Background to this inspection
Updated
16 April 2015
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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 21 October 2014 and was unannounced.
The inspection team consisted of one inspector and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who used this type of care service. The Expert had experience of caring for older people within people’s own home and within a residential care setting.
We checked the information we held about the service and the provider. This included the notifications that the provider had sent to us about the care and information we had received from the public and the local authority. We used this information to formulate our inspection plan.
We spoke with nine people who used the service and three relatives. We also spoke with seven members of care staff, the registered manager and provider. We carried out an observation of care practices over the lunch time period and shared a meal with people who used the service.
We looked at four people’s care records to see if their records were accurate and up to date. We also looked at records relating to the management of the service. These included audits, health and safety checks, staff rotas, training records, staff recruitment files and questionnaires that had been sent to people who used the service.
Updated
16 April 2015
We carried out an inspection on 21 October 2014 which was unannounced. During our last inspection on 6 December 2013, we did not identify any concerns.
Inglewood Residential Rest Home provides personal care for up to 31 people. At the time of our inspection, 28 people used the service.
There was a registered manager at Inglewood Residential Rest Home. 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.
People’s risks were identified, managed and reviewed and the staff understood how to keep people safe. There were sufficient numbers of suitable staff to meet people’s needs and promote people’s safety.
People who used the service and their relatives told us the staff treated them with compassion, dignity and respect. We saw that staff listened to people and encouraged them to make choices and decisions about their care.
Staff sought people’s consent before they provided care and support. Some people who used the service were unable to make certain decisions about their care. In these circumstances the legal requirements of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS) were not always followed.
Staff had completed training that enabled them to meet people’s needs effectively and the development needs of the staff were monitored by the registered manager. However, staff were unsure of their responsibilities under the Mental Capacity Act 2005.
People were supported to access suitable amounts of food and drink of their choice and specialist diets such as diabetic diets were catered for.
People’s health and wellbeing needs were monitored and people were supported to attend health appointments as required.
People were encouraged to make choices about their care and the staff respected the choices people made. Staff treated people with kindness and compassion and people’s dignity and privacy was promoted.
People were involved in the assessment and review of their needs and care was delivered in accordance with people’s care preferences. People were encouraged and enabled to participate in activities that were important to them. These activities took place both within and outside the home environment.
People’s feedback was sought and used to improve the care. People knew how to make a complaint and complaints were managed in accordance with the provider’s complaints policy.
There was a positive atmosphere within the home and the registered manager and provider regularly assessed and monitored the quality of care to ensure standards were met and maintained. The registered manager understood the requirements of their registration with us.
Staff working at the home were positive about their role and the service. They had been appropriately recruited and supported. We saw that staff provided care in a way that centred on the needs of individual people who lived there. Staff understood the vision and values of the service and provided care in a safe environment.