CQC report explained · a residential care home
What the CQC found at Newhey Manor Residential Care Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, July 2018
Rated Good overall; inspectors found safe, kind care, but the home needs to improve daily records and response at busy times.
The inspection was unannounced and took place on 17 May 2018. The inspector spoke with people living at the home, relatives, staff and the manager. They observed care, checked the building, and reviewed care plans, medicines records, staff files and management records.
The home was rated Good for Safe, Effective, Caring and Well-led. Inspectors found a clean and secure home, well-trained staff, good medicines systems, kind care, appropriate support with food and healthcare, and improved checks on the quality of care.
Responsive was rated Requires Improvement. Daily care notes were sometimes incomplete, poorly stored and written in subjective or derogatory language. Staff could also be too busy to respond promptly at lunchtime, including when some people needed help to eat.
Safe environment
The home was secure, clean and well maintained. Staff followed safeguarding procedures and assessed risks to people’s health and safety.
“We found the home was safe and secure, and staff understood their responsibilities to keep people safe.” from the report
Kind and respectful care
People were treated with kindness, patience and dignity. Staff knew people’s preferences and supported their independence.
“Throughout our inspection we saw that staff were kind, caring and patient when interacting with the people they supported.” from the report
Good medicines practice
Medicines were stored securely and administration records were complete. The home had improved its procedures for creams, as-required medicines and covert medicines.
“We looked at three Medication administration records (MAR) which had all been completed correctly.” from the report
Improved management
The home had acted on problems found at the previous inspection. Its audits and checks were stronger, and the previous breaches had been resolved.
“At this inspection we found that the service had reviewed systems for auditing all aspects of the service to ensure the delivery of safe care and treatment of people.” from the report
Daily care records
needs fixingSome daily notes did not contain enough detail, were kept on loose sheets and were not always clearly linked to the right person. Inspectors recommended better recording practice and staff training.
“They were sometimes written in a subjective and derogatory fashion.” from the report
Storage of medicines
minorBecause space was limited, medicine cabinets were kept in the dining room when not in use. The manager agreed to consider creating a separate treatment room.
“The medicine cabinets took up space in the dining room when not in use, which gave the room more of a clinical feel.” from the report
- 01What has changed in the way daily care notes are written, stored and checked since this inspection?
- 02How do you make sure people who need help to eat receive timely support at lunchtime?
- 03Have you introduced adapted plates, cutlery or other equipment for people who struggle to eat?
- 04Has a separate treatment room or safer medicine storage area been created?
- 05How do you check that staff have completed all required refresher training, including nutrition?
This was an unannounced inspection covering all five quality questions and the overall rating, with evidence gathered from people, relatives, staff, observations and records. This explanation was written from the published report of 7 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.
What inspectors found, May 2017
Rated Requires Improvement; inspectors found kind and responsive care, but safety records, emergency planning and quality checks were not reliable enough.
This was an unannounced inspection on 29 and 30 March 2017. Inspectors spoke with people living at the home, visitors, staff and the manager. They also observed care and checked the building, care files, medicines records, recruitment files, training records and management information.
The home was rated Good for Effective, Caring and Responsive. People and visitors praised the staff. Inspectors saw respectful care, enough staff on duty, suitable food, activities and support with health needs.
The home was rated Requires Improvement for Safe and Well-led. Some risk assessments, food and drink monitoring records, emergency evacuation plans and building safety checks were incomplete. Quality monitoring systems did not identify all the improvements needed.
The home breached Regulations 12 and 17. The previous breaches about unlawful restrictions and risk assessments had been addressed, but the provider was required to send an action report and CQC said it would check that action was taken.
Staffing and recruitment
Inspectors found enough staff available during the visit. Recruitment files included the required checks, and staff understood how to recognise and report abuse.
“People were cared for by sufficient numbers who had been appropriately recruited.” from the report
Activities and community links
The home offered activities through staff and visiting entertainers. People could maintain community and religious links.
“Activities and opportunities were offered to people to help promote their health and wellbeing as well as maintain community links.” from the report
Incomplete risk and nutrition records
seriousRisk management plans had not been completed for two people at high risk of falls and pressure damage. Food and drink monitoring for a person at risk of weight loss was also incomplete.
“Without clear and accurate records people's health and welfare may be at risk.” from the report
Emergency and electrical safety checks
seriousThe contingency plan lacked some guidance and contact details. Some personal evacuation plans had not been reviewed or completed, and the required five-year electrical check was overdue.
“We also found that PEEP's had not been completed for those people who had more recently moved into the home.” from the report
Weak quality monitoring
seriousThe home's checks did not cover all areas well enough to identify unsafe or inappropriate care. Some policies were duplicated and contained outdated information.
“Systems to effectively monitor, review and improve the quality of service needed improving to help ensure people were protected from the risks of unsafe or inappropriate care and support.” from the report
Medicine recording
needs fixingThe main medicines system was safe, but records did not always show who had applied creams. Guidance for medicines given when needed was not detailed enough for some people.
“This meant the record did not accurately reflect who had administered the prescribed item.” from the report
- 01What action has been taken to complete and regularly review risk plans for falls, pressure damage and poor nutrition?
- 02Are every resident's personal emergency evacuation plan and the home's contingency plan now complete and up to date?
- 03Has the five-year electrical check been completed, and can you show us the result?
- 04How do you check that medicines records accurately show who gave or applied each medicine, including creams?
- 05What changes have been made to the quality checks and policy documents since this inspection?
This was an unannounced inspection covering all five key questions and the overall rating, including checks on earlier breaches. This explanation was written from the published report of 24 May 2017 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 Newhey Manor Residential Care Home
3 rated inspections over 2 years: the service has improved, from Requires improvement to Good.
- July 2018Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
Read what inspectors found at Newhey Manor Residential Care Home →
- May 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
Read what inspectors found at Newhey Manor Residential Care Home →
- March 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- March 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- May 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 12 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.
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