Hazeldell Residential Home

At this inspection, we found the service was following a policy and procedure for managing people's medicines safely and people were now receiving their medicines as prescribed for them. We found that risks to people's wellbeing had been assessed and actions staff were taking to reduce those risks were recorded. The support people needed to reach and maintain a healthy weight was now being documented and appropriate actions by staff to support people were in place, this included referrals to dieticians and other healthcare professionals. Care plans were more personalised and had been reviewed and information added including people's preferences and life histories. The service now had a comprehensive quality assurance system in place which assessed all areas of service provision and appropriate action was taken to address any shortfalls identified.

Improvements had been made to assessments regarding people's capacity to make decisions under the Mental Capacity Act 2005 and formal best interests' decisions were followed where appropriate. 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.

There were enough staff to meet people's needs and there were robust recruitment procedures in place. Staff received supervision, training and there were opportunities for staff to further develop their skills and knowledge.

People told us staff were kind and caring towards them. This confirmed our observations of the interactions between the people living at the service and staff. There was a complaints policy which was available to all people using the service. There was an activities programme to help prevent people from becoming isolated. The service worked closely with other professionals and acted upon the advice provided.