Care Home: Hazel House Nursing Home

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What the care home does well Residents were happy with the care they received; comments included `I feel lucky and well looked after`, `they look after me`, `the carers look after everyone well` and `I am happy here`. Residents medicines were managed properly and staff had followed safe and clear guidance to reduce the risks of any mistakes being made. Most of the care staff had achieved a recognised qualification in care; this would give them the skills and competence to look after people properly. Residents knew who to speak to if they were unhappy and were confident they would be listened to; one resident said `I have no complaints and am very satisfied`. Staffing levels had been reduced in line with current occupancy; however there were sufficient staff to look after people properly. Residents commented that there were enough staff who were available when they needed them and that staff listened to and acted on what they said. Staff had received training to help them to recognise and respond appropriately to any signs of abuse or neglect which would help to keep residents safe from harm. What the care home could do better: The care plans did not reflect the care that was being given or include enough information about residents care needs, preferences or personal routines; this made it difficult to determine what care and support residents would need and could result in their care needs not being met. Records did not support that residents or their relatives had been involved in the development or review of care plans; people should be involved in decisions about their care to help ensure they receive the care they both want and need. The home needed to improve the procedures and training that would help staff to recognise and respond to any incidents of abuse or neglect; this would help to protect residents and to ensure that any concerns were dealt with properly. The home needs to improve the systems that check whether staff were following policies and procedures, whether residents needs were being met and whether records were completed properly; this would help them to improve standards of practice within thehome and also help to identify and respond to any areas of concern. Random inspection report Care homes for older people Name: Address: Hazel House Nursing Home Hazel House Nursing Home 30 Paradise Lane Moss Side Leyland Preston Lancashire PR26 7ST 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: Marie Matthews Date: 1 0 0 5 2 0 1 0 Information about the care home Name of care home: Address: Hazel House Nursing Home Hazel House Nursing Home 30 Paradise Lane Moss Side Leyland Preston Lancashire PR26 7ST 01772452750 01772452750 hazelhouse@netleypartnerships.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Lynn Cosgrove Type of registration: Number of places registered: Conditions of registration: Category(ies) : Hazel House Nursing Home Limited care home 43 Number of places (if applicable): Under 65 Over 65 43 0 old age, not falling within any other category physical disability Conditions of registration: 0 43 The registered person may provide the following category of service only: Care home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Physical disability - Code PD The maximum number of service users who can be accommodated is: 43 Up to 43 service users in the category of OP. Date of last inspection Care Homes for Older People Page 2 of 9 Brief description of the care home Hazel House Care Home provides 24 hour nursing and personal care for up to fortythree people of either sex. Hazel House is situated in a quiet cul-de-sac in Leyland close to local amenities. The home provides accommodation mainly in single rooms although shared rooms are available for married couples, friends or people who prefer to share facilities. Accommodation is provided on two floors and a passenger lift enables access to all areas. There are three separate lounge areas for residents to join in activities or sit quietly enjoying more solitary pursuits. Information about the services offered by the home is provided in the form of a service user guide and is available, with a summary of the most recent inspection report, to existing and prospective residents and their relatives. On the day of the inspection the weekly fees ranged from £420.00 to £620.00. Items not included in the fee include newspapers, chiropody, hairdressing and some excursions. Care Homes for Older People Page 3 of 9 What we found: A random (short) inspection of Hazel House was undertaken on 10th May 2010. The last key inspection visit had taken place on 30th May 2007 when the service was given an excellent or 3 star rating. Service reviews had been undertaken annually at which time there were no concerns raised about the service. We looked at records and talked to the registered manager, two members of staff and one service user. Information was also used from surveys completed by seven residents and three staff. We looked at the care and support that service users were given, how their medicines were managed and how they were protected from abuse and neglect. We also looked at the current staffing levels in the home as the survey information indicated there maybe concerns and we reviewed the systems in place that monitored how the home was being run. What the care home does well: What they could do better: The care plans did not reflect the care that was being given or include enough information about residents care needs, preferences or personal routines; this made it difficult to determine what care and support residents would need and could result in their care needs not being met. Records did not support that residents or their relatives had been involved in the development or review of care plans; people should be involved in decisions about their care to help ensure they receive the care they both want and need. The home needed to improve the procedures and training that would help staff to recognise and respond to any incidents of abuse or neglect; this would help to protect residents and to ensure that any concerns were dealt with properly. The home needs to improve the systems that check whether staff were following policies and procedures, whether residents needs were being met and whether records were completed properly; this would help them to improve standards of practice within the Care Homes for Older People Page 4 of 9 home and also help to identify and respond to any areas of concern. 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 5 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 6 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 1 7 15 Residents or their relatives must be involved in the development and review of the care plan. This will ensure that residents receive the care and support they both need and want. 22/06/2010 2 7 15 The care plans must include 22/06/2010 details regarding all aspects of residents needs and the action that needs to be taken to meet those needs. This will ensure that staff are clear about what care and support each resident needs. 3 8 13 Once a risk has been 22/06/2010 identified the care plan must indicate any action to be taken to reduce or eliminate the risk. This will ensure residents are protected. 4 33 24 The home must improve the systems that check whether 22/06/2010 Care Homes for Older People Page 7 of 9 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 staff are following policies and procedures, whether residents needs are being met and whether records are completed properly. This will help to monitor and improve standards within the home. 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 7 The care plans should include information to help staff to understand residents routines, likes and dislikes and preferences; this will help to ensure residents receive the care they both need and want. The medication procedures should reflect that prescriptions are seen by staff at the home prior to dispensing; this ensures that procedures are clear and reflect current practice within the home. Any handwritten entries (transcribing) on medication administration charts should be witnessed in accordance with procedures; this will help to reduce the risk of error. The safeguarding procedures should be reviewed to include the contact information of local agencies that would be involved in any incidents of abuse or neglect and to indicate that staff may be suspended as part of the investigation; this would provide clear and safe guidance for staff and ensure any allegations are dealt with appropriately. There should be clear records to support that staff have been provided with regular safeguarding training and are given the opportunity to discuss any concerns as a group. 2 9 3 9 4 18 5 18 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. 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