Newlands Care Home

Updated 11 May 2023

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by two inspectors, a CQC pharmacist and an expert by experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Newlands Care Home is registered with CQC as a ‘care home’ and CQC regulates both the premises and the care provided. Both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 8 people who used service and 3 relatives about their experience of the care provided. We spoke with 6 members of staff including the registered manager.

We reviewed a range of records. This included staff training records and records associated with the provider's quality monitoring systems.

Updated 11 May 2023

About the service

Newlands Care Home is a care home with nursing operated by Angel Care plc located in Salford. Newlands Care Home is registered with CQC to provide care for a maximum of 30 people. There were 24 people using the service at the time of the inspection.

People's experience of using this service and what we found

Some improvements were still required to ensure medicines were managed safely. Audits were completed to monitor the quality of service to ensure good governance, however, medication audits still required further improvement. We have made a recommendation regarding this.

There were enough staff to care for people safely and correct staff recruitment procedures were followed. The premises and equipment were well maintained and we found the home to be clean and tidy during the inspection.

Record keeping had improved and we observed people to be clean and well presented, both of which had been concerns at our previous inspection. Care plans contained good levels of detail about the support people required and we observed several activities taking place during the inspection. Complaints were handled appropriately.

There were systems in place to seek feedback from people living at the home, including the use of satisfaction surveys and staff and residents’ meetings. The provider had a number of links within the local community and worked well with partner agencies including the local authority.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice.

Rating at last inspection

The last rating for this service was requires improvement (published January 2021) and the provider was in breach of regulations relating to safe care and treatment and good governance. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection, not enough improvement had been made and the provider was still in breach of some regulations.

Why we inspected

We carried out an unannounced comprehensive inspection of this service in December 2020. Breaches of regulations 12 and 17were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Responsive and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained Requires Improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Newlands Care Home on our website at www.cqc.org.uk.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Enforcement

We will continue to monitor the service and will take further action if needed. We have identified breaches in relation to medication and governance at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.