CQC report explained · a nursing home
What the CQC found at Hazelgrove Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors checked infection prevention and control and were assured that the home was managing visitors, testing, PPE, admissions and outbreaks safely. They also asked about COVID-19-related staffing pressures.
- Effective?
- Good
- This question was not assessed as part of this targeted inspection.
- Caring?
- Good
- This question was not assessed as part of this targeted inspection.
- Responsive?
- Good
- This question was not assessed as part of this targeted inspection.
- Well-led?
- Good
- This question was not assessed as part of this targeted inspection.
What inspectors found, March 2022
Inspected but not rated; inspectors found good infection control and support for family visits during the COVID-19 pandemic.
This was a targeted inspection on 23 February 2022. It looked at infection prevention and control, and asked about staffing pressures linked to COVID-19. The visit was announced 24 hours in advance.
Inspectors found the home was following government guidance. Visitors were checked, people had individual COVID-19 risk assessments, and people and staff took part in regular testing.
Staff had infection-control training and enough protective equipment. Inspectors said staff used it properly. The home also supported people to keep in touch with relatives.
The home was inspected but not rated. This was not a full inspection of the five care questions, so the report does not give an overall Good, Requires Improvement or Inadequate rating.
Infection-control procedures
The home followed current COVID-19 guidance and reviewed its procedures when national guidance changed.
“The provider had reviewed and updated their practice and procedures following any changes to the national guidelines to reflect best practice.” from the report
Testing and protective equipment
People and staff took part in regular testing. Staff had training, enough PPE and were seen using it correctly.
“Staff had received training in infection prevention and had access to personal protective equipment (PPE), such as masks, gloves and aprons, to mitigate the risk of the spread of infection.” from the report
Keeping families connected
The home had a system to support visits from relatives and other important people in residents' lives.
“People using the service were supported to maintain contacts with their relatives.” from the report
Individual risk planning
People had individual COVID-19 risk assessments and care plans to guide staff in reducing infection risks.
“People had individualised COVID-19 risk assessments and care plans which provided guidance for staff to follow so they knew how best to support people to reduce the risk of COVID-19 outbreaks.” from the report
Inspectors raised no specific concerns in this report.
- 01What staffing pressures is the home experiencing now, and how are they affecting residents?
- 02How have the home's infection-control procedures changed since the February 2022 inspection?
- 03How does the home currently arrange visits and contact between residents and relatives?
- 04How does the home manage testing and isolation when a resident or staff member tests positive?
- 05Can we see the home's latest full CQC ratings, since this inspection was not rated?
This was a targeted inspection of infection prevention and control, with questions about COVID-19-related staffing pressures; it did not provide full ratings for the five care questions. This explanation was written from the published report of 11 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, July 2019
Hazelgrove Care Home is rated Good; inspectors found kind, safe care but some records and staffing concerns needed attention.
The inspection was unannounced and took place on 21 May 2019. Inspectors spoke with people living at the home, relatives and staff. They reviewed care records, staff files, training records and safety records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were generally safe, treated with dignity, supported to make choices and given care based on their needs.
There were some areas to improve. One person's bed was not set at the level required in their care plan, and records about repositioning and a pressure sore were incomplete. Guidance about supporting people with diabetes was also not consistent. The manager said these issues would be addressed, and the bed setting was corrected during the inspection.
Safe medicines practice
Medicines were stored and given safely. Records showed when medicines had been administered, and staff competency was checked regularly.
“People's medicine administration records were comprehensively completed showing when they had received their medicines.” from the report
Kind and respectful care
Most people and relatives felt staff were caring and kind. Inspectors saw staff speaking warmly with people and supporting their dignity and independence.
“People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
Dementia support
The home offered activities and daily tasks linked to people's interests and past lives. Its environment was adapted to help people living with dementia.
“There was a particularly strong emphasis on ensuring people living with dementia were able to lead meaningful and fulfilling lives.” from the report
Management and improvement
The home used audits and reviews to check care, medicines and safety. Inspectors found a continued focus on learning and improvement.
“There was a focus on continuous learning and improving care.” from the report
Incomplete pressure care records
needs fixingRecords for one person did not always show that repositioning took place as often as required. One pressure sore record also lacked measurements and consistent photographs, making healing harder to assess.
“This could cause a delay in the person receiving the appropriate support needed for the wound to heal.” from the report
Bed setting did not match the care plan
seriousOne person's bed was low but not at the lowest setting required by their care plan. Staff corrected this and began a review of all bed settings.
“We did note one person's bed was set low but was not at the lowest setting as per the guidance in their care plan.” from the report
Staff availability concerns
needs fixingSome people and staff felt there were times when staff were too busy or slow to respond. Inspectors found enough staff during the visit, and call bell requests were normally answered quickly.
“Some people raised concerns about the numbers of staff available to support them.” from the report
Diabetes guidance varied
needs fixingOne care record did not clearly explain the signs of low blood sugar or what staff should do. The manager said this would be made consistent across care plans.
“However, guidance for supporting people with diabetes was variable at times.” from the report
Less interaction at busy times
minorInspectors observed that some staff spoke less with people during busy periods, apart from when carrying out care tasks. The manager said staff would be reminded to engage fully throughout the day.
“We did note during busy periods of the day, some staff interacted less with people other than when supporting with tasks.” from the report
- 01How do you now check that repositioning records are completed every time and at the required frequency?
- 02How are pressure sores measured and photographed so that healing can be monitored clearly?
- 03What changes have you made to staff deployment following concerns about staff being busy or call bell response times?
- 04How do care plans explain the signs of low blood sugar and the action staff must take?
- 05How do you make sure every person's bed is set to the level required in their care plan?
This was an unannounced planned inspection covering all five CQC questions; the previous inspection in 2016 was also rated Good. This explanation was written from the published report of 13 July 2019 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 Hazelgrove Care Home
3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- July 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- February 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- March 2011
Registered with the Care Quality Commission on 3 March 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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