What the CQC found at Hazelgrove Court Care Home

People and most relatives said staff worked hard and genuinely cared about them. Regular staff knew people well.

“People and most relatives told us staff worked hard to help support people and genuinely cared about them.” from the report

Inspectors found medicines were generally managed safely, and people said they received them on time. Some paper records still needed checking during the move to an electronic system.

“People told us they received their medicines on time.” from the report

Inspectors found personal protective equipment, staff training and cleaning arrangements in place. The home followed infection control procedures during outbreaks and visiting followed government guidance.

“PPE was available throughout the home. Staff had received training in donning and doffing. Cleaning regimes were in place.” from the report

The provider accepted the concerns and introduced an action plan, increased staffing and strengthened the leadership presence. New staff had also been recruited.

“The provider listened to the feedback given and took immediate action. Additional staffing levels were introduced, new staff had been recruited.” from the report

People and relatives said there were not always enough staff. Some people spent longer in bed and were not always offered baths or showers, while regular staff faced extra pressure from high agency use.

“People and relatives told us there was not always enough staff to meet people's needs.” from the report

Care records did not always describe people's current health needs or risks, including choking and falls. Staff did not always identify or act on changes quickly enough.

“Care records for people's specific health needs were not always up to date to guide staff on how to manage and monitor those needs safely.” from the report

The provider's monitoring systems had not identified important problems with care, incidents, staffing, training and the home environment. This meant problems were not consistently addressed promptly.

“The provider's quality monitoring systems and processes had failed to ensure there was suitable oversight of the home.” from the report

Agency staff did not always know the needs of the people they supported or follow care plans. The provider needed to improve how agency workers were deployed and managed.

“However, the deployment and management of agency staff needed to be reviewed to ensure they were following people's care plans and relieving pressures on regular staff.” from the report

Some areas needed decluttering, cleaning schedules did not cover all equipment and parts of the home and equipment looked worn. The provider needed to improve its checks of the environment.

“Some areas of the home required de-cluttering, cleaning schedules needed reviewing to include all equipment and, the home required refurbishment as some areas and equipment were looking worn and tired.” from the report