CQC report explained · a nursing home
What the CQC found at Newlands Care Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
- Safe?
- Requires improvement
- Medicines were not always managed safely, including allergy records, patches, creams and instructions for medicines given when needed. There were also repeated concerns about trip hazards and building waste.
- Effective?
- Good
- This key question was not inspected during this focused inspection. Its previous rating was carried forward when calculating the overall rating.
- Caring?
- Good
- This key question was not inspected during this focused inspection. Its previous rating was carried forward when calculating the overall rating.
- Responsive?
- Good
- Care plans included people's preferences and support needs. Staff responded to people's care needs, activities were available, complaints were handled appropriately and this rating improved from Requires Improvement.
- Well-led?
- Requires improvement
- The home had quality monitoring, feedback systems and a supportive culture. However, medicine audits had not identified all the problems, so the rating remained Requires Improvement.
What inspectors found, May 2023
Rated Requires Improvement; inspectors found kind, responsive care, but medicines were not always managed safely and monitoring was not strong enough.
This was an unannounced focused inspection on 30 March 2023. Two inspectors, a pharmacist and an expert by experience visited the home. They spoke with people, relatives and staff, and checked care, medicines, training and quality records.
The home had enough staff, safe recruitment, clean and well-maintained premises, detailed care plans and activities for people. People and relatives generally said they felt safe and received personalised care. The responsive rating improved from Requires Improvement to Good.
Medicines were not always managed safely. Problems included recording allergies, applying patches, completing records for creams and writing clear instructions for medicines given when needed. The home remained in breach of Regulation 12, so the overall rating stayed Requires Improvement. The well-led rating also remained Requires Improvement because medicine checks had not found all the problems.
Enough staff
Inspectors found enough staff to care for people safely. Recruitment checks, including references and DBS checks, were completed.
“There were enough staff employed to care for people safely.” from the report
Personalised care
Care plans described people's needs, histories and preferences. Staff were observed helping people with mobility and eating or drinking.
“Care plans captured person-centred information about people, such as life histories and how they liked their care to be delivered.” from the report
Improved records and presentation
Inspectors found improvements in personal care records and observed people looking clean and well presented. These had been concerns at the previous inspection.
“Record keeping had improved and we observed people to be clean and well presented” from the report
Activities and cultural support
Activities were taking place during the visit. The home also provided support for people's Jewish faith and could provide kosher food.
“Activities were available for people living at the home and we observed several taking place during the inspection.” from the report
Medicine safety
seriousMedicine records and instructions were not always accurate or personalised. This created a risk that people could receive medicines they had reacted to before, or that prescribed creams and pain relief might not be given correctly.
“Information regarding people's allergies was not recorded correctly on relevant documentation.” from the report
Checks did not find all problems
seriousThe home's medicine audits did not identify all the issues found by inspectors. This was why the home remained in breach of the safe care and treatment regulation.
“Although, the service was carrying out audits of medicines management these had not always picked up on some of the issues found during the inspection.” from the report
Trip hazards and building waste
needs fixingInspectors again saw hoists in corridors and building waste in the garden. The manager was reminded to store equipment safely and said the waste would be removed.
“We observed this again at this inspection and reminded the registered manager about ensuring they were stored safely.” from the report
- 01What changes have you made to medicine checks since the inspection, especially for allergy records and medicines given when needed?
- 02How do you make sure creams are recorded as given and applied as prescribed?
- 03How do you make sure medicine patches are rotated according to the manufacturer's instructions?
- 04What action has been taken to remove building waste and keep hoists and other equipment out of corridors?
- 05Can you show us the action plan requested by the CQC and explain what progress has been made?
This was a focused inspection of Safe, Responsive and Well-led; Effective and Caring were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 11 May 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, February 2022
Newlands Care Home was inspected but not rated; inspectors found good infection control arrangements during the COVID-19 review.
This was an announced, targeted inspection on 10 February 2022. Inspectors looked at infection prevention and control and asked about staffing pressures linked to COVID-19.
Inspectors found arrangements for safe visiting, testing, protective equipment, social distancing and vaccinations. They were assured that the home could prevent and manage infection outbreaks and that its infection control policy was up to date.
The home was inspected but not rated overall or for Safe. The inspection did not assess the other four areas in the usual way.
Safe visiting
The home used booking, testing and protective equipment to help make visits safer.
“There was a booking system in place to facilitate safe visiting.” from the report
Staff testing and vaccination
Staff were fully vaccinated and took part in regular COVID-19 testing.
“All staff working at the home were fully vaccinated and completed regular COVID-19 testing.” from the report
Infection control
Inspectors were assured that the home was using protective equipment safely and had arrangements to prevent and manage outbreaks.
“We were assured that the provider was using PPE effectively and safely.” from the report
Support with vaccinations
The provider supported people living at the home to receive appropriate vaccinations and boosters.
“The provider supported people using the service to access appropriate vaccinations, including COVID-19 vaccinations and boosters.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you managing staffing pressures now, and did staffing pressures affect people living at the home?
- 02What are your current arrangements for visiting, including testing and protective equipment?
- 03How do you prevent and manage infection outbreaks?
- 04How do you support new residents to be admitted safely?
- 05Are staff and visiting professionals meeting the current vaccination or exemption requirements?
This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; the service was inspected but not rated overall or for the other four questions. This explanation was written from the published report of 26 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.
Every inspection of Newlands Care Home
5 rated inspections over 8 years: the service has slipped, from Good to Requires improvement.
- May 2023Requires improvementcurrent ratingSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- February 2022Inspected but not ratedSafe: Inspected but not rated
- January 2021Requires improvementdown from GoodSafe: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- October 2018Goodup from Requires improvementSafe: GoodResponsive: GoodWell-led: Good
- October 2017Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- June 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- October 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 9 December 2010.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Salford
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 90 can care for a couple. 10 years' experience on average.
“Primrose is a very kind and compassionate healthcare professional”
“She is an exemplary carer, she is knowledgable empathetic and very respectful in the home.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.