Inglewood Residential Home

Updated 30 April 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one Inspector and an Expert by Experience. Inspection activity started on 06 December 2021 and ended on 10 December 2021.

An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Inglewood Residential care 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 service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. The registered manager is also the provider for this service.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We used all of this information to plan our inspection.

During the inspection

We spoke with three people who used the service about their experience of the care provided. We spoke with four members of staff including the deputy manager, senior care worker and two care workers. We reviewed a range of records. This included four people's care records and multiple medication records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

We also spoke with the provider who is also the registered manager at Inglewood Residential Care Home.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. The provider supplied us with additional information as requested including some policies and proposed audit documentation. We spoke with one professional who regularly visits the service. We also spoke with nine relatives about their experience of the care provided.

Updated 30 April 2022

About the service

Inglewood Residential Home is a residential care home registered to provide accommodation and personal care for up to 20 people. Support is provided to older people and people living with dementia. At the time of inspection there were 18 people in the service.

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

People felt safe and staff had good knowledge of safeguarding processes. Staff had mostly been recruited safely. We found one staff member did not have a current Disclosure and Barring Service (DBS) certificate at the time of inspection. The provider acknowledged this as an oversight and immediately completed an application to reduce risk. There was a system in place to monitor staff contact with people in the form of daily logs. Care plans and risk assessments identified people’s support needs and staff had a good understanding of the support people needed.

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.

People were treated with kindness and compassion. People felt well supported. People were listened to and could express their views. People’s privacy and dignity was maintained.

People’s and their relatives were involved in the review process. People’s personal preferences were identified in their care plans. People were involved in decisions about their care.

People received person centred care. People, relatives and staff expressed confidence in the provider and deputy manager. People, relatives and staff were given the opportunity to provide feedback. Some audits took place to ensure the quality of the service was maintained.

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

Rating at last inspection

The service was last Inspected on 09 March 2021 with an overall rating of ‘Requires Improvement’, and there were multiple breaches of regulation. At this inspection we found some improvements had been made and the provider was no longer in breach of regulations 9, person centred care and 12, safe care and treatment. However, not enough improvement had been made with regards to regulation 17, good governance and they continue to be in breach.

At this inspection we only looked at the ‘Safe, Responsive and Well led’ key questions. This was because our planning did not identify any concerns about the other questions.

This service was registered with us on 13 December 2010.

Why we inspected

This was a planned inspection based on the previous rating and the breaches found.

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 coronavirus and other infection outbreaks effectively.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and we will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified a breach in relation to good governance at this inspection.

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

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.