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CQC report explained · a residential care home

What the CQC found at Netherhayes Care Home

Goodpublished 15 January 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The latest report, explained

What inspectors found, January 2019

Rated Good; inspectors found caring, personalised support, with some follow-up needed on restrictions, call bells and medicine records.

This was an unannounced planned inspection. One inspector visited the home and spoke with 10 people, three relatives, staff and health professionals. They observed care, reviewed care and medicine records, checked staff files and training, and examined quality checks.

The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe recruitment, clean surroundings, suitable risk planning and safe medicine practices.

People were treated with kindness and respect. Care plans were detailed and personalised. Staff supported people's health, food and drink needs, activities, communication and contact with families. Complaints were listened to and used to make improvements.

There were some matters being followed up. Several people subject to supervision or restrictions were awaiting Deprivation of Liberty Safeguards applications. The home was also improving some medicine records, and one person had sometimes waited a long time for a call bell response during mealtimes.

What inspectors praised
  • Kind and respectful care

    People and relatives described staff as kind, patient and compassionate. Inspectors saw positive relationships and support shaped around individual preferences.

    “People were supported by staff that were caring, compassionate and treated them with the utmost dignity and respect.” from the report
  • Enough staff

    Inspectors found staffing levels were sufficient to keep people safe and meet their needs. The home used a dependency tool to respond to changing needs.

    “There were enough staff on duty at all times to keep people safe and meet their needs.” from the report
  • Personalised records

    Care plans included people's life histories, preferences, communication needs and the support they required. Families could add information with consent.

    “People's care records were comprehensive and up to date.” from the report
  • Active improvement

    The home used audits, observations and surveys to identify improvements. Examples included changes to flooring, paper towels, bedrooms and support during busy periods.

    “Quality monitoring systems included audits, observation of staff practice and regular checks of the environment with examples of continuous improvements made in response to findings.” from the report
What inspectors were concerned about
  • Outstanding restrictions applications

    needs fixing

    Some people with changing or reduced capacity were subject to close supervision and restrictions. The manager said applications were being prepared after inspectors raised this.

    “However, there were other people with fluctuating capacity or whose capacity had deteriorated who were also subject to close supervision and restrictions for their safety.” from the report
  • Call bell delays

    minor

    One person said they sometimes waited a long time for a response to their call bell, usually during mealtimes. The home responded by offering help before meals and checking more often.

    “A person said they waited a long time for staff to respond to their call bell sometimes.” from the report
  • Medicine record improvements

    minor

    Medicine management was judged safe, but the home was improving records for blood results and doses of blood-thinning medicines.

    “For example, in relation to improving systems for recording blood results and dosage of medicine for people on blood thinning medicines.” from the report
Questions to ask them, based on this report
  1. 01Have all the outstanding Deprivation of Liberty Safeguards applications now been submitted and assessed?
  2. 02How do you make sure call bells are answered promptly during mealtimes?
  3. 03What system is now used to record blood results and doses for people taking blood-thinning medicines?
  4. 04How are changes in a person's mental capacity, supervision or restrictions reviewed and recorded?
  5. 05What improvements have been made since the December 2018 inspection?

This was an unannounced planned inspection that looked at the overall service and all five CQC questions; the report gives both 20 and 21 December 2018 as the visit date. This explanation was written from the published report of 15 January 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Netherhayes Care Home

3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.

  1. January 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Netherhayes Care Home →

  2. July 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. March 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. February 2015

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2011

    Registered with the Care Quality Commission on 19 January 2011.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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