CQC report explained · a residential care home
What the CQC found at Newbrae Care Home Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found suitable risk assessments, staffing and recruitment checks. Medicines and infection control were managed safely, and accidents and incidents were reviewed.
- Effective?
- Good
- Care plans were reviewed and staff received training and induction. People were supported with food, drink and access to health professionals, although parts of the environment needed refurbishment.
- Caring?
- Good
- People and relatives were positive about the care. Inspectors saw people treated with dignity and respect, supported to make choices and encouraged to remain independent.
- Responsive?
- Good
- People had personalised care plans and were supported with interests, activities, communication and relationships. Complaints had been responded to.
- Well-led?
- Good
- Inspectors found a calm and positive culture, clear management arrangements and regular audits. People, relatives and staff were asked for feedback.
What inspectors found, January 2023
Newbrae Care Home Limited is rated Good; inspectors found safe, kind and well-organised care, with some refurbishment needed.
The unannounced inspection took place on 3 January 2023. One inspector spoke with four people, two relatives and four staff. They also reviewed care plans, medicine records, recruitment files, training information, meeting notes and audits.
All five areas were rated Good: safe, effective, caring, responsive and well-led. People said they were happy and relatives were positive about the care. Inspectors found suitable safeguarding, staffing, medicine and infection control arrangements.
Care was personalised and people were supported with food, healthcare, activities, relationships and end-of-life wishes. The main shortfall was the condition of the environment, as parts of the home needed redecoration and refurbishment.
The overall rating remained Good, the same as at the previous inspection published on 18 July 2018.
Safe medicines
Staff who gave medicines had training and competency checks. Records and systems for storing, ordering, giving and disposing of medicines were in good order.
“Medicine records we reviewed were in good order.” from the report
Personalised care
Care plans reflected people's needs, choices and preferences. They were reviewed and updated when people's needs or wishes changed.
“Care documentation we saw was person centred and identified how people wished to be supported.” from the report
Kind and respectful support
People and relatives spoke positively about the care. Inspectors saw people appearing happy and relaxed with staff.
“People seemed happy and relaxed in the company of staff.” from the report
Good communication
The manager engaged with people, relatives and staff through meetings, surveys and everyday discussions. People had opportunities to raise concerns.
“The registered manager engaged with people, relatives and staff.” from the report
Refurbishment needed
needs fixingParts of the home needed redecoration and refurbishment. Inspectors discussed making the environment more suitable for people living with dementia, and the provider described plans to do this.
“Parts of the service were in need of redecoration and refurbishment.” from the report
- 01Which parts of the home needed redecoration or refurbishment at the inspection, and what work has now been completed?
- 02What changes have been made to make the environment more dementia friendly?
- 03How will you assess and review my relative's care needs before they move in?
- 04How will my relative be supported to choose activities, maintain independence and keep in touch with family?
- 05How are medicine competencies and medicine records checked regularly?
The inspection included infection prevention and control checks under Safe and assessed all five key questions; the previous comprehensive inspection was published on 18 July 2018. This explanation was written from the published report of 17 January 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.
What inspectors found, July 2018
Rated Good; inspectors found safe, kind and person-centred care, with some records needing improvement.
This was an unannounced inspection on 2 July 2018. One inspector visited the home, which supported 10 older people, including some people living with dementia-related needs. The inspector spoke with people, a relative, a visitor, staff and the registered manager, and checked care files, staff records, medicines and quality records.
Inspectors rated all five areas Good: Safe, Effective, Caring, Responsive and Well-led. They found people were safe, medicines were managed safely, staffing levels were sufficient and staff were trained. People were supported with food, healthcare, activities and decisions about their care.
Staff were described as kind and respectful. Care plans included people's preferences and were reviewed when needs changed. The home had systems for complaints, feedback and checking quality.
Two improvements were identified. Checks of staff medicines competence were not formally recorded, and people's end-of-life preferences had not been formally recorded. The registered manager said these would be addressed immediately. No regulations were reported as breached.
Safe staffing and recruitment
The home used dependency checks to review staffing needs. Inspectors found enough staff and saw people being supported promptly.
“People were cared for by a consistent staff team and there were sufficient staffing levels to meet people's needs.” from the report
Kind and respectful care
Staff built warm relationships with people and respected their dignity, choices and independence.
“We observed staff interacting with people in a warm and compassionate manner.” from the report
Personalised care planning
Care plans covered people's needs, preferences and wishes. They were reviewed when people's needs changed, and relatives could be involved.
“Care plans were comprehensive and contained information and guidance, including people's preferences and individual needs and how they wished to be cared for.” from the report
Positive leadership
Staff felt supported and involved in how the home was run. The manager sought feedback and carried out regular quality checks.
“There was a positive and open culture at Newbrae Care Home.” from the report
Medicines competency records
needs fixingThe manager observed staff giving medicines, but these checks were not formally recorded. The manager said a competency form would be developed immediately.
“The registered manager told us they observed staff administering medication however this was not formerly recorded.” from the report
End-of-life wishes
needs fixingThe home provided end-of-life care, but people's preferences and choices had not been formally recorded. The manager said this would be addressed immediately.
“People's preferences and choices for their end of life care had not been formally recorded.” from the report
- 01How are staff medicines administration skills checked and formally recorded now?
- 02How do you record, review and follow each person's end-of-life preferences?
- 03How often are care plans reviewed, and how will our family be involved?
- 04How do you check that staffing levels continue to match people's changing needs?
- 05What activities and support are available for a person's hobbies, interests and family relationships?
This was an unannounced comprehensive inspection covering the premises and care provided, with ratings given for all five key questions. This explanation was written from the published report of 18 July 2018 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 Newbrae Care Home Limited
2 rated inspections over 5 years: the service has held its Good rating throughout.
- January 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2018GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2017
Registered with the Care Quality Commission on 10 May 2017.
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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