Background to this inspection
Updated
15 January 2019
The inspection: We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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.
Inspection team: An inspector visited the service.
Service and service type: Netherhayes is a care home. People in care homes receive accommodation and nursing or personal care. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the CQC. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection: The inspection was unannounced. We visited the service on 21 December 2018.
What we did: They provider sent us a Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We reviewed information we held about the home, such as details about incidents the provider must notify CQC about, for example abuse.
During the inspection: We spoke with 10 people and three relatives to ask about their experience of the care provided. We looked at three people’s care records and at their medicine records. We spent time in communal areas observing staff interactions with people and the care and support delivered to them. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We spoke with the registered manager, the nominated individual, with five other care staff and an administrator. We looked at four staff files around staff recruitment, supervision and appraisal and at staff training records. We also looked at quality monitoring records relating to the management of the home such as audits and quality assurance reports. We sought feedback from commissioners, and health and social care professionals who worked with staff at the home and received a response from three of them.
Updated
15 January 2019
About the service: Netherhayes is a residential care home in Seaton that provides personal care for up to older people, some of whom are living with dementia. 24 people lived at the service when we visited.
People’s experience of using this service:
People were supported by staff that were caring, compassionate and treated them with the utmost dignity and respect. People received person centred care and support based on their individual needs and preferences. Staff were aware of people's life history, and their communication needs. They used this information to develop positive, meaningful relationships with people.
People were supported by staff who had the skills and knowledge to meet their needs. Staff understood and felt confident in their role. People’s health had improved because staff worked with a range of healthcare professionals and followed their advice.
People received personalised care from staff who knew what mattered to them. They were encouraged to socialise and pursue their interests and hobbies.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People and relatives said the service was safe. Staff demonstrated a good awareness of each person's safety and how to minimise risks for them. The environment was safe and people had access to appropriate mobility and moving and handling equipment needed. There was enough staff on duty at the right time to enable people to receive care in a timely way.
People's care plans were detailed and up to date about their individual needs and preferences.
People's concerns and complaints were listened and responded to. The registered manager used complaints as an opportunity to learn and improve the service.
People, relatives, staff and professionals gave us positive feedback about the quality of people’s care. Quality monitoring systems included audits, observation of staff practice and regular checks of the environment with examples of continuous improvements made in response to findings. People, their relatives and staff told us the registered manager was approachable, organised, listened and responded to them and acted on feedback.
Rating at last inspection: Good. (last report published 29 July 2016)
Why we inspected: This was a planned inspection based on the rating at the last inspection. At this inspection, the service remained rated Good overall.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.