Random inspection report
Care homes for older people
Name: Address: Hazelgrove Care Home 1a Farleys Lane Hucknall Nottingham NG15 6DY three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Meryl Bailey Date: 1 2 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Hazelgrove Care Home 1a Farleys Lane Hucknall Nottingham NG15 6DY 01159680706 01159680706 hazelgrove@milfordcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Muriel Bell Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Gerald Hudson care home 40 Number of places (if applicable): Under 65 Over 65 10 40 0 0 dementia old age, not falling within any other category physical disability terminally ill Conditions of registration: 0 0 2 2 Within the total number of beds 2 beds may be used for the category PD, 2 beds may be used for the category TI and 10 beds for DE/E Date of last inspection Brief description of the care home Hazelgrove is a purpose built single storey care home situated in a residential area of Hucknall, for a maximum of forty people over the age of 65 years. There are thirty-six single and two double rooms. It is situated near to a doctors surgery, within half a
Care Homes for Older People Page 2 of 9 Brief description of the care home mile of shops, a public house, cinema, library, tourist sights and other local amenities in the town centre of Hucknall. An enclosed garden provides a safe outside environment. Care parking is available. The home provides both nursing and personal care. The current weekly fees are available on request. The fees include chiropody and eye tests but does not include hairdressing. Care Homes for Older People Page 3 of 9 What we found:
The inspection process focuses on outcomes for people and their views on the service that is provided. We consider the providers capacity to meet regulatory requirements and minimum standards of practice and focus on aspects of service provision that need further development. We carried out this unannounced random inspection under the Care Standards Act 2000 and Fees and Frequency Regulations 2007, which state that services shall receive an inspection visit within a three year period. The quality rating was determined at the last key inspection, which took place on 29 May 2007. We reviewed all of the information we have received about the home since the last key inspection to consider if the quality of the service had changed. We gathered information from people through our survey forms and through observations and discussions during the inspection visit. We also considered information contained in a recent annual quality assurance assessment (AQAA) that was sent to us by the manager. Overall, we found that the quality of the service has remained the same. There were currently 32 people living in the home and many of them had high needs for nursing and personal care. By looking at a sample of files we found clear assessment information and well structured care plans. We observed staff treating people with respect and talking to them sensitively at all times and reassuringly whilst using the hoisting equipment. Some people spoke with us and said the staff were very kind and helped them as needed. One person was permanently cared for in bed another person was on bed rest for part of the time. There were charts in their rooms to monitor the care they were given. Medication was held securely and appeared well managed. We observed one nurse who was following safe procedures. There was a record of activities that had taken place in a photograph book in the reception lounge. An activity coordinator was planning some painting and a film for the afternoon. There were plans displayed to develop a small lounge into a reminiscence area. We observed lunch being served and found there was plenty of choice, with three main meal options. There were records of food taken, though there were some gaps in these records when different people had assisted people to eat. The full menu was written on a blackboard, though people found this difficult to read. The manager had informed the Commission when allegations were made against staff and we found that these incidents were well managed with appropriate procedures being followed and immediate action to safeguard people. We did not look into peoples own bedrooms, but we looked at all communal areas and found them clean and well furnished. The manager told us about new refurbishment planned for lounge, dining room and small lounge. We had one concern about unclean light pulls in the staff toilet and visitors toilet, but the manager took action about this as
Care Homes for Older People Page 4 of 9 soon as she was made aware. The staffing rota showed there was always at least one nurse on the premises with seven carers each morning and six for the afternoons. At night there were 1 nurse and 2 care assistants. However, there were only six carers available for mornings in the current week. A breakfast assistant was in addition to this and also an activities worker, administrator, manager, cook, kitchen assistant and handyman were also on the premises. Care staff said they had to work harder this week in the mornings to help people with personal care, but were determined to make sure everyones needs were met. The manager had no formal system to relate staffing levels to needs, but assured us peoples needs were met by the staff working together as a team. The administrator had care experience and assisted occasionally when needed. Staffing files were well organised and held all appropriate information. There was also a full Training Matrix that confirmed training completed and training needs. Staff told us that the training they received was very good. One senior care assistant told us she had recently completed training in Dementia Care Mapping and Peg Feeding. She had completed a course as an assessor so that she could assess the skills of other care assistants who were working towards their National Vocational Qualifications in Care. There has been consistent management of the service and the manager had comprehensively completed the AQAA to give all the information we needed. Within the AQAA the manager told us: Residents are involved in decision making about their life and the home, for example taking part in interviewing potential staff, menu planning and events. Residents and/or relatives are involved in pre-admission assessments, care planning and care reviews. We also monitor standards by obtaining feedback from residents, relatives and visiting professionals via quality questionnaires. We then take the information collected and create an action plan for what we need to achieve a better outcome and publish this plan. A senior manager visited the service at least once a month and has sent us reports of the last two visits. What the care home does well:
People are assured their needs will be at the home through a clear admissions process. Social and health care is well planned and medication is well managed. An activity coordinator plans activities and all staff are involved in providing relevant stimulating activities both on an individual level and with groups. We found an Activities photograph book in the reception lounge. Comments from people living there included: I like the fun, dancing and singing, I enjoy painting and dominoes and music and films are good. Meals are well liked with plenty of choice of food to suit individual needs and preferences. People said: lovely meals, The food is excellent and meals are good, I can have what I want. Care Homes for Older People Page 5 of 9 Any concerns are managed well by the registered manager immediately, with all appropriate action taken to keep people safe. The premises are kept clean and well furnished. Staff are competent and given appropriate ongoing training in order to meet peoples needs. People said: Nice staff, Good Staff and the staff are very friendly. The manager is supported by an administrator and the home is run in the best interests of people living there. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 15 Provide a clear accessible photographic menu so that people have more understanding of the choice of food available. Develop a system that ensures all light pulls in toilet and bathroom facilities are regularly checked for cleanliness and replaced as needed to avoid the risk of infection. 2 38 Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
