Inspection on 29/09/08 for Nethercrest Residential Care Home
Also see our care home review for Nethercrest Residential Care Home for more information
Due to difficulties updating our database, this is probably NOT the latest inspection report for this service. Please check the CQC website instead. We hope to resume regular updates of BestCareHome soon.
The following inspection below was carried out on 29th September 2008.
CSCI found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
We found that the home provides a range of information for visitors and prospective residents that is easily accessible and the home does have a robust assessment in use to ensure it can decide as to whether it can meet peoples needs prior to admission. The staff we had direct contact with we saw to be helpful, friendly and respectful and many residents and relatives told us that they are very pleased with the staff at the home. We saw that the home is good at initiating contact with community services. We also found and were told that the standard of the food available was good and people enjoyed their meals. There are parts of the home that lend themselves well to encouraging independence and privacy (these the flats on the first floor), this the view of those living in these. We also saw that the home is kept clean and found the majority of the home to be odour free and fresh. We found the manager to be very responsive to any matters raised and keen to improve the service.
What has improved since the last inspection?
There are a number of areas where the home has improved since the last inspection, the most obvious been the redecoration of a number of areas of the home; this improving the general ambiance. The home now has a recently registered manager who has shown during the course of the inspection process her willingness to take on board issues raised and address them. We have noted that there has been a quick response to our concerns such as to underarm lifting (although this we only saw one instance of this) and some issues that we identified on our second visit in respect of medication management, these nearly all resolved at the point the pharmacy inspector visited the home. Whilst we have heard from some people that they are concerned as to staffing levels and response times, we saw evidence that the home is responding to these issues and is currently reviewing staff deployment and instigating some changes. The overall quality rating for the home reflects the willingness of the manager to action improvement as well as the very positive comments we have received from the majority of the people we spoke to.
What the care home could do better:
Whilst we have seen on going improvements there are still a number of areas where the home could be better. We have received positive comments from the majority of the people we spoke to as to the staff team, although there are still some issues with a small minority (based on comments received, and our observation of staff) where staff need to be more aware of their responses to residents and the way their actions are perceived. The manager has expressed a commitment to stamping out any poor practice and her response to the inspection team, and her management practice do confirm this. Other areas for improvement include the need to consider the space available within some areas of the home (namely the dining and main lounge area), better documentation in respect of residents property and money in safekeeping, ensuring all care plans are up to date and reflect changes in peoples needs, and ensuring potential limitations on individuals are better documented.