The inspection took place on the 04 November 2016 and was unannounced. Newgrange Residential Home provides a service for up to 38 people. At the time of our inspection 36 people lived at the home.

There was a manager in post who had 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. The registered manager is also the provider for this location.

Relatives and staff were complimentary about the registered manager and how the home was run and operated.

People felt safe, happy and well looked after at the home. Relative’s told us and our observations confirmed that people were safe.

Staff had received training in how to safeguard people from abuse and knew how to report concerns, both internally and externally.

Safe and effective recruitment practices were followed to ensure that all staff were suitably qualified and experienced. Arrangements were in place to ensure there were sufficient numbers of suitable staff available at all times to meet people’s individual needs.

Plans and guidance had been drawn up to help staff deal with unforeseen events and emergencies. The environment and equipment used were regularly checked and well maintained to keep people safe.

Relatives were positive about the skills, experience and abilities of staff who worked at the home. Staff received training and refresher updates relevant to their roles and had regular supervision meetings to discuss and review their development and performance.

People were supported to maintain good health and had access to health and social care professionals when necessary. They were provided with a healthy balanced diet that met their individual needs.

Staff had developed positive and caring relationships with the people they cared for and clearly knew them well. People were involved in the planning, delivery and reviews of the care and support provided. The confidentiality of information held about their medical and personal histories was securely maintained throughout the home.

Care was provided in a way that promoted people’s dignity and respected their privacy. People received personalised care and support that met their needs and took account of their preferences. Staff were knowledgeable about people’s background histories, preferences, routines and personal circumstances.

Complaints were recorded and investigated thoroughly and responded to in line with the provider`s policy.

We carried out an unannounced comprehensive inspection of Newgrange Residential Home on 29 October & 02 November 2015 at which breaches of regulations 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 were found.

Following the comprehensive inspection, the provider wrote to us on 14 December 2015 to tell us how they would meet the legal requirements 31 January 2016. We undertook a further focused inspection on the 09 May 2016 to check if the necessary improvements were made. We found that little improvements had been made and the provider was still not meeting the legal requirements in relation to Regulations 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

This report only covers our findings in relation to these topics. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Newgrange Residential Home on our website at www.cqc.org.uk.

Newgrange is a purpose built care home and is registered to provide residential accommodation and personal care for up 38 older people some of whom are living with dementia. At the time of our inspection 35 people were living at Newgrange.

At this inspection we found some improvements had been made, however we also found further improvements were required in areas relating to the completion of people’s care records. The improvements made to governance systems were not sufficient, these did not effectively identify and address any areas in people`s care plans which needed updates or completion.

The provider and registered manager had implemented a new system of auditing and reviewing the quality of care people received since our last inspection. However, care plans, particularly in relation to nutrition and pressure care had not been completed, or if these were completed contained inaccurate information.

We found that people who lived at Newgrange Residential Home had choices and were well cared for. One person told us, “I enjoy living here. There is a lot going on.” Friends and relatives we talked with also spoke positively about the home. One relative told us, “It is an excellent care home.”

Care plans were individual to people and up to date. We found that people were given choices and supported to access a range of activities that promoted their independence. We found that people’s medicines were managed safely.

There were enough trained staff to meet people’s needs and we saw that the provider had supported their professional development. We found that a complaints system was in place and that people and their relatives were able to discuss concerns with staff.

During our inspection on 23 January 2013, we spoke with the provider, manager and staff on duty.

We observed staff supporting people in a kind and calm manner. Communication was positive and staff spoke respectfully with people. Staff told us they very much enjoyed working at the home and felt well supported and were offered lots of training to carry out their roles in supporting people to meet their health and care needs

The organisation had systems in place to monitor the quality of the service provided and action had been taken to address any issues that were highlighted as needing improvement.

All the people we spoke with told us they felt safe living at the home.

All the residents and visiting relatives who we spoke to said that people are happy at Newgrange Residential Home. They told us that the quality of food is very good, and they enjoy their meals.

The inspection took place on the 04 November 2016 and was unannounced. Newgrange Residential Home provides a service for up to 38 people. At the time of our inspection 36 people lived at the home.

There was a manager in post who had 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. The registered manager is also the provider for this location.

Relatives and staff were complimentary about the registered manager and how the home was run and operated.

People felt safe, happy and well looked after at the home. Relative’s told us and our observations confirmed that people were safe.

Staff had received training in how to safeguard people from abuse and knew how to report concerns, both internally and externally.

Safe and effective recruitment practices were followed to ensure that all staff were suitably qualified and experienced. Arrangements were in place to ensure there were sufficient numbers of suitable staff available at all times to meet people’s individual needs.

Plans and guidance had been drawn up to help staff deal with unforeseen events and emergencies. The environment and equipment used were regularly checked and well maintained to keep people safe.

Relatives were positive about the skills, experience and abilities of staff who worked at the home. Staff received training and refresher updates relevant to their roles and had regular supervision meetings to discuss and review their development and performance.

People were supported to maintain good health and had access to health and social care professionals when necessary. They were provided with a healthy balanced diet that met their individual needs.

Staff had developed positive and caring relationships with the people they cared for and clearly knew them well. People were involved in the planning, delivery and reviews of the care and support provided. The confidentiality of information held about their medical and personal histories was securely maintained throughout the home.

Care was provided in a way that promoted people’s dignity and respected their privacy. People received personalised care and support that met their needs and took account of their preferences. Staff were knowledgeable about people’s background histories, preferences, routines and personal circumstances.

Complaints were recorded and investigated thoroughly and responded to in line with the provider`s policy.