Inglewood Residential Rest Home

Inglewood Residential Rest Home is a care home providing accommodation and personal care to up to 31 people aged 60 and over, some of whom are living with dementia. At the time of the inspection, there were 27 people living at the home.

People’s experience of using this service and what we found

People were supported by staff who understand how to keep them safe. Staff were able to manage risks to people’s safety and report any concerns about safety for investigation. People were supported by enough staff who had been recruited safely. People received support with their medicines administration by staff who had been trained. The home was clean, and staff understood how to minimise the risks from cross infection. Where incidents happened there was a system in place to learn from these and prevent reoccurrence.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The registered manager encouraged an open and transparent culture in the home and sought opportunities to develop staff and improve the quality of care people received. There were monitoring systems in place to ensure people received the care they needed. There were systems to encourage learning and partnership working was imbedded into the home. People, relatives, and staff were engaged in the home and able to share their feedback with the management team.

Rating at last inspection and update

The last rating for this service was requires improvement (Published 25 April 2023) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 17 January 2023. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve governance arrangements in the home.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Inglewood Residential Rest Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Inglewood Residential Rest Home is a care home providing personal care to up to 31 people aged over 60 and over, some of whom are living with dementia. At the time of the inspection, there were 16 people living at the home. The service accommodates people in an adapted building over 2 floors.

People’s experience of using this service and what we found

The provider’s systems and processes to monitor and improve the quality and safety of people’s care and support were not effective. Risks to people had not always been assessed and mitigated. Staff had not always been provided with clear information and guidance on how to keep people safe. Medicines were not always stored safely. There was no formal system of staff supervision. More needed to be done to adapt the environment to people’s needs.

People were supported by enough staff to keep them safe. Checks were completed on the suitability of prospective staff. Accidents and incidents were monitored and related learning shared. People received their medicines from trained staff. Staff knew how to identify and report abuse. Steps were taken to protect people from the risk of infections.

Staff received an induction and training to help them provide effective care. People had support to access healthcare professionals and services. People received support to eat and drink. People’s rights under the Mental Capacity Act were understood.

The provider and registered manager promoted a positive culture within the home and worked effectively with external healthcare professionals. Staff felt the management team were supportive.

Rating at last inspection and update

The last rating for this service was requires improvement (published 22 November 2019) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found not enough improvement had been made and the provider remained in breach of regulation.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 14 October 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve their governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Safe, Effective and Well-led which contain those requirements.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

We have found evidence that the provider needs to make improvements. Please see the safe, effective and well-led sections of this full report.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained requires improvement. This is based on the findings at this inspection.

You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Inglewood Residential Rest Home on our website at www.cqc.org.uk.

Enforcement

We have identified a breach in relation to the provider’s governance systems at this inspection.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Inglewood Residential Rest Home is a residential care home providing personal care to 25 people aged 65 and over at the time of the inspection. The service can support up to 31 people. The care home accommodates people in an adapted building set over two floors.

People’s experience of using this service and what we found

People did not always receive safe care. People were supported by staff who understood the appropriate action to take should they be concerned about their safety. The risks associated with people’s care had been identified and plans put in place to minimise these, although some lacked detail. Staff had been recruited safely although we found improvements were needed to ensure the recruitment process became more robust. People were supported to take their medicines safely although we found improvements were needed with the storage of one type of medicine and in the implementation of care plans for ‘as required’ medicines.

People did not always receive effective care. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. However, the policies and systems in the service required improvement in order to support this practice. People were supported to receive appropriate healthcare in line with their specific needs. Staff had received training in line with people’s needs. People were supported to eat and drink meals of their choosing.

People received support that was caring, compassionate and kind. People and their relatives were involved in all aspects of their care. People had their dignity and privacy respected and their independence promoted.

People received care that was responsive to their needs. People and their relatives had been involved in developing their care plans and care plans were reviewed as and when people’s needs changed. People had activities available to them. People were able to raise concerns and complaints and be assured these would be investigated.

The service was not consistently well-led. Whilst systems were in place to monitor the quality and safety of the service the provider’s systems needed to become more robust to enable all aspects of the service to be monitored. People and staff were able to feedback their views of the service and had opportunities to suggest improvements. The management team acted openly and responsively during the inspection ensuring they took immediate action to remedy any areas of improvement we identified.

Rating at last inspection

The last rating for this service was Good (published 13 April 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified a breach in relation to the Governance of the service at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

There was a registered manager in post at the time of the inspection. A registered manager is a person who has registered with the Care Quality Commission (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 2008 and associated Regulations about how the service is run.

People were safeguarded from abuse by staff who understood the procedures to keep people safe. People received support from sufficient staff that had been safely recruited. People had support to manage risks and staff ensured they followed the required actions to minimise risks. People’s medicines were administered as prescribed.

People received support from staff that had the required skills and knowledge to support them effectively and safely. People had a choice of meals and staff understood how to manage nutritional and hydration risks. People had their rights protected by staff that understood and applied the principles of the mental capacity act. People were supported to access health professionals as required to maintain their health and wellbeing.

People had good relationships with staff and the registered manager. People could make decisions and choices about their care and support and were supported by staff where appropriate. People’s privacy and dignity was protected by staff and they were encouraged to maintain their independence.

People received support from staff that understood their needs and preferences and they were involved in planning their care and support. People told us they found ways to occupy their time, but there were minimum planned activities supported by staff. People understood how to make a complaint and there was a system in place to investigate and learn from complaints received.

The registered manager had not ensured all policies and procedures were followed. For example with recruitment and selection, this was an area which required improvement. People told us they had good relationships with the management team. Staff told us they were involved in developing the service and felt supported by the registered manager. The registered manager had systems in place to monitor the quality of service people received. The systems were used to drive improvements.