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CQC report explained · a nursing home

What the CQC found at Newton Court Care Home

Goodpublished 24 January 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 being followed. The report also says the provider had measures to manage COVID-19-related staffing pressures.
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, February 2022

Inspected but not rated; inspectors found good infection control, suitable PPE and positive feedback from people and relatives.

This was an unannounced, targeted inspection on 02 February 2022. It focused on infection prevention and control during the COVID-19 pandemic, and on whether staffing pressures were affecting care.

Inspectors were assured that the home was managing visitors, admissions, testing, PPE, hygiene, social distancing and outbreaks safely. Visiting arrangements followed the guidance in force at the time, and non-exempt staff and visiting professionals were vaccinated.

People and relatives gave positive feedback about the care. Inspectors also found clear, regularly updated infection control policies and enough PPE supplies.

The service was inspected but not rated. This report does not give an overall quality rating or ratings for most areas of care.

What inspectors praised
  • Clear infection control procedures

    The provider had clear policies to reduce COVID-19 risks, and these were updated regularly.

    “These were clear to follow and regularly updated.” from the report
  • PPE supplies and use

    Staff had suitable PPE and enough supplies. Inspectors were assured that PPE was being used safely.

    “Staff wore appropriate personal protective equipment (PPE) and had access to adequate supplies.” from the report
  • Family contact and visiting

    People were supported to stay in contact with family and friends. Visits followed the government guidance in force at the time.

    “People were supported to keep in touch with their families and friends.” from the report
  • Positive feedback

    People and relatives spoke positively about the care and said they were happy living there.

    “I find the home excellent, couldn't be happier,” 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. 01What infection prevention and control arrangements are in place now?
  2. 02How do you manage staffing pressures when staff are absent because of COVID-19?
  3. 03How are visits currently arranged, and what happens if there is an infection outbreak?
  4. 04How do you make sure staff have enough PPE and use it safely?
  5. 05How do you carry out testing for residents and staff when needed?

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 report does not provide a full assessment of other care areas. 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.

An earlier report, explained

What inspectors found, January 2019

Rated Good overall; Newton Court Care Home provided kind, safe care, but its leadership and records still needed improvement.

This was an unannounced comprehensive inspection on 14 and 15 November 2018. Inspectors spoke with people living at the home, relatives, staff and health professionals. They observed care and reviewed care plans, medicines records, staffing, training, complaints and quality checks.

The home was rated Good overall. Safe, effective, caring and responsive care were all rated Good. People were treated kindly and respectfully, their needs were understood, and staff supported medicines, meals, health care and day-to-day choices.

Well-led was rated Requires Improvement. Inspectors found better management systems than at the previous inspection, but records and paperwork still needed close attention. This included medicines records, complaints, staff training records, activities and plans for improving the environment for people with dementia.

What inspectors praised
  • Kind and respectful care

    Inspectors saw staff treating people with dignity and kindness. People appeared relaxed and comfortable with staff.

    “We observed positive interactions between staff and people who used the service.” from the report
  • Personalised support

    Care plans recorded people's needs, preferences, interests and equipment requirements. Staff showed good knowledge of the people they supported.

    “People's care plans were centred on their individual needs and preferences and were kept under regular review.” from the report
  • Safeguarding and recruitment

    Staff understood how to recognise and report abuse. Recruitment files showed references, employment checks and enhanced DBS checks.

    “Staff recruitment was well managed and checks were in place to recruit people suitable to work at the service.” from the report
  • Improved consent arrangements

    Staff followed the Mental Capacity Act and used best-interest decisions where people could not consent. Checks helped prevent people's liberty being restricted without the required authority.

    “Staff, showed a good understanding of the importance of the MCA and gaining consent from the people they were supporting.” from the report
What inspectors were concerned about
  • Medicines supply and records

    serious

    Some medicines had recently been out of stock, which the report described as inappropriate. Medicine records still had occasional problems and required continued monitoring.

    “Supplies of medications were recently out of stock which is inappropriate.” from the report
  • Management records

    needs fixing

    Some records and paperwork did not consistently show what had happened or what action had been taken. This contributed to the Requires Improvement rating for well-led.

    “Some areas needed continued oversight and improvements with the management of records and paperwork.” from the report
  • Complaints records

    needs fixing

    The complaints process was available, but some records did not clearly show the full investigation and outcome.

    “We discussed one complaint and noted it was difficult to ascertain a full audit trail regarding investigations taken.” from the report
  • Activities and dementia-friendly environment

    minor

    Some people were unaware of the activities available. Inspectors also recommended reviewing the building and its environment to better meet the needs of people with dementia.

    “Some people had been unaware of what was on offer socially.” from the report
  • Training records

    minor

    Most training records were up to date, but some did not show accurate dates. Two staff were still waiting for end-of-life training.

    “Some records for staff training needed updating to show accurate dates for when staff attend training.” from the report
Questions to ask them, based on this report
  1. 01How do you now prevent medicines from going out of stock, and how are medicine records checked?
  2. 02What changes have you made to make sure complaints show the investigation, action taken and outcome?
  3. 03How do you tell every resident about the activities available, including people who use wheelchairs or stay in their rooms?
  4. 04What improvements have been made to the building and environment for people living with dementia?
  5. 05Are staff training records now accurate, and have the outstanding end-of-life training needs been completed?

This was an unannounced comprehensive inspection covering all five key questions and the overall quality of the home. This explanation was written from the published report of 24 January 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 Newton Court Care Home

3 rated inspections over 2 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 Newton Court Care Home →

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

    Read what inspectors found at Newton Court Care Home →

  3. December 2017Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. August 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. January 2014

    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. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. November 2010

    Registered with the Care Quality Commission on 12 November 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.

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