Background to this inspection
Updated
5 December 2023
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 Health and Social Care Act 2008.
Inspection team
The inspection team consisted of 2 inspectors.
Service and service type
Newstead Lodge is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Newstead Lodge is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was not a registered manager in post. The provider was managing this home 4 days a week as an interim measure. The provider was recruiting for a manager to become registered with us.
Notice of inspection
The inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We looked at the information we had received from relatives and people who used the service.
We asked the local authority for any information they had which would aid our inspection. Local authorities, together with other agencies may have responsibility for funding people who use the service and monitoring its quality. We reviewed information from Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 5 people and 1 relative to get their experiences about the quality of care received. We spoke with 6 members of care staff that included nursing, care and kitchen staff. We spoke with the director who was also the owner of the service and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. These included samples of 4 people's care records, as well as associated records that included daily report logs and medicine administration records. We reviewed 3 staff recruitment files, policies and procedures and examples of quality assurance checks and meeting minutes.
Updated
5 December 2023
About the service
Newstead Lodge is a care home providing accommodation with nursing or personal care for up to 26 people. The home is purpose-built accommodation, providing care and support to people across 2 floors. At the time of our inspection visit there were 19 people living at the home.
People’s experience of the service and what we found:
People were supported by staff who knew them well and were kind and attentive to them. People’s safety and care needs were identified, their care was assessed and planned, and their needs were met. There was an approach to supporting people, so their individual preferences and lifestyles were respected, whilst their safety needs were balanced with positive risk taking.
Staff understood how to protect people from abuse and were confident the provider would take action to protect people, should this be required. Staff were also confident to refer to other agencies to keep people protected.
The provider had safe recruitment systems to ensure staff were suitable to look after people. There were enough staff on duty to support and meet people’s needs.
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’s freedom was not unnecessarily restricted, and people were not physically restrained.
People lived in a safe, clean and maintained environment. Regular checks ensured the environment was safe. People were encouraged to personalise their rooms and some people were involved in decorating their rooms.
Staff worked with people, relatives and health and social care professionals to maintain people’s health and wellbeing.
We found there was a positive and person-centred culture, which focused on meetings people’s needs. People and relatives spoke positively about the service and staff team. People’s views and feedback was sought on the service they received.
People were involved in how their care was received and how they lived their day, such as what they wanted to do and where they wanted to go.
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 requires improvement overall (published 15 May 2023). The overall rating for the service has changed from requirement improvement to good based on the findings of this inspection.
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvement had been made and the provider was no longer in breach of regulations.
Why we inspected
The inspection was prompted in part due to concerns received about the culture at the service and potential risks to people’s care and the environment. A decision was made for us to inspect and examine those risks.
When we last inspected Newstead Lodge on 29 March 2023 breaches of legal requirements were found. This inspection checked whether they were now meeting the legal requirements. We found no evidence during this inspection that people were at risk of harm.
We undertook a focused inspection to review the key questions of Safe, Effective and Well Led only. For those key question not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for Newstead Lodge on our website at www.cqc.org.uk.
Follow Up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.