Newlands

Updated 17 September 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

There was one Inspector in the Inspection and an Expert by experience.

Service and service type

Newlands is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection

We spoke with six people who used the service and one personal assistant about their experience of the care provided. We spoke with three members of care staff, registered manager, assistant manager, and two members of the management team.

We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at systems for recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We reviewed information sent to by email from the management team.

Updated 17 September 2019

Newlands provides accommodation for people in a residential setting and is registered to provide care for

up to 26 people with physical disabilities. The home was divided into three separate 'households', each with

their own lounges, dining and small kitchen areas. The home had several communal spaces which people could enjoy. There were 25 people living there when we visited including one person who was staying on a short respite visit.

People’s experience of using this service and what we found

People felt safe around staff who knew how to support people safely. Staff understood the importance of raising concerns and understood the process for doing so. People’s risks were reviewed and documented for staff to refer to. Staff understood the risks to people’s health and how to minimise risks to their health. People received support with their medicines. Any learning from people’s care was shared with staff to improve people’s experience of care.

People’s care was assessed and planned in line with best practice and staff received training to support people’s individual health and support needs. 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 liked and enjoyed their food and received support where appropriate. People saw additional health professionals and received help to attend appointments.

People liked the care staff supporting them who understood their needs. Staff understood the importance of valuing individual needs and how to care for people with dignity and respect.

Peoples were involved in planning and reviewing their care to meet their needs and preferences. People were encouraged to pursue interests and hobbies. People understood they could complain if needed. Staff understood how to support people with End of Life care.

People and staff liked and felt supported by the registered manager. Systems were in place to review and monitor people’s experience of care and ensure practices were safe and centred around people’s changing needs. The registered manager was supported by a management team that knew people at the home and worked together to develop people’s care so that they overcame barriers. The registered manager worked with a number of stakeholders to improve people’s care.

Rating at last inspection.

The last rating for this service was Outstanding [the report was published 06 October 2016].

Why we inspected

This was a planned inspection based on the previous rating.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our reinspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk