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.
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.