2 December 2021
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
This inspection was carried out by one inspector.
Service and service type
Northway House Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service did not have a manager registered with the Care Quality Commission. Registered manager’s and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We looked at the information we had received from and about the service since the last inspection.
We contacted the local authority for feedback regarding the service.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We used all of this information to plan our inspection.
During the inspection-
We spoke with eight people who lived at the home. We also spoke with six members of staff which included the acting manager, head of care and care staff. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records which included three care and support plans, four staff recruitment files, quality assurance audits, a sample of medication administration records and the home’s action plan.
2 December 2021
About the service
Northway House Residential Home is a residential care home. It is registered to provide care and accommodation to up to 29 people. The home specialises in the care of older people. At the time of the inspection there were 17 people living at the home.
People’s experience of using this service and what we found
People could not be confident that the provider had effective systems to monitor standards of care and safety. The recruitment of new staff was not robust. Systems to assess and monitor safety and quality were not always effective in ensuring improvements.
There was no registered manager at the home. An acting manager was in post who had ensured that the standard of people’s day to day care was maintained. However, there was a lack of oversight from the provider to make sure all aspects of the service were monitored.
People were happy with the care they received and felt safe at the home. People told us, and we saw, that staff were kind and patient when they supported them. There were enough staff to keep people safe.
People lived in a home where infection prevention and control processes helped to minimise the risks to people. The staff followed government guidelines in respect of COVID-19 which helped to keep people safe.
People received personalised care and support because staff had access to individualised care plans which set out people’s needs and wishes. Staff knew people well and how they liked to be assisted.
The staff worked with other professionals to ensure people’s healthcare needs, including end of life care needs, were met.
People were able to make choices about their day to day lives and follow their own routines. People told us they enjoyed the company of staff and other people. There was no dedicated activity worker and limited social stimulation for people who were unable to occupy themselves. The acting manager was addressing this issue.
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. (Report published December 2018.)
Why we inspected
This was a focussed inspection based on the intelligence held by the Care Quality Commission.
This report only covers our findings in relation to the Key Questions Safe, Responsive and Well-led.
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.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection.
We have found evidence that the provider needs to make improvement. Please see the Safe and Well led sections of this full report.
We have identified two breaches of regulation in relation to fit and proper persons employed and good governance at this inspection.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Northway House Residential Home on our website at www.cqc.org.uk.
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. 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.