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CQC report explained · a residential care home

What the CQC found at Newgrove House Care Home

Goodpublished 1 May 2018, 8 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 most infection control arrangements, including visits, admissions, protective equipment, testing and outbreak management. They were only somewhat assured about cleaning records because not all cleaning was recorded.
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?
Requires improvement
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, March 2022

Inspected but not rated; inspectors found strong COVID-19 controls, but some cleaning was not recorded.

This was an unannounced, targeted inspection on 15 February 2022. Inspectors looked at infection prevention and control, visiting arrangements and staffing pressures linked to COVID-19.

The home had regular testing for people and staff, detailed COVID-19 risk assessments and vaccination arrangements. Inspectors were assured about visits, shielding, social distancing, admissions, protective equipment, testing and managing outbreaks.

Inspectors were only somewhat assured about cleaning and hygiene records. Some cleaning was not recorded, including cleaning of office equipment and high-touch points. The overall service and Safe question were inspected but not rated.

What inspectors praised
  • Visiting arrangements

    Visits were organised in line with the government guidance in place at the time of inspection.

    “Visits were arranged in line with government guidance.” from the report
  • Regular testing

    People living in the home and staff were included in a regular testing programme.

    “People and staff were part of a regular testing programme.” from the report
  • COVID-19 risk planning

    People had detailed risk assessments covering COVID-19.

    “People had detailed risk assessments in relation to COVID-19.” from the report
  • Vaccination arrangements

    The report says staff had received the COVID-19 vaccination as a condition of working in the home.

    “Staff had received the COVID-19 vaccination as a condition of their deployment.” from the report
What inspectors were concerned about
  • Cleaning records

    needs fixing

    Not all cleaning was recorded, including cleaning of office equipment and high-touch points. The home said it would add information to its documents to keep them up to date and reduce infection risks.

    “Not all cleaning was recorded, for example office equipment and high touch points.” from the report
Questions to ask them, based on this report
  1. 01How do you now record cleaning of office equipment and high-touch points?
  2. 02What additional information has been added to the infection prevention and control documents?
  3. 03How do you manage staffing pressures linked to COVID-19, and what impact could these have on people's care?
  4. 04How are visiting, testing, protective equipment and outbreak arrangements kept up to date?

This was an unannounced targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service was inspected but not rated. This explanation was written from the published report of 17 March 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, May 2018

Rated Good; this was a major improvement from the previous Inadequate rating and special measures, though well-led remained Requires Improvement.

Inspectors carried out an unannounced comprehensive inspection on 8 March 2018. They observed care, spoke with people, relatives, staff and health professionals, and checked care files, medicines records, staffing information and management records.

The home had improved significantly since the previous inspection in July 2017. Inspectors found safe staffing, better risk assessments, kind care, improved consent arrangements, suitable food and activities, and better responses to people's needs.

The overall rating was Good. Safe, Effective, Caring and Responsive were all rated Good. Well-led was rated Requires Improvement because the home needed a longer record of consistent good practice, and some audits and records still needed strengthening.

What inspectors praised
  • Enough staff

    Staffing was maintained at a level inspectors considered suitable for people's needs. Staff were visible and responded promptly to call bells.

    “We found staffing levels were appropriate for the number of people who used the service and the level of their needs.” from the report
  • Kind and respectful care

    Staff supported people warmly and respectfully, while protecting their privacy and dignity.

    “People were treated with dignity and respect. We observed staff knocking on bedroom doors and asking if it was okay for them to come in, before entering the room.” from the report
  • Activities and relationships

    People were offered group and one-to-one activities, outings and regular contact with family and friends.

    “The activity file showed some people had participated in outings to a farm shop, to a local restaurant for lunch and to the pantomime.” from the report
What inspectors were concerned about
  • Medicines recording

    needs fixing

    People received their medicines as prescribed, but some records needed to be clearer. This included instructions for when-needed medicines and handwritten entries on medicines records.

    “There were some minor recording issues which were discussed with the registered manager to address with staff.” from the report
  • Care plans not always personal enough

    needs fixing

    Some care plans did not explain people's preferences for how care should be provided in enough detail. Further work was under way to improve them.

    “However, we noted that in some care plans the level of information about people's preferences for how they wished their care to be delivered was inconsistent.” from the report
  • Management checks needed strengthening

    needs fixing

    The medicines and care plan audits did not always examine the quality of records in enough depth. The provider confirmed that more comprehensive audit tools were put in place after the inspection.

    “We found the medicines and care plan audits in place were limited in scope and required some further development to ensure all areas were reviewed effectively to identify any shortfalls.” from the report
Questions to ask them, based on this report
  1. 01How do you now check that medicines records, including instructions for when-needed medicines, are complete and accurate?
  2. 02How have you made sure care plans explain each person's preferences for how their care should be delivered?
  3. 03What evidence can you show that the improvements since the previous Inadequate inspection have been maintained?
  4. 04How do you monitor whether food, fluid, weight and pressure-relief records are completed consistently?
  5. 05What is still being done to achieve a Good rating for well-led?

This was an unannounced comprehensive inspection covering all five key questions and checking whether improvements from the previous inspection had been made and sustained. This explanation was written from the published report of 1 May 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.

The story over the years

Every inspection of Newgrove House Care Home

3 rated inspections over 2 years: the service has improved, from Requires improvement to Good.

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

    Read what inspectors found at Newgrove House Care Home →

  2. May 2018Goodup from Inadequate
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Newgrove House Care Home →

  3. August 2017Inadequatedown from Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  4. July 2016Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. May 2015

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. October 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. June 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. January 2011

    Registered with the Care Quality Commission on 4 January 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.

Next steps

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Most charge £980 to £1,350 a week. 10 can care for a couple. 7 years' experience on average.

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