• Care Home
  • Care home

Northfield Nursing Home

Overall: Good read more about inspection ratings

2a Roebuck Road, Sheffield, South Yorkshire, S6 3GP (0114) 268 7827

Provided and run by:
Palms Row Health Care Limited

Latest inspection summary

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Background to this inspection

Updated 1 April 2022

The inspection

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.

Inspection team

This inspection was undertaken by two inspectors.

Service and service type

Northfield Nursing 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 had a manager who was in the process of being registered with the Care Quality Commission. This means that, when the manager is registered, they 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 inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection

We spoke with 12 members of staff including the manager, clinical manager, agency nurse, cook, two senior care assistants, five care assistants and a domestic staff member. We spoke with three people who used the service and five relatives. We spoke to two external health professionals.

We reviewed a range of records, including medication administration records (MAR's), staff records, care records, as well as information relating to the health and safety and management and oversight of the service.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Overall inspection

Good

Updated 1 April 2022

About the service

Northfield Nursing Home is a care home that provides accommodation and nursing care for adults with a range of care and support needs, including adults who are living with dementia. The home can accommodate up to 63 people in one adapted building. In addition to nursing care, Northfield Nursing Home provided intermediate care. Intermediate care is typically short-term reablement support from a range of external professionals to help people recover and increase their independence. At the time of inspection there were 20 long-term placements and 22 intermediate care placements.

People’s experience of using this service and what we found

People told us they felt safe living at the home. People received support from a staff team who were recruited safely and knew how to safeguard people from the risk of abuse. There were enough staff to ensure people’s needs were being met in a timely manner, though some staff said the regular use of agency staff meant providing good continuity of care was often difficult. The manager said recruitment was ongoing and they were looking at creative ways to decrease the service’s use of agency nurses, such as recruiting from overseas. People’s medicines were mostly well-managed, with further minor improvements needed to ensure practices were consistently safe. Despite our findings around medicines, this did not appear to impact people living at the home. Infection prevention and control measures were in place and people told us the service welcomed visits in the home.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People’s healthcare needs were being met. Referrals had been made in a timely manner to professionals when any issues had been noted or concerns raised. Equipment was in place to support people to stay well. People were happy with the food provided, with choices available at each mealtime, along with snacks in between. The building was adapted to meet people’s individual needs, though some parts of the building were beginning to show signs of wear and tear.

The home used a range of systems and processes to monitor the quality and effectiveness of the service provided. Due to our findings around medicines, we asked the manager to review their audit process to ensure it was robust enough to identify the same issues found at inspection. We also asked the manager to consider formalising their improvement plans for the home’s environment in writing, so these actions can be monitored and reviewed at appropriate intervals. The provider regularly sought feedback from people and staff, in order to continuously drive improvement.

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 (published 25 August 2017).

Why we inspected

We received concerns in relation to following current guidance on visits in care homes. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has not changed. This is based on the findings at this inspection.

We have found evidence that the provider needs to make improvement. Please see the safe section of this full report.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.