Background to this inspection
Updated
7 May 2016
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
We made an unannounced inspection on 22 March 2016. The inspection team consisted of one inspector and one inspection manager.
We looked at the information we held about the service and the provider. We looked at statutory notifications that the provider had sent us. Statutory notifications are reports that the provider is required to send us by law about important incidents that have happened at the service.
Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. This information helped us to focus our inspection.
We observed how staff supported people throughout the day. As part of our observations 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.
We spoke with eight people who lived at the home, the registered manager, the provider, and five staff. We looked at four records about people’s care and two staff files. We also looked at minutes from residents’ meetings and the quality assurance audits that were completed by the registered manager and the provider.
Updated
7 May 2016
Hazelhurst Nursing Home is located in Bishopswood, Ross-on-Wye . The service provides personal care and nursing for up to 40 older people. On the day of our inspection, there were 30 people living at the home.
The inspection took place on 22 March 2016 and was unannounced.
There was a registered manager at this home. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered providers and registered managers are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People were supported by staff who knew how to keep them safe and how to care for them in a manner which respected their choices and preferences about how their care was provided. People’s consent was sought before assisting people with their personal care, and people were given explanations by staff as they assisted them with their care needs. People were treated with dignity and respect and staff understood people’s right to privacy. People received their medicines safely and only from suitably trained staff. People were told what their medicines were for, and were given the right to refuse them.
People’s health and well-being needs were known by staff and were kept under review. When people’s needs changed, the provider was able to respond to these needs and referred to other health professionals when this was required. People were given choices in the food they ate and were supported and encouraged to keep hydrated and to eat a healthy, balanced diet. People’s individual dietary needs were known by staff and were met appropriately.
People enjoyed the activities they were offered and were involved in deciding what activities and events they would like to do. Activities were tailored to reflect people’s preferences and to prevent social isolation. People knew who the registered manager was and how to voice any complaints, suggestions or concerns. Relatives and health professionals were encouraged to provide feedback on the home and to make suggestions for improvements. Where suggestions were made, the registered manager and provider acted on these, which created a culture of openness and transparency.