Newgrange Residential Home

Updated 2 March 2022

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.

As part of this inspection we looked at the infection control and prevention measures in place. This included checking the provider was meeting COVID-19 vaccination requirements. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was undertaken by two inspectors, one of whom was working remotely.

Service and service type

Newgrange Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a 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 was unannounced.

Inspection activity started on 08 February 2022 and ended on 16 February 2022. We visited Newgrange Residential Home on 08 February 2022.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection-

We received feedback from two people who used the service and five relatives about their experience of the care provided. We received feedback from five staff and the registered manager.

We reviewed a range of records. This included three people’s care records, staff training records, and records relating to the management of the service, including accidents and incidents, safeguarding, complaints and compliments.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We received feedback from four external health professionals.

Updated 2 March 2022

Newgrange Residential Home accommodates 38 people in one purpose-built building spread across two floors. Each of which has separate adapted facilities and communal areas. At the time of the inspection 36 people were using the service.

People’s experience of using this service and what we found

Following the previous inspection of this service the registered manager and provider had continued to improve and had addressed shortfalls previously identified in Safe, Effective and Well-led. People were safe and protected from avoidable harm because staff knew how to identify and report any concerns relating to the risk of abuse. Risks to people’s health, safety and well-being were assessed and measures put in place to remove or reduce the risks. People were supported by staff who had been safely recruited.

Before people started using the service the provider completed assessments to make sure people’s needs could be met at Newgrange Residential Home. Care plans were developed from these assessments for each person’s identified needs. Staff received training and support to enable them to carry out their roles effectively.

Staff and the management team knew people well and were able to promptly identify when people’s needs changed and sought professional advice appropriately. 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 medicines were managed safely. Staff had received appropriate training and had their competency assessed to help ensure they were sufficiently skilled and knowledgeable in this area. Staff had received training in infection control practices and personal protective equipment such as gloves and aprons was provided for them. The management team took appropriate actions following any incidents and learning was shared with staff.

The management team was committed to providing a high standard of care to the people they supported as well as the staff team and understood their responsibilities under the duty of candour. People or their relatives were confident to raise any concerns with the management team. Everyone we spoke with during this inspection was satisfied with the care and support they received.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 05/10/2019).

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 improvements had been made.

Why we inspected

We carried out an unannounced inspection of this service on 26 June 2019. We found improvements were needed. The provider completed an action plan after the last inspection to show what they would do and by when to improve the safe care and treatment, safeguarding and governance systems at Newgrange Residential Home.

We undertook this focused inspection to check they had followed their action plan and to confirm improvements had been made. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those improvements. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance the service can respond to COVID-19 and other infection outbreaks effectively. This included checking the provider was meeting COVID-19 vaccination requirements.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Lodge Care Home 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.