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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: 5 December 2013
Date of Publication: 7 January 2014
Inspection Report published 07 January 2014 PDF


Inspection carried out on 5 December 2013

During a routine inspection

During our visit we spoke with ten people who used the service and two relatives of people who used the service. We also spoke with four staff members two deputy managers the registered manager and the provider.

Some of the people using the service had dementia care needs, which meant they were not always able to describe their experiences of the service. To help us gather evidence of their experiences we used a Short Observational Framework for (SOFI). The tool is used to capture the experiences of people who may have cognitive or communication impairments and cannot verbally give their opinions on the service they have received.

We spent time observing how people spent their time, the support they received from staff and whether or not they had positive experiences.

Our observations of staff practice showed that people were receiving effective, safe and appropriate care, which was designed to meet their specific needs.

We saw people felt comfortable in approaching staff and asking for assistance. People were relaxed and content in their surroundings. Staff engaged positively with people using the service to encourage them to communicate their consent, wishes and choices.

One person who used the service said "The service here is excellent and I have no reason to complain." Another person told us that �The food is nice and staff nice too.�

Where people did not have the capacity to consent, the provider had not acted in accordance with legal requirements.

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

People who used the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

People were cared for, or supported by, suitably qualified, skilled and experienced staff.

People were not cared for by staff who were supported to deliver care and treatment safely and to an appropriate standard.

The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people who used the service and others.