Background to this inspection
Updated
6 March 2020
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.
Inspection team
The inspection was carried out by one inspector and one assistant inspector.
Service and service type
Newton House Care 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 provider is registered with CQC as a sole individual. Therefore, there is no requirement to have a registered manager. Registered persons 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 the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed information we held about the service such as notifications. These are events which happened in the service that the provider is required to tell us about. We sought feedback from the local authority who monitor the care and support people received and Healthwatch Nottinghamshire. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.
During the inspection
We spoke with four people living at the service and eight relatives. We spoke with the provider, the deputy manager and five members of the staff team. We observed support being provided in the communal areas of the service. We reviewed a range of records about people's care and how the service was managed. This included two people's care records and associated documents including risk assessments and a sample of medicine records. We looked at records of meetings, both for the staff team and the people using the service, staff training records and the recruitment checks carried out for two new staff members employed since our last visit. We also looked at a sample of the providers quality assurance audits the management team had completed.
After the inspection
The provider provided us with further evidence to demonstrate compliance with the regulations.
Updated
6 March 2020
About the service
Newton House Care Home is a residential care home which provides accommodation for up to 12 people who require personal care in one adapted building. At the time of the inspection there were 11 people living at the service, some of whom were living with dementia.
People’s experience of using this service and what we found
The provider had developed an auditing process to check the quality of service being provided. These audits enabled them to monitor all areas of the service being provided and make any necessary changes to the benefit of the people living there.
People felt safe living at Newton House Care Home and felt safe with the staff who supported them. Risks associated with people’s care had been assessed and managed. People’s medicines were handled safely, and new staff had been appropriately recruited into the service. There were overall, enough suitably trained staff to meet people’s needs. The provider's infection control procedures were followed, and lessons were learned when things went wrong to improve the service moving forward.
People’s needs had been assessed prior to them moving into the service and plans of care had been developed. Staff had the appropriate skills and knowledge to be able to meet people’s needs and they made sure people could access healthcare professionals when they needed them. People were supported to eat and drink well and staff ensured they obtained people’s consent to care.
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 were provided with a comfortable place to live and people’s rooms were personalised.
People were treated with respect and their privacy and dignity were promoted. People were supported by kind and caring staff who involved them in decisions about their care.
People’s care was centred on them and they were supported to enjoy activities of interest. People knew who to talk to if they had a concern of any kind and felt they would be listened too. Staff had received training on how to look after a person at the end of their life, and people’s wishes were being explored.
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 this service was requires improvement (published 19 August 2019) and there were seven breaches of regulation.
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
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.