Latest Inspection
This is the latest available inspection report for this service, carried out on 22nd October 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Excellent.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Hazelwood Nursing Home.
Annual service review
Name of Service: Hazelwood Nursing Home The quality rating for this care home is: The rating was made on: three star excellent service 0 7 1 0 2 0 0 8 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Susan Hall Date of this annual service review: 0 9 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Main Road Longfield Kent DA3 7PW 01474573800 01474573801 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Smartmove Homes Limited Number of places (if applicable): Under 65 Over 65 50 0 0 50 The maximum number of service users to be accommodated is 50 The registered person may provide the following category of service: Care home with nursing (N) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Old age,not falling within any category (OP) Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Hazelwood Nursing Home is owned by Smartmove Homes Limited, and is a purpose built, large detached property set in its own grounds. The Director is in day to day contact with the home, and provides active involvement during his visits, which are four to five times per week. The home is close to the centre of Longfield, and this has all the usual shops and facilities. It is near to the Bluewater Shopping Centre, and is also within easy distance of the towns of Dartford and Gravesend. Accommodation is
Annual Service Review Page 2 of 7 0 7 1 0 2 0 0 8 provided on two floors: Wood Unit on the ground floor, which is for older people with nursing needs; and Hazel Unit on the first floor, which is for older people with dementia and nursing needs. The house has plenty of car parking space at the front, and gardens at the side and rear of the property. Current fee levels can be obtained from the manager. These are set according to individually assessed needs and the location of the room being used. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? The Inspector reviewed all the information that the Commission has received, or asked for, since the last Key Inspection in October 2008. This includes: Formal notifications about things which have happened in the service, which the care home is legally required to send to CQC. The Annual Quality Assurance Assessment (AQAA), which was sent in by the service. AQAA is a self assessment that focuses on how well the home is meeting outcomes for people who live there. It also provides detailed information about how the home is running. Information about any concerns or complaints; or referrals to the Social Services Safeguarding Adults department. Details from the last key inspection and report. Relevant information obtained from other organisations. Information obtained from phone calls and letters received since the last inspection. What has this told us about the service? At the last inspection visit, the home was found to be running well in all areas. Residents and visitors to the home expressed their confidence in the high standards of care given by the staff. During the past year, we have not received any adverse information or comments about the home. The AQAA was completed by the homes director, who is in day to day contact with the staff and residents. The AQAA has been well completed with up to date and helpful information; and it was returned to us within the required timescales. The management are developing increased ways of obtaining feedback from residents and relatives, with more emphasis placed on quality assurance questionnaires and amalgamating the information which they provide. Regular meetings are held with residents and relatives; and relatives are invited to join in with special events, and ongoing activities in the home. There are also regular tea meetings for relatives to meet with the manager; and opportunities for relatives to meet together without staff present. There are good processes in place to enable residents and relatives to find out about the home prior to moving in. The companys website has been developed to include useful links for specific information. The management will send out the homes brochure, statement of purpose, service users guide and a copy of the most recent inspection report, and invite people to come and view the home where possible. They ensure that people are fully informed about the terms and conditions of residency, and the fees payable. A pre-admission assessment is carried out to assess the care needs Annual Service Review Page 4 of 7 of the person concerned; and if the prospective resident has dementia, the preadmission assessment will be carried out by a nurse who is appropriately trained in dementia care as well as in general nursing. Care plans are drawn up using the Ropers model of the Activities of Daily Living e.g. breathing, mobility, nutrition, continence and communication. The care plans are reviewed and evaluated at least once per month. Residents are registered with the local GP practice; and referrals are made to other health professionals as necessary. residents are always addressed by their name of choice, and the staff are committed to protecting their dignity. The home has good procedures in place for providing compassion and support for residents who are dying. The AQAA provides an example of the homes pro-active approach to health care, in that the management drew up contingency plans and procedures as soon as it became apparent that swine flu might become pandemic. This gives residents and relatives confidence in the managers ability to think ahead and to plan accordingly. Specific strategies are put into place to support residents with dementia, and to enable them to have the best possible quality of life. This includes providing residents with a choice of activities either in large groups, smaller groups, or on a one to one basis. Each resident has an activity plan which is in accordance with their previous hobbies and interests. In the last year, this has extended to enabling one resident to visit a local snooker club; and another to use a laptop. Residents individual ethnic, cultural and religious needs are given a high priority. The home keeps an up to date notice board showing important calendar events such as religious days and special events. There is also an emphasis on enabling multi-cultural respect and contact between staff and residents from different cultures. Planned activities have been extended to include weekends. Residents are confident that their views are taken into account, and that action will be taken in response to any concerns or complaints. The complaints procedure is easily accessible, and all complaints are thoroughly investigated and responded to appropriately. Staff are trained in the recognition and prevention of abuse; and the home follows the Kent and Medway policies and procedures in regards to safeguarding vulnerable adults. The premises provide an attractive, comfortable and safe environment for the residents. All bedrooms are for single use, and have an en-suite toilet and washbasin. There are pleasant communal areas, and well-maintained gardens. These include a sensory garden,and safe areas for residents with dementia to sit or to walk. The management have a long-term refurbishment programme, to ensure that the building continues to provide high standards of accommodation. Staff recruitment procedures ensure that applicants are properly vetted and are suitable to work with vulnerable people. Staffing levels are well maintained, and the manager ensures that there is a good skill mix of staff on duty so that all of the residents needs can be met. Staff training for mandatory subects is kept up to date, and staff are regularly enabled to attend external relevant training courses. Staff are encouraged to learn specific skills and to share their knowledge with each other. There are regular staff meetings, enabling staff to share their views and ideas; and staff have individual one to one formal supervision sessions for their own personal development.
Annual Service Review Page 5 of 7 The manager is appropriately trained and experienced in caring for older people with nursing needs and dementia, and keeps her own training up to date. She works closely with the homes provider, who is in the home at least five days per week. They are committed to meeting all of the required standards, and lead the way in meeting the aims of the home. The AQAA makes it clear that the management and staff are working together to ensure that the home continues to meet residents individual needs; and that there is ongoing development to empower the residents and the staff in the provision of high standards of care. What are we going to do as a result of this annual service review? The Commission is confident that this home is continuing to operate to an excellent standard, and we will continue to monitor the home through ongoing processes. As this home is rated as an excellent service, another annual service review will be carried out during 2010, and the next key inspection will be carried out by 7th October 2011. However, we can inspect the service at any time, if we have concerns about the quality of the service, or the safety of people using the service. Annual Service Review Page 6 of 7 Reader Information
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