Northwood Nursing Home

Northwood Nursing home 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.

At the last inspection in July 2017 we found that people's liberty was being restricted unlawfully and the governance systems in place were not robust.

At this inspection we found that the service had worked hard to improve the safety, liberty and welfare of people at the home and now demonstrated good outcomes for people.

The service had a manager who was registered with the 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.

People felt safe and staff knew how to mitigate risks to people's health and wellbeing. Medicines were managed safely and infection control practice adhered to. Safety checks and fire drills were completed appropriately.

People's individual risk assessments in care records had been developed to minimise the potential risk of harm to people during the delivery of their care. Care records showed they were reviewed and any changes had been recorded when needed.

Staff demonstrated a good understanding of safeguarding procedures and signs of possible abuse. They told us they reported any concerns to senior staff on duty or their manager and they were aware of the whistleblowing procedures if they needed to elevate any concerns externally to local safeguarding authorities.

Staff were knowledgeable about people and were able to promptly identify changes in people's needs.

Staff and people who lived at the home were knowledgeable in safety protocols and were provided with the opportunity of attending both fire safety and health and safety training to help ensure they were confident and able to maintain their own safety in case of an emergency.

People were looked after by enough staff, who were trained and supported to help meet peoples` individual needs.

Staff were recruited through robust procedures which ensured that staff working at the home were of good character and were suitable to work with the people they would be supporting.

People were supported to take their medicines safely by staff who had received training and had their competencies checked.

People`s consent to the care and support they received was obtained and staff worked within the principles of the Mental Capacity Act 2005 for people who lacked capacity to make certain decisions to ensure that the care and support they received was in their best interest.

People told us, and we observed, that the service provided a healthy and varied diet and in sufficient amounts to maintain people`s health and well-being.

The environment has been improved with some areas being redecorated and updated since the last inspection took place. The home was maintained to a safe standard.

Staff told us they received regular training and updates to ensure their skills and knowledge remained current in relation to their job responsibilities. Staff were well supported through a range of methods including work based observations, team meetings and individual supervisions.

People told us that staff were flexible and responsive to their needs and preferences. People told us and we observed that the care and support they received met their needs and was personalised to suit each individual. Professionals involved in the service were positive about the service and how it operated.

People were offered a range of activities both within the home and were also supported to access the local community.

The service was well managed. There was clear and effective leadership at the service with staff having well defined roles and responsibilities. The management was open and transparent. The registered manager had worked hard to improve the quality of the service provided which helped the service to operate in a productive way. There were systems in place to monitor and manage the overall quality of the service and this included getting regular feedback from the people who used the service.

People were supported to give feedback through regular meetings and had a representative to put forward their views. People told us they felt fully consulted and involved in all aspects of the running of their home.

The five questions we ask about services and what we found