• Care Home
  • Care home

Nesbit House Care Home

Overall: Good read more about inspection ratings

Orpington By Pass, Badgers Mount, Sevenoaks, TN14 7AG (01959) 581350

Provided and run by:
Hamberley Care 2 Limited

Latest inspection summary

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Background to this inspection

Updated 16 July 2021

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

The inspection was carried out by one inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Nesbit House 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 registered with the Care Quality Commission. This means that 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 the inspection

We reviewed information we received about the service since the service was registered. This included information the provider sent us about issues related to the service. We sought feedback from the local authority and professionals who work with the service and no concerns were received. 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 took this into account when we inspected the service and made the judgements in this report. We used all this information when planning our inspection.

During the inspection

We spoke with eight people who lived in the service and eight relatives about their experience of the care provided. We spoke with nine members of staff including the registered manager, head of quality (for Hamberley Homes), clinical lead, maintenance person, nurses and care staff (Homemakers). We reviewed a range of records, this included five peoples’ care records and multiple medication records. We looked at four staff recruitment files. A variety of records relating to the management of the service were reviewed, including policies, procedures and audit records.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data, meeting notes and quality assurance records.

Overall inspection

Good

Updated 16 July 2021

About the service

Nesbit House is a residential care home providing nursing and personal care for up to 60 people. Peoples’ needs were varied and included those living with dementia or requiring nursing in bed. The service was arranged across three floors with one floor dedicated to people living with dementia. At the time of the inspection only two floors were in use and there were 26 people living in the service.

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

People told us they felt safe in the service. One person said, “I feel very safe because things are well organised here.” Without exception, relatives told us they felt their loved ones were safe. One relative said, “[Loved one] is undoubtably safe there. They were very good during COVID and locked down early.” Staff completed safeguarding training, and this was up to date. People received safe care and treatment, medicines and risks were both managed safely.

People and their relatives were involved in decisions about their care and their dignity and privacy was respected. People were encouraged to be independent. One person said, “I can make my own choices and get up when I want.” Another person said,” I am very much independent and can do what I like.”

The registered manager had an open-door policy and staff had a lot of confidence in the management team. One person said, “The manager is great. It is very well run and organised.” A relative said, “They have a good manager there, he will always make time for you. I would definitely recommend it.” There were robust quality assurance processes in place to monitor all aspects of the service.

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.

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

Rating at last inspection

This service was registered with us on 09/08/2019 and this is the first inspection.

Why we inspected

This was a planned inspection based on timescales for unrated services.

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 until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.