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CQC report explained · a residential care home

What the CQC found at Newbridge House

Goodpublished 27 June 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection prevention and control measures were in place. This included safe visiting, social distancing, protective equipment, testing, hygiene, admissions and outbreak management.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, January 2021

Inspected but not rated; inspectors were assured that infection prevention and control measures were safe during the COVID-19 outbreak.

Inspectors visited the home on 22 December 2020. This was an announced, targeted inspection of infection prevention and control practices because of the COVID-19 outbreak.

They were assured that the home was managing visitors, social distancing, admissions, protective equipment, testing, hygiene and outbreaks safely. People who tested positive for COVID-19 self-isolated in line with guidance.

The home also kept families in contact through garden visits, a visiting pod, social media, video and telephone calls. Staff were supported during periods of anxiety.

The service was inspected but not rated. This report does not give an overall quality rating or ratings for the other four questions.

What inspectors praised
  • Visitor safety

    Visitors had their temperatures checked, used hand sanitiser and could use protective equipment. Inspectors were assured that visitors were protected from catching and spreading infections.

    “Visitors to the home had their temperatures taken prior to entering the home and sanitised their hands.” from the report
  • Keeping families in touch

    When visits were restricted, the home used garden visits, a visiting pod, social media, video and telephone calls. Relatives were kept informed about their family member's wellbeing.

    “The management team had maintained regular contact with relatives to keep them informed about the wellbeing of their family member.” from the report
  • Staff support

    Staff were supported by the management team during periods of anxiety, including regular wellbeing phone calls.

    “Staff were supported by the management team through periods of anxiety with regular phone calls to check on their wellbeing.” from the report
  • Outbreak controls

    People who tested positive for COVID-19 self-isolated. Clinical waste and laundry were handled in line with government guidance.

    “People who had tested positive for Covid-19 self-isolated in line with current guidance.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are visits currently managed, and what happens if there is an infection outbreak?
  2. 02How often are people using the home and staff tested, and how are the results managed?
  3. 03How are people who test positive for COVID-19 isolated and supported?
  4. 04What arrangements are currently used to keep residents in contact with their families?
  5. 05How are staff supported if they are worried or anxious during an outbreak?

This was a targeted inspection of infection prevention and control practices only; the service was inspected but not rated and the report does not assess the other four questions. This explanation was written from the published report of 14 January 2021 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, June 2019

Rated Good in all five areas; inspectors found kind, personalised care, with some records and mealtime practices to improve.

This was an unannounced, planned comprehensive inspection on 15 May 2019. Inspectors spoke with people living in the home, relatives, staff and a visiting GP. They also observed care and checked care plans, medicines, staff records, accidents, complaints and quality checks.

The home provided accommodation and personal care for up to 30 older people, including some people living with dementia. Inspectors found people were safe, treated kindly and supported by staff who knew them well. Care was personalised, activities were available, and end-of-life care was described as especially compassionate.

The overall rating was Good, with Good ratings for Safe, Effective, Caring, Responsive and Well-led. This was unchanged from the previous inspection on 20 September 2016. Inspectors identified some areas to improve, but did not report any legal breaches.

What inspectors praised
  • People felt safe

    People said they felt safe, and staff understood how to protect them from abuse and avoidable harm. Risks, accidents and incidents were reviewed.

    “People were safe and protected from avoidable harm. Legal requirements were met.” from the report
  • Kind, personal care

    Staff knew people's needs and preferences well. Inspectors saw positive relationships and support that promoted dignity, privacy and independence.

    “People were cared for and supported by staff who knew their needs, personalities, likes and dislikes well.” from the report
  • Compassionate end-of-life care

    The home worked with healthcare professionals and supported people's wishes at the end of life. Families were given care, reassurance and space.

    “People and relatives received compassionate, kind and loving care at the end stage of their life.” from the report
  • Strong leadership

    Inspectors found an open and positive culture. Staff felt listened to, worked well together and believed their views mattered.

    “There was strong leadership at the service and a 'family feel' atmosphere.” from the report
  • Dementia-friendly surroundings

    Parts of the building were adapted for people living with dementia. These included clear signs, themed areas and a sensory garden.

    “Some areas of the home had been designed, decorated and had signage to meet the needs of people living with dementia.” from the report
What inspectors were concerned about
  • Medicine labelling

    minor

    Medicine management was generally safe, but some systems and records did not always follow best practice. Eye drops were not always labelled with their expiry date.

    “However, some of the systems and recording did not always follow best practice, such as applying labels to all eye drops to show the expiry date.” from the report
  • Mealtime arrangements

    needs fixing

    One person's pureed meal was blended together rather than kept separate, so they could not taste the different foods. Lunch could also run close to the early 4pm tea.

    “This meant the person would not be able to taste the different foods they were eating and is not considered good practice.” from the report
  • Life history records

    minor

    Some care plans did not fully record people's past lives, interests and hobbies. The home agreed to add more detail so staff could understand people in context.

    “However, for some people there was limited information on people's history and their lives before they came to live at Newbridge House.” from the report
Questions to ask them, based on this report
  1. 01How have you improved the labelling and expiry-date checks for eye drops since the inspection?
  2. 02How do you now serve pureed meals, and can different foods be kept separate where a person wants to taste them?
  3. 03How do you make sure there is enough time between lunch and the 4pm tea?
  4. 04How are people's life histories, interests and hobbies recorded and used in their care?
  5. 05What activities are available for people living with dementia, and what changes have been made since the inspection?

This was a planned comprehensive inspection covering all five key questions, and the premises and care provided were both looked at. This explanation was written from the published report of 27 June 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 Newbridge House

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

  1. January 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Newbridge House →

  2. June 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Newbridge House →

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

    Read this report on cqc.org.uk

  4. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. February 2011

    Registered with the Care Quality Commission on 4 February 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.

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