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Newnton House Residential Care Home Good

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Inspection report

Date of Inspection: 26 June 2012
Date of Publication: 23 July 2012
Inspection Report published 23 July 2012 PDF | 52.2 KB

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We reviewed all the information we hold about this provider, carried out a visit on 26/06/2012, observed how people were being cared for, looked at records of people who use services, talked to staff and talked to people who use services.

Our judgement

People's needs were assessed and care and treatment was planned and delivered in line with their individual plans. The provider was meeting this standard.

User experience

One person said, “Staff support me with what I need. They help me with getting up in the morning. They used to knock on the door to help me to get up when I needed but I can get up myself now. They did things for me if I couldn’t do them myself but I can do more things for myself now.” Another person told us, “Staff are pretty good.”

The other person we spoke with said, “ The staff are very supportive. They give me advice and guidance. Now I'm doing better with cooking because the support I’ve had has helped me along. The staff remind me about appointments and my medication but eventually I will take it myself.”

Other evidence

People’s daily activities varied according to their preferences and all had programmes that were personalised to their needs. People we spoke with attended a day centre where they took part in activities like computing and gardening. People said they also went to the local parks and one person said they went to the gym. People's support needs and their abilities to live independent lives were individually assessed.

At the last inspection the home was found to need improvement in the standard for care and welfare. This was due to the care plans and observation notes not always containing precise enough information to identify mental ill-health warning signs. We found there had been improvements in the quality of care plans and risk assessments in relation to the needs of our people using the service. Care plans had all been renewed and clearly outlined individual support needs. They were updated as a miminum once a month or if any changes in need. Care plans covered areas such as medication, budgeting, personal hygiene, support with smoking cessation and physical health issues. Files also contained mental health relapse triggers in risk assessments including management plans. Other risks to individuals were also identified to help support people to live independent lives.

Individual files were well organised and indexed. They contained details of the person’s identified key-worker, care coordinator, a Health Action Plan and daily observation records. The daily records recorded the person's progress and activities during the day. They were detailed, clearly recorded and updated three times a day. They included the views of the person in the home and actions taken with them. This was an improvement to the records seen at the last inspection.

Documents and correspondence in files showed that people had access to a range of medical professionals to meet their health needs. We also saw that information leaflets in were available in files about the diagnosed medical conditions of individual people. These were particularly helpful for staff in getting to know and caring for people. We saw evidence that people’s needs were monitored in Care Programme Approach reviews. These took place approximately every three months and provided further support for people to achieve their objectives. Some people in the home were required to have regular weekly drug and alcohol tests and records showed that staff complied with these requirements.

People met with their key workers once a month to talk about their progress and discuss their care plan needs. They told us that they found this very helpful. We were able to see that the support offered by staff had a positive impact on people to achieve their aims. One person, for example, had stopped drinking as a result of the support they received.