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Nower House Requires improvement

We are carrying out a review of quality at Nower House. We will publish a report when our review is complete. Find out more about our inspection reports.
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Inspection report

Date of Inspection: 21 August 2014
Date of Publication: 10 October 2014
Inspection Report published 10 October 2014 PDF


Inspection carried out on 21 August 2014

During an inspection looking at part of the service

An adult social care inspector carried out this inspection. The focus of the inspection was to answer five key questions, is the service safe, effective, caring, responsive and well-led.

As part of this inspection we spoke with six people who used the service, the registered manager and six staff members. we also reviewed records relating to the management of the home which included four care plans, daily care records, staff duty rotas and activity arrangements.

Below is a summary of what we found. The summary describes what people using the service and staff told us, what we observed and the records we looked at.

Is the service safe?

Some people told us they felt safe living in the home. They said they could talk to the manager and the staff if they felt upset or unsure about anything. Other people were not able to communicate with us because of their poor communication skills. Safeguarding procedures were in place and staff understood their role and responsibility in safeguarding.

We saw staff observed the safety and welfare of people living in the home and saw no negative practices during our visit.

The service was clean and safe and provided people with safe access to all areas of the home.

The staff recruitment practice was thorough.

Is the service effective?

People's health care needs were assessed with them whenever possible and written in a care plan. Arrangements were in place for people to have visits from GP when appropriate to monitor their individual health care needs. People also had effective support from other health care professionals. For example the chiropodist, district nurse, dentist and the community psychiatric nurse (CPN), and the dietician.

Is the service caring?

People who used the service told us the staff were very caring and always treated them well. We saw the staff on duty were kind and caring and spoke with people who used the service in a polite and respectful manner. We saw staff explained things to people when they were having difficulty to understand. For example when people asked where they were or when to expect a visit from relatives. We saw people were supported to eat their meals by staff in a sensitive and caring way and they took the time to enable people to be as independent as possible. People who used the service told us that staff always kind and that was why it was a good place to live.

Is the service responsive?

The service was responsive to the needs of people who used the service. For example when a risk had been identified the provider responded with an action plan to minimise the risk but allowed the individual to be as independent as possible. This included the management of people's changing needs for example the provider allocated an additional staff member to night duty to manage an identified need. The service also referred a person for psychiatric support appropriately.

Is the service well led?

The home is well managed by the registered manager who had been in post for several. They had the support of a compliance manage and a general manager who had designated responsibilities for overseeing the effective management of the home. The registered manage also had the support of a well established staff team who had a good understanding of the needs of the people who used the service.

There was a good auditing system in place for the monitoring of service provision and to recognise improvement when required. There were regular health and safety audits undertaken to ensure the health and welfare of people who used the service and to promote a safe working environment. Complaints and accidents were monitored and lessons learnt from the outcome of these were documented and discussed with staff to further improve quality.