiting health care professionals who work with the service on a regular basis.

We reviewed a range of records. This included three people’s care records and two people’s medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service were also viewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at additional records relating to the management of the service.

Updated 25 February 2020

About the service

Hazeldown care home is a residential care home, at the time of the inspection personal and nursing care was being provided to 13 people living with a mental health condition. The service can support up to 18 people. People living in the home are accommodated on two floors in one period building adapted for the use as a care home.

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

Governance systems required further development to inform and drive improvements in the service. People’s risk assessments did not always identify risk or provide enough guidance on how to manage identified risks. Systems to ensure staffing levels were adequate needed further work.

People felt safe living in the service. Risks to people, including from the environment, were managed in practice. People received their medicines safely.

People were supported to eat a balanced diet. Staff were competent and received training in how to meet people’s needs. People’s health care and needs relating to their living environment were met. 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; the policies and systems in the service supported this practice.

People were supported by kind and caring staff who knew them well and encouraged their independence. People were supported to express their views and be involved in decisions about their support.

People received individualised and person-centred care that met their needs and preferences, this included the provision of appropriate activities. Information on the service was provided to people. People’s concerns or complaints were addressed and resolved.

People and staff spoke positively of the management team and their leadership in the service. There was a positive open and person-centred culture in the service.

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 3 January 2019).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.