Hazelhurst Nursing Home is located in Bishopswood, Ross-on-Wye.. The service provides accommodation and nursing care for people living with conditions such as dementia, Parkinson's disease and physical disabilities. On the day of our inspection, there were 35 people living at the home.

The inspection took place on 25 May 2017 and was unannounced.

There was no registered manager in post at the time of our inspection. However, this managerial change was a recent development and the provider was in the process of recruiting a new registered manager. Registered providers and registered managers are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The provider's model of care focused on people's quality of life, with a particular emphasis on 'living well.' New ways were continually found to enable people to lead the best possible life for them, and to ensure their enjoyment of life did not have to be curtailed just because they lived in a care home.

People were encouraged to maintain their hobbies and interests, as well as experience new social and leisure opportunities.

Links had been established with the local community to benefit the people living at Hazelhurst and prevent the risk of social isolation.

The provider believed that people's physical environment should be reflective of a dignified and respectful approach. People benefited from specialist equipment, such as blue lighting in their bathroom rather than the startling bright light omitted by regular lighting, and beds which were designed to purposely not resemble a medical product.

People and their relatives were consistently positive about the care provided, particularly in relation to end-of-life care.

People enjoyed a variety of different food and drinks, with mealtimes being a pleasurable and social experience. People were supported to maintain good health, with input sought from a range of health professionals, as required

There were enough staff to meet people's needs safely. Consideration had gone into balancing people's freedom, with ensuring their safety. Where possible, the least restrictive option was always taken to enable people to have greater freedom.

People received their medicines safely, and as prescribed.

The provider, clinical lead and quality assurance manager carried out regular audits of the care provided to people to ensure this remained at a consistently high standard,

The provider sought to continually develop the service, such as by partnership working with the local university in order to develop innovative ways of improving falls prevention for people, as well as appointing specialist Admiral Nurses to enhance the dementia care provided to people.