The inspection was carried out on 21 October 2014 and was unannounced. The last inspection of Hazelbrook Christian Nursing Home took place of 14 November 2013 and was found to be meeting all the regulatory requirements.
Hazelbrook Christian Nursing Home is registered to provide accommodation for 38 people who required nursing or personal care. On the day of our inspection there were 32 people living at the home. The home is located in the Horwich area of Bolton.
The home had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
The registered manager was available to assist us with the inspection. The manager had worked at the home for a several years and was a registered nurse.
During our inspection we spent time in all areas of the home including the lounges, the dining room and with people’s permission chatted with some people who preferred to stay in their bedrooms. This enabled us to observe how people’s care, support and interaction between staff was provided. We observed and heard staff speaking to people in a kind and respectful manner. There was a friendly and relaxed atmosphere within the home. People living at the home told us that staff were kind and caring. One person said, “I have everything I need here. The staff are lovely.” One relative spoken told us, “The staff are marvellous; nothing is too much trouble for them. They are very kind and caring.”
On the day of our inspection we saw that people were supported by sufficient numbers of staff. The staff we spoke with confirmed they attended regular training which was relevant to their roles. We also looked at some staff files and saw that robust recruitment procedures were in place and all the relevant checks had been completed prior to new staff commencing their employment at the home.
We saw that the home had suitable arrangements in place to help protect people living at the home from the risk of abuse. People we spoke with told us they felt safe living at Hazelbrook.
The Care Quality Commission has a duty to monitor activity under the Deprivation of Liberty Safeguards (DoLS). Staff on duty confirmed that they had undertaken training in the Mental Capacity Act 2005 and in Deprivation of Liberty Safeguards.
We looked at five care records and found that these contained clear and concise information to guide care staff about how people’s care needs were to be met, their preferred wishes and likes and dislikes. We saw the care records contained risk assessments, which identified risks and described the measures in place to ensure people were protected from the risk of harm. We saw that the care plans were regularly reviewed and reflected any changes to people’s care needs. We saw that when the care records were not in use they were securely stored to ensure confidentiality was being maintained.
During the inspection we saw that people were encouraged and supported to eat and drink sufficient amount to meet their needs. We observed some people required assistance when eating their meals and this was done in a sensitive and dignified manner.
We spoke with the manager, nurses, care staff and the ancillary team. Staff spoken with said they felt supported by the manager and felt comfortable in approaching the manager at any time. We observed good working relationships between the staff team and senior staff. Staff comments included, “We all work well together” and “The home is well run”.
Prior to inspection we spoke with other healthcare professionals who told us they had no concerns about the home and the care provided. They said that the home was well run and all the staff were very good.