Inglewood

Updated 31 December 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 Health and Social Care Act 2008.

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 2 inspectors and an Expert by Experience. 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 is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Inglewood is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 6 people who used the service and 8 relatives. We spoke with 8 staff including day and night care staff, catering staff, maintenance staff, head of care and the registered manager.

We reviewed a range of records. This included 5 people’s care records and multiple medicine records. We looked at 5 staff files in relation to recruitment and supervision. We also viewed a variety of records relating to the management of the service, including audits, policies and procedures.

Updated 31 December 2022

About the service

Inglewood is a residential care home providing personal care to up to 26 people in an adapted building. The service provides support to older people, some of whom are living with dementia-related conditions. At the time of our inspection there were 22 people using the service.

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

Fire drills were not up to date for some staff and they were unclear about how to safely evacuate people. The provider took immediate action to retrain staff in this.

People and relatives praised the staff for their care and kindness. Staff were friendly and engaging. People received very personalised care from staff who knew how to support each person in the way they preferred.

People were treated with dignity and respect. Their independence was encouraged and they were invited to be involved in staff recruitment and other key decisions about their home.

People were protected from abuse by staff who understood how to identify and report any concerns. The registered manager sought to learn from any accidents and incidents to continuously improve the service.

Staffing levels were sufficient to meet people's needs safely, and ensured people received consistent support. Staff were recruited safely and received appropriate training and support to enable them to carry out their role.

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

People and relatives said the service was well-run and praised the management team as helpful and approachable. They had information about how to raise issues and were confident about discussing anything with the management team.

Staff were happy in roles and said the provider and registered manager were supportive.

The provider was committed to continuous improvement of the service. A full refurbishment programme of the building was in process.

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

Rating at last inspection

This service was registered with us on 22 September 2021 and this is the first inspection.

The last rating for the service under the previous provider was good, published on 31 October 2018.

Why we inspected

This was a planned inspection of a new service.

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.

Enforcement and Recommendations

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 will take further action if needed.

We have made a recommendation about ensuring staff have regular fire drills and are confident about evacuation plans.

Follow up

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