Hazelgrove Court Care Home

Updated 17 May 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 1 inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Hazelgrove Court Care Home is a ‘care home’. People in care homes receive accommodation and nursing and personal care as a single package under one contractual agreement dependent on their registration with us. Hazelgrove Court Care Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 21 March 2023 and ended on 30 March 2023. We visited the service on 21 March 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who worked with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 7 people who used the service and 2 relatives about their experience of the care provided. We spoke with 8 members of staff including the registered manager, 1 nursing assistant, 2 senior care assistants, 3 care assistants, 1 domestic cleaner and 1 healthcare professional.

We reviewed a range of records. This included 4 people's care and medication records. We looked at 4 staff files in relation to recruitment and a variety of records relating to the management of the service.

Updated 17 May 2023

Hazelgrove Court Care Home provides nursing and residential care for up to 48 people. The service provides support to older people living with dementia. At the time of our inspection 45 people were using the service.

People’s experience of using this service and what we found

People were living in a service where the cleanliness needed improving. Areas of the home remained cluttered and untidy. Staff told us there weren’t enough domestic staff. People told us they felt the untidiness of the home impacted on their wellbeing.

Governance and management systems were not fully effective in identifying and addressing some of the concerns identified. This included issues around cleanliness, staff training and accuracy of daily records. Improvements had been made from the last inspection however, there were still actions that had not been fully addressed.

People were protected from risk of harm. Accidents and incidents were recorded, and actions were taken to mitigate risk of reoccurrence. Staff were recruited safely, and appropriate checks were completed prior to employment. Agency staff were being used; a recent recruitment drive had taken place which had slightly reduced the ongoing use of agency staff. People told us they felt safe. One person told us, “I feel very safe here, it’s like home from home. Once you come in, you don’t want to go.”

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Risks to people were managed and systems were in place

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 21 March 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the provider remained in breach of regulation 17 (Good governance). The service remains rated as requires improvement.

Why we inspected

We carried out an unannounced focused inspection of the service on 7 February 2022.

We undertook this focused inspection of the safe and well-led key questions to check the service had followed their action plan from the last inspection and to confirm legal requirements were now met.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last comprehensive inspection to calculate the overall rating. The overall rating for the service has remained rated requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Hazelgrove Court Care Home on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified a breach in relation to good governance at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.