This inspection took place on 9 November 2015 and was unannounced.
Newfield Lodge is a modern, purpose-built care home, for 64 older people and is divided into four units two of which support people living with dementia. The home is close to Castleford town centre. The home has a nearby bus route, train station and some shops within close walking distance.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
At the last inspection on June 2015 we asked the provider to make improvements in four of the five domains; Safe, Effective, Responsive and Well led. At the last inspection there were two breaches of the Health and Social Care Act (HCSA) 2008(Regulated Activities) (RA) Regulations 2014. At this inspection we saw improvements had been made. People who used the service told us they felt safe living at the home. Staff we spoke with had training in safeguarding and were aware of how to raise concerns. This meant people were protected from the risk of harm because staff had been trained to recognise signs of abuse.
Care plans used by the service identified people’s support needs and any associated risk had an assessment and plan in place. This meant people received care that was centred on them as an individual and were protected from the risk of harm.
People who used the service felt there were enough staff to meet their needs. Staff we spoke with felt sometimes the service was short staffed but felt this did not impact upon the care of people within the home.
People received their medicines in a safe and timely manner. People we spoke with told us they received their medicine on time.
We saw aprons and gloves were in good supply and used appropriately by staff. This helped prevent the spread of infection. The home looked clean with no malodours.
Staff confirmed they received supervision and felt it was a useful way to receive feedback about their performance. Training for staff was up to date and staff felt the training helped them carry out their role effectively.
People had signed their consent for the use of their image and to share information with other professionals. Although has signed and agreed to their care record, they had not consented for the provision of personal care.
The service assessed people’s capacity to make decisions in line with the relevant legislation and had made the appropriate applications for Deprivation of Liberty Safeguards.
People were offered a choice of meals and had regular drinks and snacks though the day. The service contacted the appropriate services if they had concerns about people’s weight.
Care plans were reviewed monthly and updated to reflect the changing needs of the individual
People had access to outdoor spaces. People were supported to use the smoking shelter.
We saw staff spoke with people in a respectful manner. Staff told us they enjoyed working at the home. Staff interaction was warm and it was clear staff knew people very well.
The home had an open door policy and people could have visitors at any time of the day, except at meal times which was protected.
Staff spoke highly of the team they worked in and felt they worked well together.
Care records were person centred and focussed on the needs of the individual
The service organised activities which people participated in and enjoyed.
People we spoke with knew who they would talk to if they had any concerns.
People who used the service knew who the registered manager was. Staff we spoke with felt supported by the manager and they could approach them with any concerns.