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Inspection Summary


Overall summary & rating

Good

Updated 7 August 2018

The inspection took place on 12 and 13 April 2018 and was unannounced.

New Tyne is a residential care home registered to provide accommodation and care for up to 20 people who have a diagnosis of dementia or who are being assessed for this condition. At the time of our inspection, 19 people were living at the home. Fifteen rooms are allocated on a permanent basis, with five rooms reserved for people on short breaks or on respite care. Communal areas include a large sitting room with adjacent dining area and access to enclosed gardens. Accommodation is on one floor and bedrooms have en-suite facilities. New Tyne is a ‘care home’. People in care homes received accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and care provided and both were looked at during this inspection.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission 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.

At the last inspection, the service was rated Requires Improvement under Effective and a requirement was made in relation to a breach of Regulation 11, need for consent. Staff did not have a thorough understanding of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. At this inspection, we found that steps had been taken to address the issue. Overall the rating has improved to Good.

Staff did not receive regular supervision with their line managers in line with the provider's policy, however, this lack of supervision did not impact on the care people received. The registered manager was already aware of the issue and was striving to complete all outstanding supervisions with staff at the time of the inspection. Following the inspection, the registered manager sent us an action plan which stated that all staff would have a supervision by the end of May 2018. Supervision dates for each staff member would be planned at eight weekly intervals for the year ahead. However, systems were not effective in ensuring that staff received supervisions as needed. We have made a recommendation in relation to this.

Staff completed a range of training relevant to their work and were encouraged to become ‘Dementia Friends’, to make a positive difference to people living with dementia. New Tyne provided a ‘dementia friendly’ environment for people and thought had been given to exploring ways of working with others to promote understanding of this condition. People were supported to have sufficient to eat and drink and had access to a range of healthcare professionals and services. When people were referred to the home, meetings took place between professionals and staff to ensure people’s needs could be met and the appropriate support provided. The home and gardens were accessible for people with safe space to explore outside. 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 support this practice.

People felt safe living at the home. Staff knew what action to take if they suspected abuse was taking place and had been trained appropriately. Risks to people were identified, assessed and managed safely; care records provided staff with information about people’s risks. Staffing levels were sufficient to meet people’s needs. Recruitment systems were robust. Medicines were managed safely and staff were trained in the administration of medicines. The home was clean and smelled fresh. Infection control audits were completed. When things went wrong, staff learned from these incidents.

People were looked after by kind and caring staff who knew them well. People and the

Inspection areas

Safe

Good

Updated 7 August 2018

The service was safe.

Staff were supported by staff who had been trained to recognise the signs of potential abuse and knew what action to take.

People�s risks were identified, assessed and managed safely.

Staffing levels were sufficient to meet people�s needs and robust recruitment systems were implemented.

Medicines were managed safely.

The home was clean and infection audits had been completed.

Effective

Good

Updated 7 August 2018

The service was effective.

Some staff did not receive regular supervisions in line with the provider�s policy, but this did not impact on the care and support people received.

Staff had completed training in mental capacity and understood the implications of this and associated legislation.

People enjoyed the food on offer. Their nutritional risks and any dietary requirements were monitored and catered for.

People had access to a range of healthcare professionals and support.

Attention had been paid to the environment of the home, making it �dementia friendly�.

Caring

Good

Updated 7 August 2018

The service was caring.

People were looked after by kind, caring and friendly staff who treated them with dignity and respect.

People and their relatives were involved in decisions relating to their care.

Responsive

Good

Updated 7 August 2018

The service was responsive.

People received personalised care in line with their care plans. Staff knew people well and how they liked to be cared for and supported.

A range of activities was on offer to people, within the home as well as outings into the community.

People and their relatives knew how to make a complaint.

If their needs could be met, people could spend the end of their lives at the home.

Well-led

Requires improvement

Updated 7 August 2018

Some aspects of the service were not well led.

The registered manager had identified there were gaps in the regularity of staff supervisions and was working hard to redress this. Following inspection, an action plan was sent to the Commission describing what action was to be taken to ensure every staff member had completed a supervision by the end of May 2018. The registered manager later informed us this action had been completed.

People and their relatives were involved in developing the service. Carers� meetings took place. People and relatives were asked for their feedback through surveys.

Staff felt supported by management and enjoyed working at the home.

A system of audits was in place to measure and monitor the overall standard of the service.