We carried out a review of the data available to us about Nene House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Nene House, you can give feedback on this service.
At the last inspection in October 2015, the service was rated Good. At this inspection we found that the service remained Good.
People continued to receive care in a way that maintained their safety. Risks to people had been assessed and reduced through their plans of care. Staff were confident in the action that they should take if they identified that an individual was at risk of harm. People were supported by sufficient numbers of staff who had been subject to robust recruitment processes. Accidents and incidents were recorded and acted upon appropriately.
People received care from staff that had the training, support and supervision that they needed to support people effectively. People were supported to have sufficient amounts to eat and drink and had access to a healthy and nutritious diet. Staff worked closely with people’s allocated healthcare professionals to ensure that people remained healthy.
People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.
People were consistently treated with dignity and respect. People were empowered to make decisions about their care and their independence was actively promoted.
People had detailed plans of care to provide guidance to staff in supporting people according to their individual preferences. There was a system in place to manage feedback and complaints from people appropriately.
The registered manager was a visible role model in the home. There was a shared vision from the provider, management team and staff of providing consistently high quality person centred care and support to people.
Further information is in the detailed findings below.
This unannounced inspection took place on 30 October 2015. This residential care service is registered to provide accommodation and personal care support to people with learning disabilities. At the time of the inspection there were four people living at the home.
There was a registered manager in post at the time of our inspection. 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 demonstrated that they felt safe in their own home. Staff understood the need to protect people from harm and abuse and knew what action they should take if they had any concerns. Staffing levels ensured that people received the support they required at the times they needed. We observed that on the day of our inspection there were sufficient staff to meet the needs of the people they were supporting. The recruitment practice protected people from being cared for by staff that were unsuitable to work at the home.
Care records contained risk assessments and risk management plans to protect people from identified risks and help to keep them safe but also enabling positive risk taking. They gave information for staff on the identified risk and informed staff on the measures to take to minimise any risks.
People were supported to take their medicines as prescribed. Records showed that medicines were obtained, stored, administered and disposed of safely. People were supported to maintain good health and had access to healthcare services when needed.
Staff were highly skilled, plans were in place for new staff to complete the Care Certificate which is based on best practice. The providers manadatory training was updated annually.
People were actively involved in decisions about their care and support needs There were formal systems in place to assess people’s capacity for decision making under the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS). People felt safe and there were clear lines of reporting safeguarding concerns to appropriate agencies and staff were knowledgeable about safeguarding adults.
Care plans were written in a person centred approach and focussed on empowering people; personal choice, ownership for decisions and people being in control of their life. They detailed how people wished to be supported and people were fully involved in making decisions about their care. People participated in a range of activities both in the home and in the community and received the support they needed to help them do this. People were able to choose where they spent their time and what they did.
People had caring relationships with the staff that supported them. Complaints were appropriately investigated and action was taken to make improvements to the service when this was found to be necessary. The manager was accessible and worked alongside care staff to monitor the quality of the service provided. Staff and people were confident that issues would be addressed and that any concerns they had would be listened to.
The manager and the director of the service were passionate about people receiving person centred care and people and staff being involved and included in decisions about the future.
One person told us, 'I cannot praise them enough for the excellent care they provide. They take account of every detail to make sure my relative is comfortable safe and happy.' Another person said, 'It is early days as my relative has lived there only a few weeks. But the home is wonderful and they are working with us to make sure the food and drink that is served to my relative take account of our religious and cultural needs.'
We found that care plans were person centred and had included the individual or their representative in the planning of their care.
The provider took adequate steps to protect the people they cared for and their care staff from harm.
We found that the provider had carried out checks on staff before they were employed to make sure they were fit to carry out their roles and responsibilities.
We saw that incidents had been fully documented and care plans and risk assessments had been updated as required.
The provider carried out effective checks to make sure people that lived at the home received a good standard of care.