19 September 2023
During a routine inspection
Nethermoor Care Home is a residential care home providing personal care to up to 33 people. The service provides support to older people and people living with dementia. At the time of our inspection there were 31 people using the service.
People’s experience of using this service and what we found
There were areas of the building that still required maintenance to ensure they could be cleaned effectively. The provider was aware of this and was mid-way through an extensive programme of refurbishment.
People and relatives commented positively about cleanliness and recent refurbishment of many rooms. People were protected from the risk of abuse and felt safe living at Nethermoor Care Home. Staff understood how to recognise and report concerns or abuse. Medicines were generally safely managed. People’s needs were assessed, and any risks associated with their personal care and environment documented. There were enough staff to keep people safe.
People's needs and choices were assessed in line with current legislation and guidance in ways that helped to prevent discrimination and followed best practice guidance to reduce risks associated with their personal care. People were supported and encouraged to have a varied diet that gave them enough to eat and drink. People were supported by staff to access healthcare services when required.
People were supported by experienced staff. Everyone we spoke with felt confident that staff had the right skills to provide a good standard to care. Staff were supported by the provider to fulfil their roles and given the training the provider identified as essential.
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.
People and relatives spoke positively about the staff team, and felt they were treated with kindness and dignity. People were supported to express their views about their personal care and daily lives and make their own decisions as far as possible. People's confidential information was kept securely.
There had been recent improvements to the range of activities offered to people, although the management team acknowledged there was still work to be done on this. People's personal care needs were planned and reviewed at regular intervals with them. None of the people we spoke with had any complaints about the service, but they knew how to complain and felt confident any issues would be addressed.
The service was well-led. The provider and manager undertook regular audits of all aspects of the service to review the quality of care. The service had a positive and open culture which achieved good outcomes for people. Staff were clear about their roles. Feedback from health and social care professionals was positive regarding the quality of care and commitment to partnership working to achieve good outcomes for people.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for the service under the previous provider was Good, published on 10 April 2019.
Why we inspected
The inspection was prompted in part due to concerns received about risk management, staffing levels and training, and safeguarding. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from these concerns.
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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.