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Newgrange Residential Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 5 October 2019

About the service:

Newgrange Residential Home accommodates 38 people in one purpose-built building spread across two floors. Each of which has separate adapted facilities and communal areas. At the time of the inspection, 17 people were living in the home and receiving the regulated activity of personal care.

People’s experience of using this service:

Incidents that occurred in the home were not always managed to keep people safe. Staff awareness of keeping people safe from harm varied and was not consistent.

Training in key areas had not been effectively provided for all staff, however people told us staff were competent and staff felt well supported. People’s consent had not always been sought in line with the legal requirements.

People lived in a purpose-built home that although newly refurbished did not meet the needs of people living there. Particularly people living with dementia. The environment was well maintained, and appropriate safety checks were regularly completed.

Quality assurance audits were not always effective in identifying people’s experience of the service. Care records were not reflective of people likes, dislikes, preferences and changing care needs, or care that had been provided and required monitoring.

People told us they felt safe. One person said, People told us they felt safe. One person said, “Absolutely I feel safe, it’s a very nice home with kind staff.” People were supported by sufficient numbers of staff. Staff recruitment checks were in place. Staff were clear about how to respond in an emergency such as a fire. Risks to people safety and welfare were identified and responded to promptly by staff. People were cared for in a clean and hygienic environment by staff who followed infection control procedures.

People, their relatives and staff told us that the quality of care received was sufficient and they were happy with the care provided. People’s dignity was maintained and people’s independence was promoted and respected.

People were happy with the food provided and meal times were a sociable event. People’s weight and dietary needs were monitored where necessary.

People told us their care was responsive and tailored to their preferences, although care records did not reflect this. People were able to take part in a wide range of activities and outings. People and their families were involved in their own care planning as much as was possible.

People and relatives felt able to raise complaints and an effective complaints procedure was in place.

Staff felt well supported by the registered manager. People and relatives were able to raise suggestions about the management of the service.

Rating at last inspection: Good (report published 01 December 2016)

Why we inspected: This was a planned comprehensive inspection based upon the previous Good rating. At this inspection we found that the service is now rated as Requires Improvement. More information is in the full report.

Follow up: We have referred our findings to the local authority. We will continue to monitor all information received about the service to understand any risks that may arise and to ensure the next inspection is scheduled accordingly.

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

Inspection areas

Safe

Requires improvement

Updated 5 October 2019

The service was not always Safe

Details are in our Safe findings below

Effective

Requires improvement

Updated 5 October 2019

The service was not always Effective.

Details are in our Effective findings below.

Caring

Good

Updated 5 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 5 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 5 October 2019

The service was not always Well Led.

Details are in our Well Led findings below.