This inspection took place on 14 December 2016 and was announced. This was to ensure someone would be available at the home and to show us records.

Hazelmead Residential Care Home provides care and accommodation for up to five people with learning disabilities. On the day of our inspection there were five people using the service.

The service had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 2008 and associated Regulations about how the service is run.

Hazelmead Residential Care Home was last inspected by CQC on 20 March 2015 and was rated Requires Improvement in two areas, Effective and Well-led. We re-visited these areas as part of this inspection.

Accidents and incidents were appropriately recorded and investigated. Risk assessments were in place for people who used the service and staff and described potential risks and the safeguards in place. Staff had been trained in safeguarding vulnerable adults. Medicines were stored safely and securely, and procedures were in place to ensure people received medicines as prescribed.

The home was clean, spacious and suitable for the people who used the service and appropriate health and safety checks had been carried out.

There were sufficient numbers of staff on duty in order to meet the needs of people who used the service. The registered provider had an effective recruitment and selection procedure in place and carried out relevant checks when they employed staff. Staff were suitably trained and training sessions were planned for any due refresher training. Staff received regular supervisions and appraisals.

The registered provider was working within the principles of the Mental Capacity Act 2005 (MCA) and was following the requirements in the Deprivation of Liberty Safeguards (DoLS).

People were protected from the risk of poor nutrition and staff were aware of people’s nutritional needs. Care records contained evidence of visits to and from external health care specialists.

People who used the service and family members were complimentary about the standard of care at Hazelmead Residential Care Home. Staff treated people with dignity and respect and helped to maintain people’s independence by encouraging them to care for themselves where possible.

Care records showed that people’s needs were assessed before they started using the service and care plans were written in a person centred way.

Activities were arranged for people who used the service based on their likes and interests and to help meet their social needs.

People who used the service and family members were aware of how to make a complaint however there had been no formal complaints recorded at the service.

The service regularly used community services and local facilities.

Staff felt supported by the registered manager and were comfortable raising any concerns. People who used the service, family members and staff were regularly consulted about the quality of the service.

People told us they were happy living at Hazelmead. One person said, "The joy about living here is that you have a choice. If you want you can do lots of activities, or if you want to be quiet you can. They are looking after me very well." Another person told us, "The food is fantastic here and the staff are excellent."

We found that people's care needs were assessed and their care and treatment was planned. People received care which reduced the risk of poor nutrition and dehydration. Where necessary external healthcare professionals had been consulted about people's care needs.

We looked at how the home managed medicines and found there were appropriate arrangements in place for the safe administration, recording, obtaining, handling, storage and disposal of medicines.

We found the provider had a structured staff selection and recruitment policy in place which aimed to ensure staff were suitably skilled, experienced and qualified to deliver care safely.

The records held in relation to people's care and treatment were suitably maintained in order to ensure that their care needs were met and their health and welfare promoted. Other records related to the management of the service were also well maintained.

People told us they were happy with the care and support they received. One person said, "I think this is a very nice home. We get well looked after here." Another person said, "I am happy with my care. They (staff) are nice, they are good." We saw staff interacted positively with people when they delivered care and support.

People told us their consent was gained prior to care being delivered and we found that staff acted in accordance with their wishes.

We found that people's care and support needs were appropriately assessed and their care was planned. They received care safely, and to an appropriate standard.

People were cared for in a clean and hygienic environment and we found that the service had appropriate measures in place to monitor and manage infection control.

There were enough suitably skilled and qualified staff on duty to met people's needs safely and appropriately. We saw the provider had a complaints policy and procedure in place and people told us they were confident the manager would deal with any complaints they raised.

We spoke with people who use the services at Hazelmead. They told us they were happy living there and how they were looking forward to the festive celebrations. One person we spoke with said he enjoys visiting the local theatre and he was able to get out more now than when he was living at home. Another person said he was involved in the process of assessing his needs and felt the staff at the home had got to know him very well. People living in the home were asked about the food and the responses were very positive. One said "it's lovely and we all help each other in preparing the meals”.

People said they liked how the manager knew all of their names, and the care staff always made sure any concerns were passed onto her. One said they were "happy any problems would be sorted out" and any complaint or concern would be taken seriously by the service. No one we spoke with had needed to use the complaint process.

This inspection took place on 14 December 2016 and was announced. This was to ensure someone would be available at the home and to show us records.

Hazelmead Residential Care Home provides care and accommodation for up to five people with learning disabilities. On the day of our inspection there were five people using the service.

The service had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 2008 and associated Regulations about how the service is run.

Hazelmead Residential Care Home was last inspected by CQC on 20 March 2015 and was rated Requires Improvement in two areas, Effective and Well-led. We re-visited these areas as part of this inspection.

Accidents and incidents were appropriately recorded and investigated. Risk assessments were in place for people who used the service and staff and described potential risks and the safeguards in place. Staff had been trained in safeguarding vulnerable adults. Medicines were stored safely and securely, and procedures were in place to ensure people received medicines as prescribed.

The home was clean, spacious and suitable for the people who used the service and appropriate health and safety checks had been carried out.

There were sufficient numbers of staff on duty in order to meet the needs of people who used the service. The registered provider had an effective recruitment and selection procedure in place and carried out relevant checks when they employed staff. Staff were suitably trained and training sessions were planned for any due refresher training. Staff received regular supervisions and appraisals.

The registered provider was working within the principles of the Mental Capacity Act 2005 (MCA) and was following the requirements in the Deprivation of Liberty Safeguards (DoLS).

People were protected from the risk of poor nutrition and staff were aware of people’s nutritional needs. Care records contained evidence of visits to and from external health care specialists.

People who used the service and family members were complimentary about the standard of care at Hazelmead Residential Care Home. Staff treated people with dignity and respect and helped to maintain people’s independence by encouraging them to care for themselves where possible.

Care records showed that people’s needs were assessed before they started using the service and care plans were written in a person centred way.

Activities were arranged for people who used the service based on their likes and interests and to help meet their social needs.

People who used the service and family members were aware of how to make a complaint however there had been no formal complaints recorded at the service.

The service regularly used community services and local facilities.

Staff felt supported by the registered manager and were comfortable raising any concerns. People who used the service, family members and staff were regularly consulted about the quality of the service.