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Ingham Old Hall Care Home Inadequate

The provider of this service has requested a review of one or more of the ratings.

Inspection Summary


Overall summary & rating

Inadequate

Updated 22 August 2019

About the service: Ingham Old Hall is a residential care home that provides personal care and support for up to 25 people aged 65 and over. There were 15 people living at the service at the time of the inspection. Most people were living with dementia.

People’s experience of using this service:

People who live at Ingham Old Hall were not always having their needs met by sufficient numbers of suitably trained staff. Ongoing environmental risks and concerns around medicines management remained. Leadership and governance arrangements within the service still remained of concern, as they were not identifying shortfalls and making changes to address them. There continued to be breaches of regulation, and the service was not fully meeting the conditions placed on their registration.

The service was not consistently sourcing or following advice from healthcare professionals, particularly in relation to meeting people’s pressure care needs. We identified gaps in recording of care tasks including repositioning people, providing oral hygiene and personal care, therefore we were unable to source assurances people’s care and support needs were being fully met.

People were not supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible; policies and systems in the service were not followed to support good practice.

Improvements had been made to the cleanliness of the care environment to make it more comfortable. People were accessing more activities. Staff showed more kindness and compassion at this inspection.

Management plans were in place for people needing support at the end of their life. Further end of life care training was scheduled for 2019. The service was working hard to improve relationships with other organisations to ensure people received joined up care.

Improvements had been made to encourage people to give feedback on the service, and areas for improvement.

Rating at last inspection: Ingham Old Hall was last inspected 13 and 14 June 2018. As an outcome of the inspection the service was rated as Inadequate and placed in special measures. The last inspection report was published 27 November 2018.

There was a breach of Regulation 9, 12, 17 and 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 resulting in us imposing conditions on the service’s registration. There was a breach of Regulation 10, 11 and 14 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 resulting in us issuing requirement notices. The service has been providing monthly improvement plans to CQC, and this information was reviewed as part of this inspection.

Why we inspected: The service was placed in special measures, as an outcome of being given an overall rating of Inadequate. Services placed in special measures are inspected within six months of the publication date of the report to determine if sufficient levels of improvement have been made.

Enforcement: At the last inspection, we identified seven breaches of regulation, and took enforcement action.

At this inspection, we identified repeated breaches of regulation 11, 12, 17 and 18. The service was not fully meeting the conditions placed on their registration. Full information about CQC's regulatory response to any breaches of regulation found during inspections is added to reports after any representations and appeals by the provider have been concluded.

Follow up: We will continue to monitor this service and will reinspect in line with our schedule for those services rated as Inadequate. As an outcome of this inspection, the decision was made for the service to remain in special measures.

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

Inspection areas

Safe

Inadequate

Updated 22 August 2019

The service was not safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 22 August 2019

The service was not always effective.

Details are in our Effective findings below.

Caring

Requires improvement

Updated 22 August 2019

The service was not always caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 22 August 2019

The service was not always responsive.

Details are in our Responsive findings below.

Well-led

Inadequate

Updated 22 August 2019

The service was not well-led.

Details are in our Well-led findings below.