• Care Home
  • Care home

Nower House

Overall: Good read more about inspection ratings

Coldharbour Lane, Dorking, RH4 3BL (01306) 740076

Provided and run by:
Abbeyfield Wey Valley Society Limited

Important: The provider of this service changed. See old profile

Latest inspection summary

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Background to this inspection

Updated 5 January 2023

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 Health and Social Care Act 2008.

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 completed by three inspectors.

Service and service type

Nower House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Nower House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the new registered provider. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 6 people who used the service and one relative about their experience of the care provided. We also observed interactions between staff and people who used the service. We spoke with 13 members of staff including the manager, deputy manager, senior care workers, care workers, chef, maintenance staff and housekeeping staff. We spoke with the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with a health professional that works with the home.

We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Overall inspection


Updated 5 January 2023

About the service

Nower House is a care home providing personal care to people with a variety of health needs including people living with dementia. Nower House supports up to 50 people in one adapted building. At the time of our inspection there were 24 people living in the home.

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

People were supported by kind and caring staff and were treated with dignity. Staff encouraged people to be as independent as possible.

People received support with medicines and there were enough staff to meet their needs. Staff followed safe infection control practises and all relevant personal protective equipment (PPE) was seen to be used. Risks to people’s safety were managed well and frequently reviewed.

People received support with maintaining a balanced diet and the registered manager and the management team completed thorough assessments prior to people moving into the home. This ensured they could meet the needs of all people living 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 had access to activities they enjoyed. Staff followed care plans that were personalised to people’s needs and choices.

The registered manager and the provider completed thorough audits. These ensured the safety and effectiveness of the care. People and staff felt supported by the management team and there was an inclusive culture at the home.

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

Rating at last inspection and update

The last rating for the service under the previous provider was inadequate, published on 19 February 2022. This service was registered with us on 03 November 2022 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.