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Inspection carried out on 30 October 2017

During a routine inspection

Newfield Nursing Home is registered to provide accommodation for up to 60 older people who require nursing or personal care. The home is purpose built and accommodation is provided over two floors, accessed by a passenger lift. Part of the first floor provides intermediate care where people are supported to move back to permanent accommodation. Rehabilitation and enablement support is provided from Sheffield Teaching Hospitals physiotherapists and occupational therapists. The ground floor provides permanent accommodation. The home is situated in the Heeley/Newfield Green area of Sheffield and is close to shops and public transport.

There was a manager at the service who was registered with Care Quality Commission (CQC). 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 and associated Regulations about how the service is run.

Our last inspection at Newfield Nursing Home took place on 7 September 2015. The service was rated Good.

This inspection took place on 30 October 2017 and was unannounced. This meant the people who lived at Newfield and the staff who worked there did not know we were coming. On the day of our inspection there were 56 people using the service . The registered manager was not available on the day of our inspection as she was attending a work commitment in London.

People spoke positively about their experience of Newfield. They told us the staff were kind and they were provided with the support they needed.

Staff were aware of safeguarding procedures and knew what to do if an allegation was made or they suspected abuse.

We found systems were in place to make sure people received their medicines safely so their health was looked after.

Some windows needed attention or replacing to improve the environment. A full audit had been undertaken and a rolling programme of repair was in place to address this.

Staff recruitment procedures were robust and ensured people’s safety was promoted.

Sufficient numbers of staff were provided to meet people’s needs.

Staff were provided with relevant training, supervision and appraisal so they had the skills they needed to undertake their role.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The registered provider’s policies and systems supported this practice.

People had access to a range of health care professionals to help maintain their health. A varied diet was provided, which took into account dietary needs and preferences so people’s health was promoted and choices could be respected.

Staff knew people well and positive, caring relationships had been developed. People were encouraged to express their views and they were involved in decisions about their care. People’s privacy and dignity was respected and promoted. Staff understood how to support people in a sensitive way.

A programme of activities was in place so people were provided with a range of leisure opportunities.

People said they could speak with staff if they had any worries or concerns and they would be listened to.

There were systems in place to monitor and improve the quality of the service provided. Regular checks and audits were undertaken to make sure full and safe procedures were adhered to.

Inspection carried out on 7 September 2015

During a routine inspection

This inspection took place on 7 September 2015 and was unannounced, which meant no one at the service knew we would be attending.

The service was last inspected in June 2013 and was found to be meeting the requirements of the regulations we inspected at that time.

Newfield Nursing Home is a purpose built two storey home providing nursing care for up to sixty people. The home is situated in the Heeley/Newfield Green area of Sheffield and is close to shops and public transport. Within Newfield there is the provision of 26 Intermediate Care beds. People in these beds receive rehabilitation and enablement support from Sheffield Teaching Hospitals physiotherapists and occupational therapists. At the time of our inspection there were 57 people using the service.

There was a manager at the service who was registered with CQC. 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 and associated Regulations about how the service is run.

The registered manager, although rostered as a day off, chose to come into the home to assist with the inspection visit.

People told us they were well cared for by staff and they felt safe.

The home was clean. We saw the day to day maintenance in communal areas and people’s bedrooms was well maintained. We did find some areas of the home needed redecoration and refurbishment.

The majority of relatives spoken with had no concerns regarding their family members care.

We found systems were in place to make sure people received their medication safely.

Staff recruitment procedures were thorough and ensured people’s safety was promoted.

Staff were provided with relevant training and support to make sure they had the right skills and knowledge for their role.

The service followed the requirements of the Mental Capacity Act 2005 Code of practice and Deprivation of Liberty Safeguards. This helped to protect the rights of people who may not be able to make important decisions themselves.

People had access to a range of health care professionals to help maintain their health.

A varied and nutritious diet was provided to people that took into account dietary needs and preferences so that health was promoted and choices could be respected.

People living at the home, and their relatives said that they could speak with staff if they had any worries or concerns and they would be listened to.

People had access to some social activities although these were more limited for people who were cared for in bed and not able to attend.

There were effective systems in place to monitor and improve the quality of the service provided. Regular checks and audits were undertaken to make sure full and safe procedures were adhered to. People using the service and their relatives had been asked their opinion via surveys, the results of these had been audited to identify any areas for improvement.

Inspection carried out on 16 September 2013

During a routine inspection

People told us that they were happy living at the home and satisfied with the care and support they received. Their comments included, "Staff are brilliant�, �staff are lovely, really caring�, �can�t fault the staff, they�re smashing� and �all the staff are spot on, I�m very happy at Newfield.�

Relatives spoken with said that they were happy with the care their loved one received. They told us, "the clinical and personal care here is very good�, �we feel the staff are well trained and provide good care� and �while visiting I see and hear how they treat other residents in the home. They are always very friendly, polite and caring.�

During the inspection we were able to observe people's experiences of living in the home. The interactions between people living at the home and staff were positive. We found that care and support was offered appropriately to people.

Records checked showed that before people received any care, support or treatment they were asked for their consent and the staff acted in accordance with their wishes.

We found that medicines were being obtained, recorded, handled, dispensed and disposed of in a safe way.

The provider had an effective recruitment and selection procedure in place to ensure that staff were appropriately employed.

All of the people we spoke with said they had no complaints or concerns about the home.

Inspection carried out on 30 April 2012

During a routine inspection

People who we were able to communicate with told us that they were happy living at the home and that they were satisfied with the care they received. People said, "Staff are nice, they help me out." "It's very nice here the staff are really good.�

We spoke with 4 relatives who were visiting the home and they confirmed that they were satisfied with the care provided. One told us, "The care and the staff here are wonderful.� Another relative said "The care is very good; the staff are very patient and kind with residents.�

Sheffield Local Authority Contracting and Commissioning had recently carried out a full monitoring visit. Their report showed that they believed that the service met all aspects of the Essential Standards of Quality and Safety.

We spoke with health and social care professionals who were visiting Newfield at the time of our inspection. They said they visited the service on a frequent basis. They said they thought the standard of care at Newfield was �Very good.�

Reports under our old system of regulation (including those from before CQC was created)