We carried out a review of the data available to us about Netherclay House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Netherclay House, you can give feedback on this service.
Netherclay House is a residential care home for 41 older people, some of whom are living with dementia. There are 35 bedrooms in the main building, as well as five apartments in the grounds. There were 35 people living at the service at the time of inspection.
People’s experience of using this service and what we found
The registered manager had identified that accurate records and record keeping was an area for improvement. They were taking immediate action to address shortfalls and implement new care plans.
There were some gaps in recruitment records. The provider took steps during the inspection to obtain full employment histories from 2 members of staff.
The premises needed some internal and external updates. The registered manager shared the action place in place to update the premises.
There were enough trained and experienced staff on duty to meet people’s needs in a timely way. People said staff responded quickly when they used their call bells. One person said, “If I ring the bell they come in a nice time”.
Staff knew people well and risks to people’s health, safety and wellbeing had been identified. People said they felt safe at Netherclay House, and shared examples with us. Comments included, “I feel very well and well looked after”.
People were protected from the risk of abuse as there were systems in place to reduce the risk. People confirmed staff were considerate and kind in their approach. Accident and incidents were managed safely. The registered manager had oversight of accidents and incidents and used this information to drive service improvements. People’s medicines were managed safely. Records confirmed people received their medicines as prescribed.
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.
People and their relatives were complimentary about staff and of the care provided. Staff supported people in a personalised way and respected people's choices and decisions. Staff were kind and respected people’s dignity and privacy.
People’s health and wellbeing was monitored. People were given the support they required to meet their nutritional needs and most told us they enjoyed the food offered to them. People had access to a range of activities and were supported to maintain relationships that were important to them.
The provider had an effective complaints process in place. Feedback was sought and acted on.
There were systems in place to monitor the quality and safety of the service. When areas of improvement were identified, actions were in place to address them.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for the service under the previous provider at the premises was good, published on 02 March 2018
Why we inspected
This was a planned comprehensive inspection of a new provider. A new provider registered with us on 18 April 2019 and this is the first comprehensive inspection. A focused inspection was completed on 20 January 2021 and rated safe and well led as good.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Recommendations
We have recommended the provider continue to develop accurate and up to date records (care plans) to ensure people continue to receive the care they need in a way they prefer.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Netherclay House is a residential care home for 42 older people, some of whom are living with dementia. There are 35 bedrooms in the main building, as well as five apartments in the grounds. There were 30 people living at the service at the time of inspection.
People’s experience of using this service and what we found
People were relaxed and felt safe with the staff who supported them. People’s and relatives comments included; "I love it here, it's very calm, staff are absolutely lovely I couldn't live in a better place” and "I know my relative is totally safe there.”
Staff understood the risks posed to people and how they should support people to keep them safe, although care records needed to be more detailed about this. Accidents and incidents were reported, analysed and monitored to improve safety and quality. People were kept safe because the building was well maintained and regular servicing and maintenance checks of equipment and utilities were carried out.
We were assured measures were in place to reduce the risk of infection during the pandemic. The service was clean and well maintained. Staff used personal protective equipment and followed all government guidance in relation to the COVID 19 pandemic to help prevent the spread of infection. We have made a recommendation to the provider about seeking expert advice in relation to use of a chemical product as part of their infection prevention and control measures.
People were protected from abuse as staff were aware of their responsibility to report any safeguarding concerns. People’s needs were met in a timely way. There were enough staff on duty, who had been safely recruited, trained and supported. People’s received their medicines safely and on time.
People, relatives, staff and professionals all gave us positive feedback about the management of the service and about standards of care. There were systems in place to monitor the quality and safety of the service. When areas of improvement were identified, actions were taken to address them.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good. (Published 2 March 2018). At this inspection the rating has remained Good.
Why we inspected
This was a focused inspection prompted in part due to concerns to look at how risks were managed following three recent falls at the service, which resulted in significant injuries. Also, because of some concerns raised about the culture at the service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
We reviewed the Safe and Well-led domains only. Our report is based on the findings in those areas at this inspection. The ratings from the previous comprehensive inspection for the Caring, Effective and Responsive key questions were not looked at on this occasion.
Follow up: We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.