Hazelwood House

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. The rating has improved from requires improvement to good during this assessment. This meant the service was consistently managed and well-led.

The provider was previously in breach of the legal regulation in relation to governance. Improvements were found at this assessment and the provider was no longer in breach of this regulation. The provider had taken action to improve their governance systems and leaders promoted high quality person centred care.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

There was a positive culture at the home and staff had worked collaboratively to make positive changes to the running of the home.

Management had regular meetings with staff to discuss the expectations of the organisation and any concerns they had. Staff undertook a range of training and had used this to help ensure procedures were followed and there was good quality care. There was regular communication between staff so that they could share their experiences and learn from one another.

Open communication was promoted between management and care staff, and this was confirmed by staff we spoke with. Meetings and daily handovers between staff provided them with an opportunity to discuss people’s individual support needs and the running of the home.

Management was clear about the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. The registered manager had the knowledge and skills to lead effectively. Since the previous inspection, the registered manager had taken proactive steps to make improvements to the running of the home. They had implemented new systems to help ensure people received a good level of care.

Staff spoke positively about working at the home. They were complimentary about management and said they were well supported. They also told us they felt valued working at the home and there were opportunities for progression.

Professionals we spoke with were complimentary about management and their running of the home.

There were procedures for staff to speak up if they had any concerns. Staff told us they were able to do this and understood the processes. Staff also had regular meetings with each other and management and used these to contribute information about their experiences and listen to feedback from others.

Management operated an open-door policy and welcomed feedback from staff. They felt the registered manager and the organisation supported them and listened to them.

Staff were supported with their individual needs. Staff told us the registered manager supported flexible working arrangements and had regular discussions to understand their individual needs and how they could support them.

Staff spoke positively about working at the home and said their diversity needs were met.

The service promoted workforce equality, diversity and inclusion and these were implemented through recruitment practices, training, and support for staff.

The registered manager had made improvements to help make governance was more effective and robust. The service had responsibilities, roles, systems of accountability and improved governance. They used these to manage and deliver good quality, sustainable care, treatment and support.

Regular audits and checks were carried out in areas of the service, such as, care records, health and safety and staff practice. Audits showed action was taken where areas of improvement were identified.

People spoke positively about management and staff in the home. A person told us, “They are professional.” Another person said, “They are doing a job that needs doing, they do it well.”

There was a learning culture within the home. Since the previous inspection, management had reviewed and improved their systems around learning lessons. They had implemented various audits and checks which enabled them to have oversight of the running of the home looking at trends and analysis to drive improvements.

Management had implemented a digital record keeping system which enabled staff to continuously update this in real time ensuring information was always relevant and up to date. Staff spoke positively about the system and were confident using it.

There was evidence of changes that had been made to the service to make improvements and to address checks and audits outcomes and in response to feedback from people and staff.

Policies and procedures were in place which covered various aspects of the running of the home. However, we found that some policies required updating. We raised this with the registered manager who advised that they would review and update these accordingly.

There was a learning culture within the home. Since the previous inspection, management had reviewed and improved their systems around learning lessons. They had implemented various audits and checks which enabled them to have oversight of the running of the home looking at trends and analysis to drive improvements.

Management had implemented a digital record keeping system which enabled staff to continuously update this in real time ensuring information was always relevant and up to date. Staff spoke positively about the system and were confident using it.

There was evidence of changes that had been made to the service to make improvements and to address checks and audits outcomes and in response to feedback from people and staff.

Policies and procedures were in place which covered various aspects of the running of the home. However, we found that some policies required updating. We raised this with the registered manager who advised that they would review and update these accordingly.