CQC report explained · a residential care home
What the CQC found at Hazelwood Lodge Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, February 2020
Rated Good; inspectors found safe, kind and well-managed care, with improvements needed to personalised activities.
This was an unannounced, planned inspection on 12 December 2019. One inspector and an Expert by Experience spoke with people, staff, relatives and a health and social care professional. They observed daily life, lunch and the building, and checked care records, medicines, staff files, training, complaints, incidents, audits and safety checks.
The home provides accommodation and personal care for up to 10 people with a learning disability. Inspectors found people were safe, treated kindly and supported to make choices. Care plans were detailed and personalised. Medicines, staffing, recruitment, training and building safety were managed well.
The main shortfall was around activities. Some planned activities did not take place, and some people's community activities were limited. The inspectors recommended that activity plans should be reviewed so they better reflect individual hobbies and interests.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating and the same rating in each area as at the previous inspection, published on 23 June 2017.
Kind and respectful care
Inspectors saw staff treating people kindly and with respect. Relatives and people living at the home also gave positive feedback.
“We saw staff consistently treated people in a very kind and caring manner.” from the report
Personalised care plans
Care plans covered people's needs, preferences, communication, risks and social activities. They were reviewed when needs changed and included people's and families' views as much as possible.
“People's care plans were personalised, comprehensive, up to date and had detailed information on how they liked their care to be provided.” from the report
Safe staffing and medicines
The home had enough staff on the inspection day, used safe recruitment procedures and managed medicines safely. Medicine stocks checked by inspectors matched the records.
“Medicines were stored and administered safely by staff. We checked stocks against MARs and these tallied.” from the report
Good health support
The home supported people to access health professionals and worked in partnership with them. Inspectors found evidence of improvements in some people's mental health.
“A health and social care professional told us there had been a "huge turnaround" in one person's mental health since they moved to the service.” from the report
Strong management and staff support
Audits covered a broad range of areas, and staff received regular supervision and training. People, families and professionals gave positive feedback.
“Audits were extensive and covered a broad range of areas including care plans and infection control.” from the report
Activities were not always individualised
needs fixingSome activities on the planner did not happen, and some people had limited individual community activities. The inspectors recommended reviewing plans to better promote personal interests.
“We also found that some activities on the activity planner were not always taking place.” from the report
Small recording and hygiene gaps
needs fixingSome PRN medicine instructions needed more detail, and communal bathrooms did not always have soap. The home said it updated the instructions and planned to fit soap dispensers and check bathrooms.
“We noted more detail was required for staff on when to give some medicines.” from the report
- 01What individual hobbies and interests will you support my relative to pursue, and how will you record whether planned activities actually happen?
- 02What changes have been made to PRN medicine instructions, and how do you check that staff follow them?
- 03Are soap dispensers now fitted in all communal bathrooms, and how often are bathrooms checked?
- 04How will my relative communicate choices, concerns or complaints if they do not communicate verbally?
- 05How will you involve my relative and our family in reviewing their care plan and activity plan?
This was an unannounced planned inspection covering all five CQC questions, the building and the care provided; inspectors reviewed selected records and spoke with a limited number of people. This explanation was written from the published report of 15 February 2020 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 2017
Hazelwood Lodge Limited was rated Good; inspectors found safe, kind and personalised care, with some improvements suggested around healthy eating and quality monitoring.
This was an unannounced inspection on 16 May 2017. One inspector spoke with four people living at the home, three relatives, four staff, the manager, the provider and a social care professional. Records, care plans, medicines and safety checks were also reviewed.
The home supported 10 people with learning disabilities. Inspectors found friendly relationships between staff and people. Risks were assessed, medicines were managed safely, staff were trained, and people had access to health professionals. People were offered choices and were involved in their care, activities and meals.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home had also been rated Good at the previous inspection in March 2015, so the overall rating remained the same.
Kind relationships
People and relatives described staff as kind. Inspectors saw calm, friendly and supportive interactions.
“People told us they liked the staff at the home. Friendly and supportive relationships had developed between staff and people using the service.” from the report
Safety systems
The home recorded risks and explained how they should be reduced. Medicines, fire safety and staff recruitment checks were satisfactory.
“Risks to peoples' safety had been identified and staff were aware of the actions they needed to take to mitigate these risks.” from the report
Choice and rights
Staff supported people to make choices and respected different ways of communicating. Inspectors observed staff asking permission before providing support.
“People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible” from the report
Personalised support
Care plans described people's needs, goals and aspirations. They were reviewed when people's needs changed.
“Care plans were centred on the individual and gave staff clear and detailed information about people's needs, goals and aspirations” from the report
Healthy eating across services
needs fixingOne person was working towards losing weight, but the home had not yet spoken with their day centre to help keep the healthy eating plan going away from the home.
“However, the registered manager said that they had not yet spoken with the person's day centre to ensure they continued this healthy eating programme away from the home.” from the report
Quality improvement planning
minorInspectors said the surveys for relatives were quite long and suggested a clearer, continuous improvement plan linked to the home's quality checks.
“We noted that the surveys given to relatives were quite long and we spoke with the registered manager about what information was important to gather to ensure improvements were identified.” from the report
- 01How do you now make sure healthy eating plans continue when people attend day centres?
- 02What changes have you made to the relatives' surveys since inspectors said they were quite long?
- 03What ongoing improvement plan do you use, and how can families see the actions that come from feedback?
- 04How do staff recognise and respond to choices from people who do not communicate verbally?
- 05How often are personal evacuation plans and fire drills reviewed for each person?
This was an unannounced comprehensive inspection covering all five areas, and all five ratings were Good. This explanation was written from the published report of 23 June 2017 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 Hazelwood Lodge Limited
4 rated inspections over 5 years: the service has improved, from Inadequate to Good.
- February 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015Goodup from InadequateSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2014InadequateSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: InadequateWell-led: Inadequate
- July 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 9 December 2010.
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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