Ingleside Residential Care Home

Updated 7 April 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 18 February 2021 and was announced.

Updated 7 April 2021

This unannounced comprehensive inspection took place on 17 April 2018. We last inspected this home on 2 and 4 February 2016 when it was rated as ‘Good’ overall. It was rated ‘Requires Improvement’ in Safe and the provider sent us an action plan detailing how they would bring this key question up to ‘Good’.

Ingleside Residential Care Home (referred to in this report as Ingleside) is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The home is registered to accommodate up to 17 older people in one adapted building. Nursing care is not provided by staff at Ingleside. This is provided by the community nursing service. At the time of this inspection in April 2018 there were 15 people living in the home.

Ingleside had a registered manager. 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.’

At our last inspection on 2 and 4 February 2016 we rated this service good overall and requires improvement in Safe. At this inspection on 17 April 2018 we found the evidence continued to support the rating of good overall and the rating in Safe had improved to good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

Ingleside provided elderly people living with dementia and other health conditions with accommodation, care and support. People were protected from risks relating to their health, their dementia related behaviours, mobility, medicines, nutrition and possible abuse. Staff had assessed individual risks to people and had taken action to seek guidance and minimise identified risks. Staff knew how to recognise possible signs of abuse.

Where accidents and incidents had taken place, these had been reviewed and action had been taken to reduce the risks of reoccurrence. Staff supported people to take their medicines safely and staffs’ knowledge relating to the administration of medicines were regularly checked. Staff told us they felt comfortable raising concerns.

Recruitment procedures were in place to help ensure only people of good character were employed by the home. Staff underwent Disclosure and Barring Service (police record) checks before they started work. Staffing numbers at the home were sufficient to meet people’s needs. Staff had the competencies and information they required in order to meet people’s needs. Staff received sufficient training as well as supervision and appraisal.

People’s individual care needs were identified and plans were put in place to guide staff on how to meet these. People’s care plans contained detailed person centred information about their needs, histories, preferences and communication styles. People were supported to have enough to eat and drink in ways that met their needs and preferences.

Staff treated people with respect and kindness. There was a warm and pleasant atmosphere at the home where people and staff shared jokes and laughter. Staff knew people and their preferences well. People spoke highly of the care and support they received at Ingleside and the caring nature of the staff. Comments included, “Staff are friendly, kind and caring”, “I get a good level of support here, and all staff are kind, caring and respectful” and “The attitudes of staff are caring, friendly and kind. It’s never too much trouble when I need help.”

Staff had a good understanding of the Mental Capacity Act 2005 (MCA) and put it into practice. Where people had been unable to make a particular decision at a particular time, their capacity had been assessed and best interests decisions had taken place and recorded. Where people were being deprived of their liberty for their own safety the registered manager had made Deprivation of Liberty Safeguard (DoLS) applications to the local authority.

There were effective systems in place to assess, monitor and improve the quality and safety of the care and support being delivered. The registered manager was working on ways to improve the collection of feedback from people, relatives and staff.

Further information is in the detailed findings below