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Ingham Old Hall Care Home Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 29 November 2019

About the service

Ingham Old Hall is a residential care home providing personal and nursing care. At the time of the inspection, care was being provided to 12 people aged 65 and over who live with dementia. The service can support up to 25 people. Accommodation is over two floors of an adapted period building.

People’s experience of using this service and what we found

Although the provider had made some improvements since our last inspection, we continued to have concerns about their ability to provide a consistently safe and high-quality service. Progress had been slow in making improvements and continued concerns were found at this inspection. Our concerns were increased as issues were ongoing even though there were a low number of people living at Ingham Old Hall.

Previous enforcement had been taken at this service which had resulted in conditions being placed on the provider’s registration. This meant focussed action plans were to be submitted to CQC each month to demonstrate what actions the provider planned to take to drive improvement. These had been submitted as required but had failed to consistently cover the areas of concern as specified in our enforcement action.

Risks had not been consistently identified and mitigated and this put people at risk of harm. For example, a fire escape had not been identified as a potential risk and the risks associated with people choking had not been regularly reviewed. Medicines management was unsafe and did not follow good practice guidance. People had not consistently received their medicines as prescribed and, for one person who used the service, this had resulted in an increase in their symptoms associated with a medical condition. The audits the service had in place to assess risks and medicines management had failed to identify and rectify the concerns found.

Improvements had been made to the environment since our last inspection and refurbishment continued. This had benefitted those living at Ingham Old Hall although the age and structure of the building limited people’s ability to easily orientate around the home. However, we found the home visibly clean throughout with no malodours. People’s rooms were personalised to their taste and preferences.

People received person-centred care in most aspects of their lives although improvements were required in how the service meets people’s individual leisure needs. Care plans were individualised, full of person-centre detail and accurate. They had been regularly reviewed and people and their relatives had been involved in their development. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People told us their needs were met by staff who were kind, knowledgeable and well trained. They spoke positively about the staff’s abilities and had confidence in them. People were treated with respect and their dignity maintained which made them feel valued. Staff spoke respectfully about the people they supported and knew them well having after having developed meaningful relationships with them.

Systems in place ensured staff were recruited safely and the training and support they received meant they had the skills to perform their roles. They demonstrated an increase in knowledge since our last inspection and morale and team work had improved. They told us they felt well supported by a registered manager who was approachable and available.

People’s nutritional and healthcare needs were met, and the service worked in partnership with other professionals to ensure appropriate care was delivered. People were protected from the risk of abuse and infection as the systems in place reduced these risks. A complaints policy was in place although most people did not feel the need to raise any concerns. Where people had raised concerns, they told us the service wa

Inspection areas


Requires improvement

Updated 29 November 2019

The service was not always safe.

Details are in our safe findings below.


Requires improvement

Updated 29 November 2019

The service was not always effective.

Details are in our effective findings below.



Updated 29 November 2019

The service was caring.

Details are in our caring findings below.


Requires improvement

Updated 29 November 2019

The service was not always responsive.

Details are in our responsive findings below.


Requires improvement

Updated 29 November 2019

The service was not always well-led.

Details are in our well-Led findings below.