Background to this inspection
Updated
13 December 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the registered 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 30 October 2017 and was unannounced. The inspection team consisted of two adult social care inspectors, two experts by experience and a specialist advisor. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. The specialist advisor was a nurse.
Before the inspection visit, we reviewed the information we held about the service, including the Provider Information Return (PIR), which the registered provider completed before the inspection. The PIR is a form that asks the registered provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed notifications of safeguarding and other incidents we had received. Notifications are changes, events or incidents the registered provider is legally obliged to send us within required timescales.
We contacted Sheffield local authority and Healthwatch (Sheffield). Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. All of the comments and feedback received were reviewed and used to assist and inform our inspection.
During the visit, we spoke with 11 people who used the service and ten of their relatives and friends to obtain their views of the home.
The registered manager was not available on the day of our inspection as she was attending a work commitment in London. We spoke with 15 staff including the clinical manager, a clinical manager from another service within the registered provider group, the deputy manager, qualified nurses, senior care staff, care staff, housekeeping staff, the maintenance person and the administrator. We spoke with two NHS employed staff who were based at Newfield Nursing Home. We looked at five care plans, three staff files and records associated with the running and monitoring of the service.
Updated
13 December 2017
Newfield Nursing Home is registered to provide accommodation for up to 60 older people who require nursing or personal care. The home is purpose built and accommodation is provided over two floors, accessed by a passenger lift. Part of the first floor provides intermediate care where people are supported to move back to permanent accommodation. Rehabilitation and enablement support is provided from Sheffield Teaching Hospitals physiotherapists and occupational therapists. The ground floor provides permanent accommodation. The home is situated in the Heeley/Newfield Green area of Sheffield and is close to shops and public transport.
There was a manager at the service who was registered with Care Quality Commission (CQC). A registered manager is a person who has registered with the 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 and associated Regulations about how the service is run.
Our last inspection at Newfield Nursing Home took place on 7 September 2015. The service was rated Good.
This inspection took place on 30 October 2017 and was unannounced. This meant the people who lived at Newfield and the staff who worked there did not know we were coming. On the day of our inspection there were 56 people using the service . The registered manager was not available on the day of our inspection as she was attending a work commitment in London.
People spoke positively about their experience of Newfield. They told us the staff were kind and they were provided with the support they needed.
Staff were aware of safeguarding procedures and knew what to do if an allegation was made or they suspected abuse.
We found systems were in place to make sure people received their medicines safely so their health was looked after.
Some windows needed attention or replacing to improve the environment. A full audit had been undertaken and a rolling programme of repair was in place to address this.
Staff recruitment procedures were robust and ensured people’s safety was promoted.
Sufficient numbers of staff were provided to meet people’s needs.
Staff were provided with relevant training, supervision and appraisal so they had the skills they needed to undertake their role.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The registered provider’s policies and systems supported this practice.
People had access to a range of health care professionals to help maintain their health. A varied diet was provided, which took into account dietary needs and preferences so people’s health was promoted and choices could be respected.
Staff knew people well and positive, caring relationships had been developed. People were encouraged to express their views and they were involved in decisions about their care. People’s privacy and dignity was respected and promoted. Staff understood how to support people in a sensitive way.
A programme of activities was in place so people were provided with a range of leisure opportunities.
People said they could speak with staff if they had any worries or concerns and they would be listened to.
There were systems in place to monitor and improve the quality of the service provided. Regular checks and audits were undertaken to make sure full and safe procedures were adhered to.