CQC report explained · a nursing home
What the CQC found at Hazelgrove Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Risks such as falls and choking were assessed and care plans gave staff detailed guidance. Inspectors found medicines, staffing, recruitment and infection control were managed safely.
- Effective?
- Good
- People received appropriate food, drinks, healthcare support and staff training. The home followed the Mental Capacity Act and sought people's consent to care.
- Caring?
- Good
- Staff offered choices, treated people with kindness and respected their privacy, dignity and independence. Inspectors observed positive communication and friendly interactions.
- Responsive?
- Good
- Care plans reflected people's needs, preferences and life histories. The home offered activities, supported religious and cultural needs, responded to complaints and recorded end-of-life wishes.
- Well-led?
- Good
- Quality checks covered areas including medicines, infection control, care planning and health and safety. People, relatives and staff gave positive feedback about how the home was run.
What inspectors found, November 2023
Hazelgrove Nursing Home was rated Good; inspectors found safe, kind and personalised care across all five areas.
The inspection was unannounced and took place on 17 and 18 October 2023. One inspector and one senior specialist spoke with people, relatives and staff, observed care and reviewed records including four care plans.
The inspectors found people were safe, treated kindly and supported by staff who understood their needs. Medicines were managed safely, the home was clean, care plans were up to date and people could receive visitors and take part in activities.
All five CQC areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means the inspectors found the service consistently managed, with good care and people's needs met through good organisation and delivery.
Safe medicines
Inspectors found medicines were stored securely, administered by trained nurses and checked through regular audits.
“Regular auditing of medicine procedures had taken place, including checks on accurately recording administered medicines as well as temperature checks of medicine storage areas.” from the report
Kind and respectful care
Staff supported people's choices and encouraged independence while protecting privacy and dignity.
“People we spoke with thought they were well cared for and treated with respect and dignity, and had their independence promoted.” from the report
Personalised support
Care plans included people's preferences, interests, religious beliefs and personal histories. Staff were observed using this knowledge to support people appropriately.
“Individual person-centred care plans had been developed, enabling staff to support people in a personalised way that was specific to their needs and preferences, including any individual religious beliefs.” from the report
Activities and relationships
The home offered varied activities and provided one-to-one activity time for people who preferred to stay in their rooms. Relatives could visit and stay as long as they wanted.
“There was a range of activities on offer which included, music, arts and crafts, exercise, trips around the local area and visits from external entertainers.” from the report
Strong oversight
The home used audits, staff meetings and feedback from people and relatives to monitor quality and identify improvements.
“The registered manager undertook a range of quality assurance audits to ensure a good level of quality was maintained.” from the report
Inspectors raised no specific concerns in this report.
- 01How are staffing levels changed when a person's needs increase or when staff are absent?
- 02How will you make sure care plans and risk assessments stay up to date as my relative's needs change?
- 03Which activities would suit my relative, and how would you provide one-to-one activities if they prefer to stay in their room?
- 04How will you keep me informed about medicines, healthcare appointments and any changes in treatment?
- 05How would you record and follow my relative's wishes about care at the end of their life?
This was an unannounced inspection covering all five key questions and infection prevention and control; inspectors observed care, spoke with 2 people, 2 relatives and 9 staff, and reviewed 4 care plans. This explanation was written from the published report of 17 November 2023 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, March 2021
Inspected but not rated; inspectors found strong infection prevention arrangements at Hazelgrove Nursing Home.
Inspectors visited the home on 12 March 2021. This was an announced, targeted inspection during the COVID-19 pandemic, focused on infection prevention and control.
They found that communal areas supported social distancing and that the home was clean. Staff used suitable personal protective equipment, with a plentiful supply available.
Staff had received extra infection control training and regular checks on handwashing and using PPE. People and staff were taking part in the COVID-19 testing programme, and records were monitored.
The home was inspected but not rated. This means the visit did not give an overall quality rating or a rated judgement on the service.
Social distancing
The layout of communal areas had been changed to help people keep an appropriate distance from each other.
“The environment had been adapted to encourage social distancing. Communal areas were arranged to enable appropriate spacing between people.” from the report
Clean environment
Inspectors found the home clean and saw staff regularly cleaning frequently touched areas such as handrails.
“The home was clean and tidy. Staff worked through all parts of the home to maintain cleanliness and good infection control.” from the report
PPE and staff training
Staff were using suitable PPE, and the home had extra infection control training and checks on handwashing and putting on and removing PPE.
“All staff had received additional training in infection prevention and control and had completed regular competency checks for effective handwashing and the donning and doffing of PPE.” from the report
COVID-19 testing
People and staff were taking part in the testing programme. Testing records were displayed and checked by the registered manager.
“Staff and people were fully engaged in the appropriate COVID-19 testing regime.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you currently managing visiting arrangements and preventing infections from spreading?
- 02How often are frequently touched areas cleaned, and how is this checked?
- 03How do you check that staff remain competent in handwashing and putting on and removing PPE?
- 04How are COVID-19 or other infection testing arrangements recorded and monitored now?
- 05What procedures are followed when a person is admitted or when there is a possible infection outbreak?
This was an announced, targeted inspection of infection prevention and control measures during the COVID-19 pandemic, and the service was inspected but not rated. This explanation was written from the published report of 24 March 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.
Every inspection of Hazelgrove Nursing Home
2 rated inspections over 6 years: the service has held its Good rating throughout.
- November 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2021Inspected but not ratedSafe: Inspected but not rated
- August 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2016
Registered with the Care Quality Commission on 1 September 2016.
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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