CQC report explained · a residential care home
What the CQC found at Hazeldene Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control. This included PPE, cleaning, testing, visitor arrangements, social distancing and the management of possible outbreaks.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, April 2021
Inspected but not rated; inspectors found good infection control, cleaning, testing and visitor arrangements.
This was an announced, targeted inspection on 1 April 2021. It looked at the home's infection prevention and control arrangements during the COVID-19 pandemic.
Inspectors were assured that the home used PPE safely, carried out regular testing, kept the home clean and followed social distancing and shielding rules. They also found processes for screening visitors and managing possible infection outbreaks.
The home was inspected but not rated. This means the visit did not give a full overall quality rating or a rating for all five areas of care.
Safe use of PPE
Staff had suitable PPE, knew how to use it and had received infection control and COVID-19 training.
“Staff wore appropriate personal protective equipment (PPE) in line with the Government guidance.” from the report
Clean environment
The home was clean and enhanced cleaning was carried out regularly to reduce the risk of infections spreading.
“The home was clean. Enhanced cleaning was being completed regularly throughout the home to ensure people were protected as much as possible from the risk of cross infection.” from the report
Visitor arrangements
Visitors were screened for symptoms, had their temperature taken and, where appropriate, took a rapid test. PPE and social distancing were also required.
“There were clear processes in place for visitors to the service.” from the report
Regular testing
People living at the home and staff were tested regularly in line with the Government guidance.
“Staff and people living at the home were being tested regularly in line with Government guidance” from the report
Inspectors raised no specific concerns in this report.
- 01What is the home's current full CQC rating, given that this inspection was not rated?
- 02How are staff currently trained to put on and take off PPE safely?
- 03How often are people living at the home and staff tested for infections now?
- 04How are visitors currently screened and supported to visit safely?
- 05What is the current process for preventing or managing an infection outbreak?
This was a targeted inspection of infection prevention and control during the COVID-19 pandemic, so the service was inspected but not rated and the other areas of care were not assessed. This explanation was written from the published report of 21 April 2021 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, June 2018
Rated Good; inspectors found kind, effective care and improvements since the previous inspection, with some staffing and information issues to check.
This was an unannounced, comprehensive inspection on 1 and 2 May 2018. Inspectors spoke with people living at the home, relatives, staff and the manager. They reviewed care records, staff files, medicines, complaints, audits and safety records, and contacted community health professionals.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People generally felt safe and said staff were kind, patient and respectful. Inspectors found suitable training, safe medicines arrangements, appropriate healthcare support, personalised care and regular activities.
The previous inspection in February 2017 had rated the home Requires Improvement because falls were not always followed up and care records were not always updated. Inspectors found these areas had improved. They also noted changes made after this inspection to improve staff availability, especially at weekends and during busy periods.
Kind and respectful care
People said staff were caring and supportive. Inspectors saw staff communicating patiently, respecting privacy and encouraging people to remain independent.
“We observed staff treating people with kindness and patience.” from the report
Improved care planning
The home had improved how it recorded and reviewed people's needs and risks since the previous inspection.
“Care plans and risk assessments had been updated regularly or when people's needs had changed or their risks increased.” from the report
Staff training
Staff received induction, regular training and supervision. People and relatives felt staff had the knowledge and skills to provide care.
“Records showed that staff completed a thorough induction when they joined the service and their training was updated regularly.” from the report
Quality monitoring
The manager and regional manager carried out regular checks on areas including accidents, medicines, care records, infection control and the environment.
“We found the audits completed were effective in ensuring that high levels of quality and safety were maintained at the service.” from the report
Staff availability
needs fixingOne person and one relative raised concerns about staff availability at weekends. On the first morning, inspectors also found it difficult to find a staff member when someone needed support. Changes were made after the inspection.
“On the morning of the first day of our inspection, we found it difficult to find a member of staff when a person needed support.” from the report
Safeguarding investigation
needs fixingA local authority investigation was still under way into a serious injury experienced by someone at the home. The report says the outcome had not yet been received.
“At the time of our inspection, a safeguarding investigation was being completed by the local authority in respect of a person who had experienced a serious injury at the home.” from the report
- 01What are the current staffing arrangements at weekends, and how do you make sure staff are available when people need help?
- 02What was the outcome of the local authority safeguarding investigation into the serious injury mentioned in the report?
- 03How do you now check that care records include people's ethnic origin, gender and sexual orientation where relevant?
- 04What steps have you taken to implement the Accessible Information Standard?
- 05How do you monitor falls, and how quickly are people referred to healthcare professionals when needed?
This was an unannounced comprehensive inspection covering all five questions and the overall quality of the home. This explanation was written from the published report of 14 June 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 Hazeldene Care Home
3 rated inspections over 2 years: the service has improved, from Requires improvement to Good.
- April 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- June 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- March 2016Requires improvementSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- September 2014
Report published without a new overall rating.
- March 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- July 2011
Report published without a new overall rating.
- April 2011
Registered with the Care Quality Commission on 4 April 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.
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85 live-in carers within about an hour of Lancashire
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. 78 can care for a couple. 11 years' experience on average.
“She understands the needs of an elderly person in the early stages of dementia and has treated my mother with great kindness and skill.”
“Thanks to Tracy, Dad was always immaculately dressed and clean, his meals were all home cooked and nutritionally well balanced and his home was always kept really clean and tidy.”
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.