We had concerns raised with us prior to our visit that staff were not adequately qualified, on call arrangements are not always satisfactory, and that people may be left unsupervised if the 'support worker' is not present on the premises. We decided to bring our planned review of this service forward in order to check out the issues raised.We have asked the registered provider to make improvements in the way that they recruit staff, staffing levels and the training and supervision of staff who work for the service. The registered provider has no mechanisms in place to measure and monitor how effective and safe the service is. We found that there have been some events that have previously happened in the service, that have not been reported to the Care Quality Commission. A significant number of the homes records are inadequate or were unavailable for inspection.
We spoke with seven of the eight people who were at Newroads. They told us that they had therapeutic duties to do each day, and took it in turns to do the cooking and the housework. They told us that the 'staff treated them well', and they have a 'community meeting' every fortnight and group discussions about household tasks, and plan the menu and the meals.
Staff we spoke with told us that people using the service have to sign up to the 'house rules' and that these are regularly reinforced. They told us that each person is expected to participate in all group counselling sessions, and their individual counselling. Part of the treatment programme involves people writing their life history, and completion of a number of other written assignments.
People told us that the 'staff treated them well', and that they felt 'safe in the home'. They told us that the staff were polite towards them and that they were never shouted at. 'The staff can take an awful lot of flack from us but they don't get riled'.