Inglewood Residential Home

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm.

At our last assessment we rated this key question inadequate. At this assessment the rating has remained inadequate.

This meant people were not safe and were at risk of avoidable harm.

The service remained in breach of legal regulations in relation to people’s safe care and treatment.

This service scored 28 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Learning culture during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safeguarding during this assessment. The score for this quality statement is based on the previous rating for Safe.

The provider did not always work well with people to understand and manage risks. Staff did not always provide care to meet people’s needs that was safe.

At our last inspection, we found concerns with the management of risk and told the provider to take action. At this inspection we found the necessary improvements to keep people safe had not been made.

We again found when people had been identified at risk of choking, the provider had not taken the required action to keep them safe. Records confirmed they continued to receive a diet that was not safe which placed them at risk of choking and harm. We found a third person had been identified at risk of choking by a visiting professional since our last inspection. We saw the provider had not followed the advice given by the visiting professional to keep this person safe. This placed this person at risk of harm.

Following our last inspection the provider had admitted a new person into the service. The provider had not adequately assessed this person’s needs prior to their admission, therefore they did not have the equipment they needed to keep them safe on arrival. We found the person did not have adequate pressure relief and remained in bed as equipment was not available to enable them to mobilise safely. This placed the person at risk of sore skin and harm associated with being confined to their bed.

We did not look at Safe environments during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Safe and effective staffing during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.

We did not look at Medicines optimisation during this assessment. The score for this quality statement is based on the previous rating for Safe.