Background to this inspection
Updated
11 December 2018
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 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 31 October 2018 and was unannounced. The inspection team consisted of one adult social care inspector.
Before the inspection, we had received a completed Provider Information Return (PIR). The PIR asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the PIR and other information we held about the service as part of our inspection. This included the notifications we had received from the provider. Notifications are changes, events or incidents the provider is legally obliged to send CQC within required timescales. We also contacted commissioners from the local authorities who contracted people’s care.
During the inspection we spoke with six people who used the service and one relative. We also spoke with the registered manager, their deputy, five care staff and a visiting healthcare professional. We reviewed a range of records about people’s care and how the service was managed. We looked at care records for four people, recruitment, training and induction records for two staff, staffing rosters, staff meeting minutes and quality assurance audits the manager had completed. We looked around communal areas of the home and with permission we looked in people's rooms. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
Updated
11 December 2018
This was an unannounced inspection that took place on 31 October 2018. We previously inspected this service in March 2016 and rated the service good. At this inspection we found the evidence continued to support the rating of good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
Inglewood residential care home provides care for up to 24 people, some of whom were living with dementia. There were 23 people living there at the time of our inspection. Inglewood residential care home is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The home had a registered manager. 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.
The staff team were aware of their responsibilities under the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The staff team understood how to protect adults from situations in which they would be vulnerable to harm and abuse. Staff had received suitable training and talked to us about how they would identify any issues and how they would report them appropriately. Risk assessments and risk management plans supported people well. Arrangements were in place to ensure that new members of staff had been suitably checked before commencing employment. All new staff completed an induction.
Any accidents or incidents had been reported to the Care Quality Commission as necessary and suitable action taken to lessen the risk of further issues. Risk assessments and care plans provided guidance for staff in the home. Where possible, people in the service were involved in writing care plans. The management team had ensured the plans reflected the person-centred care that was being delivered.
Medicines were appropriately managed in the service with people having reviews of their medicines on a regular basis. People in the home saw their GP and health specialists whenever necessary and were supported to attend hospital appointments.
We saw that an assessment of needs was in place. People were happy with the food provided. The home itself was clean and comfortable on the day we visited. Suitable equipment was in place to support people with their mobility.
Complaints and concerns were suitably investigated and dealt with and good records management was in place in the service. There was also a quality monitoring system in place which was used to support future planning. People were able to access a variety of activities to help them have a structured and meaningful day.