Care Home: Hazelwell Lodge

What the care home does well The registered manager has been away from the home for over six months. The deputy manager has been managing the home in their absence. The deputy has the skills and experience to manage the home. People spoken with felt that the home continued to be well managed and staff felt well supported. Hazelwell Lodge has a calm relaxed atmosphere. Many of the people who live at the home are unable to fully express their opinions but others said that they were well cared for and were able to make choices about their day to day lives. People said that they could choose what time they got up and when they went to bed. The home is divided into two units with a key padded lock between. People were seen to move freely around their area of the home and had unrestricted access to all communal areas, including the garden, and their personal rooms. Everyone seen appeared well kempt and content. There is a comprehensive programme of activities and two workers are employed as activity workers to assist people to occupy their time. At the time of this inspection a small group of people were walking to the local public house for lunch. Other activities include, live music, reflexology, visiting animals and arts and crafts. There is an organised trip out every month. Staff spoken with said that they received good training and support to carry out their roles. Staff observed, interacted well with people living at the home and assisted people in a manner that maintained dignity and privacy. Staff spoken with had a positive attitude and appeared happy in their work. People living at the home said that staff were "nice" and "kind and polite." One person said "you can ask them anything they are always happy to help." What the care home could do better: During the inspection two staff files were viewed. The deputy manager stated that some staff begin induction training before they have been checked against the Protection Of Vulnerable Adults (POVA) register. The recruitment files do not give clear details of when the new member of staff begins working with people living at the home. There was no evidence that a POVA check had been carried out in one staff file seen. Two care plans were also viewed. They both contained personal information about the individual, including lifestyle, likes and dislikes. However in both files care needs had not been updated to reflect changes in need. For instance one persons appetite had deteriorated and food and fluid charts were being maintained. There was no care plan setting out the amount of food or fluid that the person required or what to do if an adequate amount was not consumed. The food and fluid charts did not contain daily totals and therefore is was difficult to see if the person was receiving an adequate diet. The tissue viability assessment had not been amended to reflect the persons changing need. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Hazelwell Lodge 67 Station Road Ilminster Somerset TA19 9BQ two star good 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Jane Poole Date: 1 6 0 3 2 0 0 9 Information about the care home Name of care home: Address: Hazelwell Lodge 67 Station Road Ilminster Somerset TA19 9BQ 0146052760 0146052384 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Hazelwell Lodge Ltd care home 35 Number of places (if applicable): Under 65 Over 65 35 35 dementia old age, not falling within any other category Conditions of registration: 0 0 Registered for 35 older persons in categories OP and DE (E). Date of last inspection Brief description of the care home Hazelwell Lodge is a late Victorian property with a purpose built extension to the rear and an enclosed garden to the side. The home is situated at the edge of the small town of Ilminster, close to local amenities. The home accommodates 35 people in two separate areas of the building. The Bay provides personal care for older people and specialises in care for older persons with dementia care needs. The Lilies provides personal care for older people with dementia care needs and is accredited by Somerset Mental Health and Social Care Partnership under the Specialist Residential Care (SRC) arrangements. The Lilies is supported by a development nurse from the mental health care services. Care Homes for Older People Page 2 of 8 Brief description of the care home Care Homes for Older People Page 3 of 8 What we found: This random inspection was carried out over a three hour period to monitor the progress made since the last key inspection. During the inspection we, the Commission, were able to speak with the deputy manager, talk with people living and working at the home and view a small sample of records. What the care home does well: What they could do better: During the inspection two staff files were viewed. The deputy manager stated that some staff begin induction training before they have been checked against the Protection Of Vulnerable Adults (POVA) register. The recruitment files do not give clear details of when the new member of staff begins working with people living at the home. There was no evidence that a POVA check had been carried out in one staff file seen. Two care plans were also viewed. They both contained personal information about the individual, including lifestyle, likes and dislikes. However in both files care needs had Care Homes for Older People Page 4 of 8 not been updated to reflect changes in need. For instance one persons appetite had deteriorated and food and fluid charts were being maintained. There was no care plan setting out the amount of food or fluid that the person required or what to do if an adequate amount was not consumed. The food and fluid charts did not contain daily totals and therefore is was difficult to see if the person was receiving an adequate diet. The tissue viability assessment had not been amended to reflect the persons changing need. 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 8 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 29 19 (4) c All staff must be checked against the Protection Of Vulnerable Adults register before starting work in the home. (Previous timescale 11/06/07) 04/04/2008 Care Homes for Older People Page 6 of 8 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 (2) The registered person must ensure that care plans are kept up to date. To ensure that care plans are fully reflective of the current needs of each person. 30/04/2009 2 29 19 Recruitment files must give 20/03/2009 evidence that new staff have undergone appropriate checks before they begin working with people who live at the home. To minimise the risks of abuse to people. 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 Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. 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