Neville Williams House

Updated 3 September 2019

The inspection

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 Care Act 2014.

Inspection team

The inspection was carried out by one inspector, a specialist advisor who has clinical knowledge of the needs of the people who used this type of service 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

Neville Williams House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. 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.

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. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

We spoke with seven people who used the service and seven relatives about their experience of the care provided. We spoke with thirteen members of staff including the head of care and quality, the registered manager, nurses, care workers, chefs and two visiting professionals. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included six people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 3 September 2019

About the service

Neville Williams House is a care home providing accommodation for persons who require nursing or personal care. The service supports people aged 65 and over, some of whom may live with dementia.

Neville Williams House accommodates up to 50 people across three separate wings, each of which has separate adapted facilities. The home includes an onsite farm, pub and shop. At the time of inspection 48 people were receiving support.

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

The staff team were highly motivated and equipped with the right skills to support people to achieve positive outcomes. The home was person centred and innovative in its design. Staff worked with health professionals to promote people’s well-being. Staff placed a strong importance on making sure people ate and drank enough to maintain a healthy balanced diet.

People and relatives were supported with planning end of life and relatives spoke highly of the support they received. People were supported to participate in activities that were relevant to their likes and dislikes and were of interest to them. People had choice and control over the planning and delivery of their care. People knew how to complain.

The staff were compassionate and kind and promoted people’s privacy and dignity. People’s care plans contained information about their preferences and the support needed to maintain their individuality and independence. People were supported to express their views and be involved in decisions about their care.

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 spoke highly of staff and felt safe. There were enough staff available to people and people felt staff knew them well. Staff were recruited in a safe way. People received their medicines as needed.

The registered manager had systems in place to ensure the service was meeting people’s needs. Systems were effective for monitoring the quality and safety of the services provided. Staff knew how to raise concerns about poor staff practice. People's care plans and risk assessments contained information about their care and support needs and staff understood them well.

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 this service was good (published 8 October 2016).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.