CQC report explained · a nursing home
What the CQC found at Hazelbrook Christian Nursing Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, March 2022
Inspected but not rated; inspectors found safe infection control and practical support during COVID-19 pressures.
This was a targeted inspection on 15 February 2022. It looked at infection prevention and control during COVID-19 outbreaks, and asked about staffing pressures. The visit was announced 48 hours in advance.
Inspectors were assured that the home was using protective equipment safely, managing visitors and admissions safely, supporting testing, and keeping the building clean. They were also assured that the home had an up-to-date infection control policy.
The home provided different ways for people to keep in touch with relatives when needed. It also used tasting sessions and world food days after some people lost their appetite and weight during COVID-19.
The service was inspected but not rated. This was not a full assessment of all five areas of care, so the report does not provide an overall Good, Requires improvement or Inadequate rating.
Infection control
Inspectors were assured that the home had arrangements to prevent and manage infection, including safe use of protective equipment and testing.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Keeping in touch
The home offered several ways for people to stay in contact with relatives and others when usual visits were difficult.
“The home had a range of alternative forms of maintaining social contact to be used where needed; for example, keeping in touch using video calls, letter writing, visiting in communal outdoor areas or through meeting at a closed window and using an intercom system to communicate with.” from the report
Responding to weight loss
The home responded to reduced appetite during COVID-19 with food-related activities. The report says appetites improved and weight stabilised.
“This had worked well, people's appetites had improved and weight had stabilized.” from the report
Risk planning
Risk assessments were completed for people in high-risk groups, with steps taken to reduce identified risks.
“Risk assessments had been carried out on people belonging to high risk groups. Mitigation was put in place where required.” from the report
Inspectors raised no specific concerns in this report.
- 01What measures are currently in place to manage staffing pressures caused by illness or COVID-19?
- 02How are visits arranged now, and what happens if there is an infection outbreak?
- 03How do you monitor appetite and weight, and what support is offered if someone starts losing weight?
- 04How do you currently check that staff and visiting professionals meet the latest infection control requirements?
- 05When was the home last fully assessed across all five CQC areas?
This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 2 March 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, February 2018
Rated Good; inspectors found safe, kind and responsive care after a previous Requires Improvement rating.
The inspection was unannounced and took place on 9 January 2018. Inspectors spoke with people living in the home, visitors, staff and managers. They observed a lunchtime meal and checked care records, staff files, training records, safety records and audits.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, suitable training, kind interactions and care plans that reflected people's needs.
The previous inspection in July 2017 rated the home Requires Improvement. The report says this inspection was agreed because of discrepancies in the earlier report. It also says activities had needed improvement previously, and inspectors found a wider range of activities and further plans being developed.
Enough staff
Inspectors found staffing levels were sufficient for people's needs. The home tried to use familiar staff when covering sickness or holidays.
“Staffing levels on the day of the inspection were sufficient to meet the needs of people who used the service.” from the report
Safe medicines
Medicines were given by trained staff and records were completed. Controlled medicines were stored and recorded correctly.
“Robust systems were in place to ensure the safe handling of medicines and people received their medicines as prescribed.” from the report
Kind and respectful care
People described staff as patient, helpful and kind. Inspectors saw staff respecting people's privacy, dignity and preferred pace.
“We observed positive interactions throughout the between staff and people who lived at the home.” from the report
Personalised support
Care plans contained detailed information and were updated when people's health or social care needs changed. Staff knew the people they supported.
“The care plans we looked at were reflective of people's needs.” from the report
Activities and social life
Inspectors found activities such as gardening, flower arranging and picture bingo. The home was also developing a summer house and activities for people living with dementia.
“There were a range of activities available for people to join in with if they wish.” from the report
Good management checks
The manager and staff used audits, meetings and feedback to monitor the service and act on problems.
“Quality assurance systems in place were used to drive forward improvements in the service.” from the report
Food variety
minorThe report says choices and special diets were provided, but one person wanted more variety in the menu. The menu was also under review.
“Another person said they would like more variety such as Italian or Chinese dishes.” from the report
- 01How have activities developed since the inspection, including the planned summer house and activities for people living with dementia?
- 02How do you make sure the menu offers enough variety while meeting diabetic, soft, pureed and other dietary needs?
- 03How do you maintain staffing levels when staff are off sick or on holiday, and how often are agency staff used?
- 04How are each person's end of life wishes recorded, reviewed and followed?
- 05What improvements have been made since the Requires Improvement inspection in July 2017?
This was a comprehensive inspection covering all five areas, and the home received a Good rating in each one. This explanation was written from the published report of 23 February 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Hazelbrook Christian Nursing Home
3 rated inspections over 3 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Hazelbrook Christian Nursing Home →
- February 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Hazelbrook Christian Nursing Home →
- October 2017Requires improvementdown from GoodSafe: GoodEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- April 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 20 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Bolton
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 92 can care for a couple. 10 years' experience on average.
“Primrose is a very kind and compassionate healthcare professional”
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.