Wilmslow SK9 2RS
Telephone: (01625) 536400
Manager: Michelle OliphantProvider Name: Bupa Care Homes (CFHCare) Limited
OverallRead overall summary
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection took place on 28 November 2017, and was unannounced. Two additional announced inspection visits were undertaken on the 6 and 21 December 2017.
The inspection team consisted of two adult social care inspectors, a specialist advisor on the care of people with dementia 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.
Before the inspection, we checked information that we held about the service and the service provider. We looked at any notifications received and reviewed any other information held about the service prior to our visit.
The inspection was prompted in part by a late notification of an incident following which a person using the service sustained a serious injury. This incident occurred before the current manager took up post. The incident was at the time of the inspection subject to a criminal investigation and as a result this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of risk from falls. This inspection examined those risks. Since the inspection the service has been told by the police they will not be preceding with a criminal prosecution but the matter remains open to and under investigation by the CQC.
We invited the local authority to provide us with any information they held about Hazelmere House. They told us the home had previously been subject to an action plan due to concerns around staff training, care planning, monitoring and review. They told us that they had visited the home on the 21 August 2017 and found that the new manager had made improvements in all areas, but concerns remained about the quality of recording, care planning and review of care.
During the inspection, we used a number of different methods to help us understand the experiences of people living in the home. We spoke with a total of 20 people living at the home, four visiting relatives and nine staff members including the registered manager, regional director, the resident experience manager, clinical services manager, two nurses and three care staff.
Throughout the inspection, we observed how staff supported people with their care during the day. We looked around the building including, with the permission of the people who used the service, some bedrooms. We looked at a total of five care plans. We looked at other documents including policies and procedures; staffing rotas; risk assessments; complaints; staff files covering recruitment and training; food and fluid records, maintenance records; health and safety checks; minutes of meetings and medication records.
Last updated 11:29:12 23rd Jan 2019 - Update Now
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