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Ingham Old Hall Care Home Requires improvement

All reports

Inspection report

Date of Inspection: 2 February 2012
Date of Publication: 18 April 2012
Inspection Report published 18 April 2012 PDF

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

Our judgement

The service is compliant with this outcome, but, to maintain this we have suggested some improvements are made.

People are protected by systems designed to assess and monitor the quality of the service to ensure that people receive the standard of care they should expect. However, improvements are needed to ensure that this position is maintained.

User experience

People with whom we spoke told us that the manager visited them frequently to ask them how they were. One person told us that they had not been asked for their opinion of the quality of the service. People also said they had not been asked what their preferences were in respect of food and were not always offered a choice.

Other evidence

We spoke with the manager about how the service assesses and monitors the quality of the service. We were told that all residents and relatives were asked for their opinion of the service by way of an annual questionnaire. Questionnaires had just been sent out and some had been returned, but the responses had not been collated at the time of the visit. The manager said that generally people were happy with the care provided and all the feedback so far has been positive.

We asked what audits were being completed to assure quality in other areas such as care planning. The manager told us that there are audit systems in place, for instance, falls are audited to ensure that people having frequent falls are monitored and referred to the falls team if necessary. Twenty four hour reports are completed on each resident to identify any trends or concerns and people’s weights are monitored monthly. We were also told that medication was audited monthly and had recently been audited by the Primary Care Trust Pharmacist.

However, we did identify some shortfalls in care planning and risk assessments that tells us that the monitoring systems in place may not be working properly.