CQC report explained · a nursing home
What the CQC found at Hazelmere House Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found effective risk management, safe medicines systems, suitable staff checks and training, and strong infection prevention measures.
- Effective?
- Good
- This key question was not inspected during this focused visit. The previous rating was used for the overall rating.
- Caring?
- Good
- This key question was not inspected during this focused visit. The previous rating was used for the overall rating.
- Responsive?
- Good
- This key question was not inspected during this focused visit. The previous rating was used for the overall rating.
- Well-led?
- Good
- Inspectors found clear leadership, regular audits, staff support and systems for gathering feedback and learning from incidents.
What inspectors found, July 2021
Hazelmere House Care Home is Rated Good; inspectors found safe care, strong infection controls and effective management.
This was an unannounced, focused inspection on 8 June 2021. Inspectors looked mainly at Safe and Well-led because they had received concerns about infection control. They spoke with four people and eight staff, reviewed care, medicines, recruitment and management records, and checked evidence sent after the visit.
The inspectors found people were safe. Care plans and risk assessments were detailed and up to date. Medicines were managed safely, staff had suitable training and checks, and the home was clean with infection control measures in place for COVID-19.
The home was judged well-led. Inspectors found an approachable management team, regular audits, staff meetings and systems for learning from incidents. The overall rating stayed Good, as it was at the previous inspection published on 29 May 2019.
This inspection did not assess Caring, Effective or Responsive. The ratings for those areas from the earlier comprehensive inspection were used when calculating the overall rating.
Detailed care planning
Care plans and risk assessments were comprehensive, current and showed staff how to manage people's individual risks.
“Care and nursing plans were comprehensive, detailed and up to date that detailed people's current care needs and included how to safely manage any identified risks.” from the report
Medicines safety
Medicines were administered by trained staff, with competency checks, audits and secure storage.
“Medicines were managed safely by trained staff and people received their medicines as prescribed.” from the report
Infection control
The home was clean and inspectors were assured about its COVID-19 measures, including PPE, testing, visiting and outbreak planning.
“The home was very clean and used stringent infection control measures to reduce the risk of COVID-19.” from the report
Strong management oversight
The management team used audits, meetings and feedback to monitor the home and make improvements.
“The manager carried out a comprehensive set of audits and checks to ensure the safety and quality of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you check that each person's care plan and risk assessment still reflects their current needs?
- 02How are medicines errors identified, reviewed and prevented from happening again?
- 03What infection control and visiting arrangements are currently in place?
- 04How do staff raise concerns about staffing levels, and what action is taken when concerns are raised?
- 05What improvements have resulted from recent audits, feedback or incident reviews?
This was a focused inspection of Safe and Well-led only; the other key question ratings came from the previous comprehensive inspection. This explanation was written from the published report of 15 July 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, May 2019
Hazelmere House Care Home was rated Good; inspectors found safe, kind and person-centred care, with improvements since the previous inspection.
This was an unannounced inspection on 29 and 30 April 2019. Inspectors reviewed care records, medicines records, recruitment files and quality checks. They spoke with 17 people living at the home, 11 relatives and members of staff, and observed care.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from harm, medicines were managed safely, staffing was suitable and care was tailored to people's needs.
The home had improved since the previous inspection, when it was rated Requires Improvement. The report says the provider had acted on its improvement plan and that quality checks and oversight had improved.
People felt safe
Risk assessments covered areas such as falls, choking, eating and drinking, bed rails and evacuation. People said they felt safe and support was available day and night.
“People were safe and protected from avoidable harm. Legal requirements were met.” from the report
Kind and respectful care
Inspectors saw dignified care. People and relatives gave positive feedback about staff being kind, respectful and familiar with people's preferences.
“We observed care and support being provided that was specifically tailored around people's wishes and preferences.” from the report
Personalised activities
The home had a dedicated activities co-ordinator who arranged activities based on people's interests. People were encouraged to take part.
“There was a dedicated activities co-ordinator in post; they arranged a variety of activities based around people's enjoyments and interests.” from the report
Improved oversight
Quality checks, audits and internal inspections were being used to identify improvements. Action plans were followed up promptly.
“Internal action plans were devised, and areas of development were followed up on in a timely manner.” from the report
Manager registration was not complete
minorThere was no manager registered with CQC at the time of the inspection. A newly recruited manager had applied and was waiting for an interview.
“At the time of the inspection the service did not have a manager registered with CQC.” from the report
Some refurbishment was unfinished
minorParts of the home had been refurbished, but some areas were still being renovated and redesigned.
“some areas were still in the process of being renovated and designed around the preferences of the people living there.” from the report
- 01Has the manager now completed CQC registration, and who is responsible for the home if registration is still pending?
- 02What refurbishment work remained after the inspection, and has it now been completed?
- 03How do you currently check staffing levels against each resident's changing needs?
- 04How are medicines audits and staff competency checks carried out now?
- 05How are residents and relatives involved in reviewing care, activities and improvements?
This was a scheduled inspection covering all five CQC questions, and the home was rated Good in each area. This explanation was written from the published report of 29 May 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 Hazelmere House Care Home
5 rated inspections over 6 years: the service has improved, from Requires improvement to Good.
- July 2021Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2019Goodup from Requires improvementSafe: GoodWell-led: Good
- May 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- August 2016Requires improvementstayed Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- November 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- July 2014
Report published without a new overall rating.
- March 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- March 2011
Registered with the Care Quality Commission on 21 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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At least 100 live-in carers within about an hour of Cheshire East
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. 88 can care for a couple. 10 years' experience on average.
“She is an exemplary carer, she is knowledgable empathetic and very respectful in the home.”
“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.