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Inspection carried out on 16 July 2019

During a routine inspection

About the service

Newstead House is a nursing home providing personal and nursing care to 38 people aged 65 and over at the time of the inspection. The service can support up to 46 people.

Newstead House is split up into three separate units “The Home” [for people requiring residential care] and “the Wing” and “Garden Wing” [supports people who require nursing care].

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

• People enjoyed living at the home and were complimentary about the way it was managed.

• People, relatives and staff told us they saw the provider and registered manager regularly and found them approachable.

• Staff understood risks to people’s safety and supported them to stay as safe as possible.

• There were enough staff to care for people at times people wanted assistance.

• People were supported to have their medicines safely and checks were undertaken to ensure these were administered as prescribed.

• The risk of infections and accidental harm was reduced, as staff used the knowledge and equipment provided to do this.

• Staff spoke affectionately about the people they cared for. People were confident to request support and reassurance from staff when they wanted this, and staff took time to provide this in the ways people preferred.

• People told us staff respected their rights to make their own decisions about their lives and care. Where people needed support to make some decisions staff assisted them, using people’s preferred ways of communicating.

• Staff had received training and developed the skills they needed to care for people, through induction and on-going training. People told us staff knew how to help them and knew what to do if they suspected anyone was at risk of harm.

• People had good access to other health and social care professionals and staff followed any advice given.

• People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this.

• Staff ensured people had opportunities to do things which they enjoyed, and people were supported to keep in touch with others and religious practices that were important to them.

• The views of people, relatives and other health and social care professionals were considered when people’s care was assessed, planned and reviewed, so people’s needs continued to be met, and based on people’s preferences.

• Procedures were in place to take any learning from complaints and to further improve people’s care.

• People’s wishes for their care at the end of their lives had been planned and the views of their relatives considered.

• The registered manager and provider checked the quality of the care provided and encouraged suggestions from people and staff to improve people’s care further.

• The registered manager kept up to date with best practice developments, so they could develop the care provided further.

For more details, please see the full report which is on the CQC website at

Rating at last inspection (and update)

The last rating for this service was Good (published 31 December 2016).

Why we inspected

This was a planned inspection based on the previous rating.

Inspection carried out on 10 November 2016

During a routine inspection

This inspection was carried out on 10 November 2016 and was unannounced.

Newstead House provides accommodation, nursing and personal care for up to 46 people. At the time of our inspection there were 37 people living at the home.

There was a registered manager in post. 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.

People were not always happy with the food they had. Food did not always meet people’s nutritional needs.

People were kept safe by staff that knew how to recognise and report any concerns about people's safety. Staff understood people's needs and about risks and how to keep people safe. There were enough staff on duty to make sure that people got the right support at the right time. The provider completed checks to ensure staff were suitable and safe to work at the home.

People were positive about the support and care that they received. People were treated with dignity and respect and staff were kind and caring in their approach with people. People's care and support was centred on their individual needs.

People had their health needs responded to effectively. People were supported to access doctors and other health professionals when required. People were supported to have their medicines when needed. Medicines were stored and administered appropriately.

People were asked and gave staff permission before any care or support was given. Time was taken to make sure that people could make choices and decisions about the care and support they received.

People were supported by staff that had the skills and knowledge to understand and meet their health needs. Staff had access to on-going training and support to meet people's specific health and wellbeing needs. Staff felt that they were able to contact the registered manager at any time if they needed support or guidance.

People found the staff and management approachable, willing to listen to their views and opinions. People knew how to complain and who to complain to.

Audits and checks were completed regularly to ensure that good standards were maintained. There were established links with organisations relevant to the care and support provided.