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CQC report explained · a residential care home

What the CQC found at Netherwood Residential Care Home

Goodpublished 13 August 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Risks, medicines, safeguarding, infection control and staffing were managed safely. Window restrictor checks were carried out but were not recorded.
Effective?
Good
People had detailed assessments, suitable staff training, healthcare support and support with nutrition. Mental Capacity Act assessments and best-interest decisions were recorded where needed.
Caring?
Good
People and relatives said staff were caring and kind. Inspectors saw people treated with dignity, privacy and respect, and supported to remain as independent as possible.
Responsive?
Good
Care was based on people's needs and preferences. People were supported with communication, activities, relationships and complaints.
Well-led?
Good
The manager and provider carried out checks to monitor quality and acted on feedback. Staff, relatives and external professionals described open communication and effective partnership working.
The latest report, explained

What inspectors found, August 2019

Netherwood Residential Care Home was rated Good; inspectors found safe, kind and personalised care, with one record-keeping issue about window checks.

This was an unannounced inspection on 17 July 2019. Inspectors reviewed information, spoke with five people, two relatives, four external professionals and 11 staff, and observed care.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that medicines, staffing, risk management and safeguarding were handled safely.

People received personalised care and were treated with dignity and respect. Staff supported people's choices, health needs, activities, relationships and communication needs.

The home had systems to monitor quality, investigate complaints and learn from incidents. One minor issue was that window restrictor checks were not recorded, although the manager said this would be corrected immediately.

What inspectors praised
  • Safe medicines and staffing

    Medicines were stored, administered and recorded safely. Staffing levels were monitored and staff said they had enough time to provide safe support.

    “Medicines were managed safely. Medicine records were completed without unexplained gaps or errors.” from the report
  • Kind and respectful care

    People and relatives described staff as caring. Inspectors saw staff respecting privacy, dignity and independence.

    “People were well treated and supported and told us staff were caring and kind.” from the report
  • Personalised support

    Care was based on people's assessed needs, preferences and choices. People and relatives were involved in creating and reviewing care plans.

    “People received personalised support based on their assessed preferences and needs.” from the report
  • Good leadership and improvement

    The manager and provider used audits, feedback and incident reviews to monitor and improve the home. The home also worked effectively with external professionals.

    “The registered manager and provider carried out a range of quality assurance audits to monitor and improve standards at the service.” from the report
What inspectors were concerned about
  • Window safety records

    minor

    Window restrictor checks were being carried out, but the checks were not recorded. The manager said this would be put right immediately.

    “Window restrictor checks were carried out but not recorded.” from the report
Questions to ask them, based on this report
  1. 01How are window restrictor checks recorded now, and can you show us the latest records?
  2. 02How will the building works to the communal lounges and enclosed garden affect residents day to day?
  3. 03How do you involve each person and their family when care plans are reviewed?
  4. 04How would you provide end of life care and support if my relative needed it?
  5. 05How do you check that staffing levels remain sufficient when people’s needs change?

This was an unannounced planned inspection covering all five CQC questions, including the care and the premises; all ratings were Good and unchanged from the previous inspection. This explanation was written from the published report of 13 August 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.

An earlier report, explained

What inspectors found, October 2016

Netherwood Residential Care Home rated Good; inspectors found safe, kind and personalised care, with garden safety work still needed.

This was an unannounced inspection on 8 September 2016. The inspectors spoke with people living at the home, relatives, staff and a visiting health professional. They also observed care and checked one care plan, complaints records and quality checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines support, respectful care, personalised routines and suitable access to food and healthcare.

People told inspectors they felt safe and cared for. Staff knew people well, sought permission before providing care and supported people to keep their dignity, choices and independence.

The grounds were not yet safe for people to use without support because of different levels and trip hazards. The provider had plans to renovate the garden. This was the first inspection since the new ownership began.

What inspectors praised
  • Safe staffing and medicines

    People received timely help from sufficient staff. Medicines were checked, recorded, stored and audited properly.

    “People received their medicines as prescribed.” from the report
  • Kind and respectful care

    Staff knew people well and supported their privacy, dignity, choices and independence.

    “Staff provided care and support for people which was thoughtful, sensitive, and respected people's privacy and dignity.” from the report
  • Personalised support

    Care plans included people's preferences and routines. Staff supported people to enjoy activities and pastimes that mattered to them.

    “People received personalised care and support which was responsive to their changing needs.” from the report
  • Positive leadership

    Staff described good teamwork and felt supported. Regular checks and meetings were used to identify improvements.

    “Systems were in place to monitor the quality of care provided and identify any areas for improvement.” from the report
What inspectors were concerned about
  • Garden safety

    needs fixing

    At the time of the inspection, the grounds were not safe for people to use without support because of different levels and trip hazards. The provider had plans to renovate the garden.

    “At the moment, the grounds were not safe enough for people to go out unaccompanied due to different levels and trip hazards.” from the report
Questions to ask them, based on this report
  1. 01Has the garden renovation been completed, and can residents now use the grounds safely?
  2. 02How are individual care plans reviewed when people's needs or preferences change?
  3. 03How do you make sure staffing levels remain sufficient on every shift?
  4. 04How are medicines audits and staff competency checks carried out now?
  5. 05How can residents and relatives raise concerns, and how are complaints followed up?

This was an unannounced inspection covering all five CQC questions; inspectors also reviewed one care plan, complaints arrangements and quality monitoring, and it was the first inspection under the new provider. This explanation was written from the published report of 18 October 2016 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 Netherwood Residential Care Home

2 rated inspections over 3 years: the service has held its Good rating throughout.

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

    Read what inspectors found at Netherwood Residential Care Home →

  2. October 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Netherwood Residential Care Home →

  3. June 2014

    Registered with the Care Quality Commission on 19 June 2014.

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.

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