The inspection took place over two days on 17 and 18 December 2015 and was an unannounced inspection. At our last inspection on 15 January 2014 we found the provider was meeting all the regulations we assessed.
Newday Nursing Home provides accommodation, nursing and personal care for up to 37 people. There were 32 people living at the home at the time of our inspection. Care and support was provided to people with nursing needs including dementia. The home is a converted property and bedrooms were located on both ground and first floor level.
The registered manager had recently resigned. The provider had appointed another manager who was due to commence in February 2016. 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 2008 and associated Regulations about how the service is run.
People and their relatives told us they felt safe. Staff had been trained in safeguarding people. Staff understood their responsibility to take action to protect people from the risk of abuse and how to escalate any concerns they had.
The provider had systems and arrangements in place to recruit staff safely and to assess staffing levels.
People were supported to receive their medicines as prescribed.
Staff had some understanding of the Mental Capacity Act 2005 and we saw that people’s consent was usually sought before they undertook any care tasks. We saw that where people lacked capacity and their decisions affected their safety arrangements were in place to restrict their liberty, although these had not always been robustly applied.
Staff received training and support to carry out their role and the provider had plans in place to ensure that training updates needed were provided.
People’s health care needs were met and they were supported to access both social care and healthcare professionals to ensure their needs were met.
We observed that not all interactions were caring. Arrangements in place did not always ensure that people’s privacy and dignity was always respected.
People’s health care needs were met and they were supported to access both social care and healthcare professionals to ensure their needs were met.
The service had experienced an unsettled period with changes in the management arrangements for the home. Systems were in place to monitor the quality of the service. However, these had not always been effective in identifying where improvements were needed.