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CQC report explained · a residential care home

What the CQC found at Newbrook

Goodpublished 24 April 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 about infection prevention and control, including PPE, testing, visiting, cleaning and managing outbreaks. The provider also said it had measures to manage COVID-19-related staffing pressures.
Effective?
Good
This question was not rated in this targeted inspection.
Caring?
Good
This question was not rated in this targeted inspection.
Responsive?
Good
This question was not rated in this targeted inspection.
Well-led?
Good
This question was not rated in this targeted inspection.
The latest report, explained

What inspectors found, February 2022

Inspected but not rated; inspectors were assured that infection prevention and control arrangements were safe and well managed.

This was an announced, targeted inspection on 8 February 2022. Inspectors looked at infection prevention and control, including the effect of COVID-19 staffing pressures.

Inspectors were assured that the home used personal protective equipment safely, supported testing, managed visits, followed social distancing rules and kept its infection control policy up to date. The home was clean and hygienic, with cleaning schedules and infection control audits.

The home was inspected but not rated. This means the report does not give an overall quality rating or ratings for the full range of care.

What inspectors praised
  • Infection control

    The provider regularly reviewed its infection control policies and discussed pandemic concerns with staff and residents.

    “The provider had continually reviewed their infection prevention and control (IPC) policies.” from the report
  • PPE and training

    Staff had infection control training and were seen using the correct protective equipment and following good practice.

    “Staff completed IPC training and were observed to be wearing the correct personal protective equipment (PPE) and following best practice.” from the report
  • Clean environment

    Inspectors found the home clean and hygienic, with cleaning products, schedules and regular infection control audits.

    “The home was clean and hygienic throughout. Staff had access to cleaning products and cleaning schedules were in place.” from the report
  • Visiting arrangements

    Visitors had to take a lateral flow test and were given the required protective equipment when entering the home.

    “Visitors needed to take a lateral flow test and were provided with the necessary PPE upon entry to the home.” from the report
  • Support during the pandemic

    Inspectors saw positive interactions between staff and residents, and staff had worked together to support wellbeing.

    “Staff had worked as a team to help promote people's wellbeing throughout the pandemic. We observed positive interactions between staff and people.” 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 have your infection prevention and control arrangements changed since the inspection on 8 February 2022?
  2. 02How do you manage staffing pressures when COVID-19 or other illness affects staff availability?
  3. 03What cleaning schedules and infection control audits are currently used?
  4. 04What testing and protective equipment arrangements apply to visitors and staff now?
  5. 05How do you support residents' wellbeing when infection control rules change?

This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; the service was inspected but not rated and the other key questions were not assessed. This explanation was written from the published report of 23 February 2022 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, April 2019

Rated Good; inspectors found safe, kind and personalised care, with improvements since the previous Requires Improvement rating.

Inspectors visited on 2 April 2019. They spoke with staff and managers, observed care, and reviewed care records, staff files and other records. One person declined to speak with them.

The home supported two people with learning disabilities, although it could support up to three. Inspectors found that people were safe, treated with kindness and involved in decisions about their routines, activities, meals and care.

Risks and medicines were managed safely. There were enough staff, staff had suitable training, and care plans had been rewritten and updated. The home also supported people's independence and access to the community.

All five areas were rated Good. The previous inspection in December 2018 was rated Requires Improvement, so this report says the home had improved in all areas and that those improvements had been sustained.

What inspectors praised
  • Choice and independence

    People had control over daily routines, activities and meals. Staff supported them to build skills and take positive risks in the community.

    “People had maximum control over all aspects of daily life.” from the report
  • Safe care and medicines

    Risks were reviewed and medicines were administered by trained staff whose competence had been checked. Medicine records were well completed.

    “Overall medicines were managed safely and people received their medicines as prescribed.” from the report
  • Kind and respectful staff

    Staff knew people well, listened to their individual ways of communicating and respected their privacy.

    “Staff had developed good positive relationships with people and were able to confide in them about anything that was causing them distress.” from the report
  • Improved care planning

    Care plans had been rewritten and were detailed and person-centred. They included guidance about what to do if care or support went wrong.

    “These were written to a high standard and were very detailed and person centred.” from the report
  • Improvement since the last inspection

    The home had improved from Requires Improvement to Good. Inspectors found that earlier improvements had been sustained.

    “At this inspection we found the service had improved in all areas and improved to Good.” from the report
What inspectors were concerned about
  • No registered manager yet

    needs fixing

    There was no registered manager in post during the inspection. An application had been made and was awaiting an interview, so ask who is legally responsible for the home now.

    “At the time of our inspection there was not a registered manager in post, however they had applied to become registered and was waiting an interview.” from the report
  • Activities were still basic for one person

    minor

    A new activity programme had been introduced for someone who did not usually engage, but inspectors said the activities were basic. Ask how this programme has developed.

    “These were rather basic but flexible depending on people's individual preferences on each day.” from the report
  • Easy-read information being developed

    minor

    The home provided easy-read information, but the management team was still improving some policies and documents while pictures were being produced.

    “The management team was working on improving the easy read policy's and documentations for people once all pictures had been produced.” from the report
Questions to ask them, based on this report
  1. 01Who is currently responsible for the home while the registered manager application is being processed?
  2. 02How have the activities for people who find it difficult to engage developed since this inspection?
  3. 03Are all care plans still detailed, current and personalised?
  4. 04Are the easy-read policies and documents now complete and available in the formats people need?
  5. 05How are people supported to manage their own medicines and build independence?

This was a planned inspection covering all five key questions and the overall rating; inspectors reviewed two people's care records and spoke with staff and managers. This explanation was written from the published report of 24 April 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 Newbrook

5 rated inspections over 4 years: the service has held its Good rating throughout.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Newbrook →

  2. April 2019Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Newbrook →

  3. January 2019Requires improvementup from Inadequate
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. June 2018Inadequatestayed Inadequate
    Safe: InadequateEffective: InadequateCaring: Requires improvementResponsive: InadequateWell-led: Inadequate

    Read this report on cqc.org.uk

  5. November 2017Inadequatedown from Good
    Safe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  6. March 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  7. September 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. February 2014

    Registered with the Care Quality Commission on 17 February 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.

Next steps

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