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Nether Place Nursing Home Good

Inspection Summary


Overall summary & rating

Good

Updated 13 December 2017

Nether Place Nursing Home is a period property that has retained many of its original features and has been extended and adapted for it’s purpose. It is situated in a residential area on the outskirts of Keswick. Accommodation and nursing care for up to 32 people is provided over two floors with access to the upper floor by a lift. There is a small six bedded unit for supporting people who are living with a dementia. On the day of the inspection there were 24 people living there.

At the last inspection in February 2015 the service was rated Good. At this inspection we found the service remained Good and we have made some recommendations to the registered provider.

There was a registered manager in post. A registered manager is a person who has registered with the (CQC) to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Medicines were being administered and recorded appropriately and were being kept safely.

During the inspection we deemed that there were sufficient numbers of suitable staff to meet people’s needs. However people told us mixed comments about their experiences of staffing levels.

Staff had completed a variety of training that enabled them to improve their knowledge in order to deliver care and treatment safely.

Where safeguarding concerns or incidents had occurred these had been reported by the registered manager to the appropriate authorities and we could see records of the actions that had been taken by the home to protect people.

We found that some bedroom door locks could be locked form the inside that would mean they could not be opened from the outside in the event of an emergency. We have made a recommendation that these be changed.

The schedules in place for cleaning were not always effective as we found equipment and some areas of the home required better cleaning.

When employing fit and proper persons the recruitment procedures of the provider were robust in ensuring suitable people had been employed.

People’s rights were protected. The registered manager was knowledgeable about their responsibilities under the Mental Capacity Act 2005. People were only deprived of their liberty if this had been authorised by the appropriate body or where applications had been made to do so.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were supported to maintain good health and appropriate referrals to other healthcare professionals had been made.

There was a clear management structure in place and staff were happy with the level of support they received.

People living in the home were supported to access activities and pastimes of their choice that were made available to them.

Auditing and quality monitoring systems were in place that allowed the service to demonstrate the safety and quality of the home. However we found the policies and procedures in use were not all in line with current legislation. We have made a recommendation that these are updated.

Further information is in the detailed findings below.

Inspection areas

Safe

Requires improvement

Updated 13 December 2017

Some areas of safe require improvement.

Some bedroom door locks did not operate safely.

Some equipment and areas of the home were not clean.

People told us mixed comments about whether there were sufficient staff.

Effective

Good

Updated 13 December 2017

The service remains Good

Caring

Good

Updated 13 December 2017

The service remains Good

Responsive

Good

Updated 13 December 2017

The service remains Good

Well-led

Good

Updated 13 December 2017

The service remains Good