Newhey Manor Residential Care Home

Updated 7 July 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.'

This inspection took place on 17 May 2018 and was unannounced. The inspection team consisted of one adult social care inspector.

Prior to our inspection we asked the provider to complete a Provider Information Return. This is a form which asks the provider to give us some key information about the service, what the service does well and improvements they would like to make. We also reviewed the information we held about Newhey Manor, including any statutory notifications submitted by the provider or other information received by members of the public. A statutory notification is information about important events which the provider is required to send to us by law.

During our visit we spoke with the registered manager. In addition we spoke with five care workers and the chef. We observed how staff interacted with people and spoke with six people who used the service and five visiting relatives.

We looked around the building, including all of the communal areas, toilets, bathrooms, the kitchen, and the garden. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us to understand the experience of people who cannot talk with us. We observed how staff cared for and supported people, and looked at food provision.

We reviewed the care records for four people, four medicine administration records and three staff personnel files, and other documents related to the management of the home, such as maintenance records and service invoices.

Prior to our inspection we reviewed the information we held about the service, and contacted the local authority safeguarding and commissioning teams to obtain their views about the service.

Updated 7 July 2018

The inspection took place on 17 May 2018 and was unannounced.

Newhey Manor is a purpose built residential care home situated in Newhey, Rochdale. It has 24 single rooms, all of which have sinks and two have en-suite toilets. There was a large communal lounge and a separate dining room. The home had access to a large playing field at the rear of the building. At the time of our inspection there were 21 people living at the home.

The service had a registered manager who was present during the inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 2008 and associated Regulations about how the service is run.

During the last inspection of Newhey Manor in March 2017 we found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because care records were not clear and accurate, and systems to monitor the quality of the service did not ensure people were not at risk of harm or injury. Following that inspection the provider sent us an action plan informing us that they had taken action to ensure the regulations had been met. During this inspection we found the provider had complied with the previously breached regulations and the service was no longer in breach. We found that all other regulations were being met. However we made a recommendation that the service reviews and takes steps to improve daily recordings, as we found that daily care notes were poorly stored and were sometimes written in a subjective and derogatory manner.

We found the home was safe and secure, and staff understood their responsibilities to keep people safe. Procedures were in place to protect vulnerable people from abuse, and attention was paid to ensuring risks were assessed and monitored to minimise the danger of harm. Care plans showed attention to detail where a risk was identified.

There were adequate staff on duty at the time of our inspection and this was reflected in the rotas we looked at. However, at busy times such as lunchtime, staff were not always able to give a timely response to the needs of the people they supported.

Medicines were well managed, and there were good systems in place to allow for covert medicines and as required medicines to be administered safely.

The service was willing to listen to positive criticism and act on any advice provided. We saw that the service saw mistakes as an opportunity for improvement and to learn from errors.

There was good oversight and supervision of care staff who were well trained and knew the people they supported, and how they liked their needs to be met. Staff worked well together and shared tasks equally.

People told us they liked the food provided at Newhey Manor, and that they were consulted when planning the menu. Attention was paid to their dietary needs, and there was evidence of work in collaboration with health and social care professionals such as doctors, district nurses and speech and language therapists.

Staff we spoke with understood issues around capacity, and the service met the requirements of the Mental Capacity Act 2005. People told us that staff always sought their consent before providing them with support and care.

We were told that staff were caring and we saw that people were well cared for; throughout our inspection people commented on the kindness of the staff. We saw people treated with dignity, kindness and patience. Care plans were comprehensive, showing a good understanding of people’s individual and diverse needs, with attention to cultural and religious requirements. We saw that when people were approaching the end of their life, care plans reflected their needs and wishes, and people told us that the service supported people well as they approached the end of their life.

When we reviewed the complaints and compliments file we saw that the former was vastly outnumbered by the latter, and people told us that they were happy with the service and the support they were given. We saw that staff interacted well with all the people they supported and where they did not wish to join in with arranged activities their needs for social stimulation were not ignored. Visitors were always welcomed, and the service presented a homely feel with a caring ethos.

There was evidence that people supported at Newhey Manor were consulted about the service, and audits were undertaken regularly to monitor service provision. The manager demonstrated a good oversight of the service and ensured people were content and well cared for.