CQC report explained · a nursing home
What the CQC found at Nevis House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and risks to their care were assessed and managed. However, medicines records needed improvement, and one piece of equipment that had not passed required checks had been used.
- Effective?
- Good
- Staff received relevant training and support, people were helped to eat and drink, and healthcare professionals were involved in their care. The home was found to be working within the principles of the Mental Capacity Act.
- Caring?
- Good
- People said staff treated them with kindness, dignity and respect. People and relatives were involved in care planning, although access to care records by staff from other homes posed a confidentiality risk.
- Responsive?
- Good
- Care was personalised and people were supported with activities, relationships and communication needs. Some care plans were inconsistent or needed more accurate detail, including records about prescribed creams and wound care.
- Well-led?
- Good
- People, relatives and staff described the management as approachable and responsive. Regular audits and other quality checks were in place, although action on the recording of prescribed creams had not yet been completed.
What inspectors found, December 2023
Rated Good; inspectors found kind, personalised care, with improvements still needed in medicines records and some safety checks.
This was an unannounced inspection carried out on 21 and 28 November 2023. Inspectors spoke with people living in the home, relatives, staff and a healthcare professional. They observed care and reviewed care plans, medicines records, staff files and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe, were treated with dignity and received personalised care. Relatives were also positive about the care and support.
The inspectors found some areas that needed improvement. Guidance and records for prescribed creams and some medicines given when needed were not always clear. One piece of equipment had not passed required checks but had been used, and some care records needed correcting or adding to.
This was the first inspection of the newly registered service. The report says the previous premises had been rated Inadequate in June 2022. The current home was not placed in special measures and no regulations were recorded as breached.
People felt safe
People and relatives said people were safe, and staff understood safeguarding responsibilities. Risks linked to people's care were assessed and managed.
“People told us they felt safe and enjoyed living at Nevis House.” from the report
Kind and respectful care
People described staff as helpful, kind and respectful. Inspectors found that people were involved in decisions about their care and supported to remain independent.
“Overall the staff are very good, very helpful and treat me like a man, definitely with dignity and respect and definitely kind” from the report
Personalised support and activities
Care plans included people's history, preferences and care needs. People could take part in varied activities, trips and interests, with relatives invited to join in.
“You can do any activity you want to do, there's painting, flower arranging, arts and crafts, there are enough activities and plenty of variety.” from the report
Staffing and management
People and relatives said there were enough staff and that the staff team was regular. Staff said they felt supported, while people and relatives found managers approachable.
“There are plenty of staff, it is a regular staff team here.” from the report
Medicines records and guidance
needs fixingGuidance for applying prescribed creams was not always detailed, and records of applications were not always specific. Some medicines care plans and protocols for medicines given when needed also needed clearer information.
“Overall, medicines were managed well but some areas for improvement were identified.” from the report
Equipment safety check
seriousOne piece of equipment had not passed the required safety checks, but staff said it had been used. The manager asked for it to be clearly marked so staff would not use it.
“However, we identified one piece of equipment that had not passed the required checks of the Lifting Operations and Lifting Equipment regulations and staff told us this had been used.” from the report
Care record accuracy
needs fixingSome care plans were inconsistent or needed more detail. One person's wound care information was not accurate in their skin integrity risk assessment.
“One person required additional support with wound care and details of this need was not accurate in their skin integrity risk assessment.” from the report
Confidentiality of care records
needs fixingStaff from five other homes run by the same provider could access people's care records. The home said work was under way to address this risk.
“People's care records could be accessed by staff who did not work with them but who worked in another 5 care homes owed by the same provider.” from the report
- 01What changes have been made to the guidance and records for prescribed creams since the inspection?
- 02How are medicines given when needed, including covert medicines, now recorded and linked to people's care plans?
- 03How do you make sure equipment cannot be used before it has passed all required safety checks?
- 04Has access to care records by staff from other homes been restricted, and how is confidentiality protected now?
- 05Have the inaccurate wound care information and other gaps in care plans been reviewed and corrected?
This was an unannounced inspection of the newly registered care home covering all five key questions, including the premises and care provided; the previous Inadequate rating related to the service at different premises. This explanation was written from the published report of 13 December 2023 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.
Every inspection of Nevis House
Each visit the CQC has published, newest first, back to the day the home was registered.
- December 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2023
Registered with the Care Quality Commission on 14 February 2023.
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.
Weigh the report against the rest
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What to check when you visit
At least 100 live-in carers within about an hour of Leeds
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,250 a week. 89 can care for a couple. 11 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“Took his time to learn about me read my care plan and to listen to me. great companionship with lots of laughing.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.