6 December 2021
During an inspection looking at part of 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.