Background to this inspection
Updated
12 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 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
Norewood 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 took place on 19 August 2019 and was unannounced.
What we did before the inspection
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 reviewed all other information available to us, including notifications. Notifications are information about specific incidents and events the provider is required to send us by law.
During the inspection-
We spoke with nine people using the service and two relatives. We spoke with seven members of staff, including two nurses. We spoke with the Quality Manager, registered manager and deputy manager. We reviewed three people’s care records and looked at other documents relating to the running of the home such as quality assurance records, complaints and staff records.
Updated
12 September 2019
About the service
Norewood is a care home providing personal and nursing care to up to 44 older people. 40 people were being supported at the time of the inspection. The inspection took place on 19 August 2019.
The home accommodates up to 44 people over three floors, in one building.
People’s experience of using this service and what we found
People were positive about the support they received. It was evident they enjoyed positive relationships with staff and were treated with dignity and respect. People were involved in decisions about their care and support.
People told us they felt safe living in the home. Risk assessments were in place to guide staff in providing safe care and support. Staff were trained in safeguarding and were confident about reporting concerns if they ever needed to.
The service was responsive to people’s individual needs. Care plans were in place and these described the support that people required. We discussed with the registered manager how in some places, plans would benefit from more specific details about the individual concerned. There was an activities programme in place, which included links with the community. There was a complaints procedure in place and people felt confident about reporting any concerns they had. We made one recommendation in relation to meeting the accessible communication standard.
Staff felt supported and well trained. They received supervision as part of their professional development. The service worked with health care professionals to meet people’s nutritional and health 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.
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 (February 2017)
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.