Background to this inspection
Updated
31 October 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was conducted by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Inglefield Nursing Home 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 service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
Before the inspection we reviewed the information we had received about the service, including previous inspection reports and notifications. Notifications are information about specific important events the service is legally required to send to us. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with 12 people who used the service and five relatives about their experience of the care provided. We spoke with 12 members of staff including the providers representative, registered manager, deputy manager, chef, activities coordinator, housekeeper and six care/nursing staff. We observed the care being provided and reviewed a range of records, including eight people's care records and multiple medication records. We looked at staff files in relation to recruitment and a variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We received feedback from one health care professional. We reviewed quality assurance records and additional supporting information provided by the management team.
Updated
31 October 2019
About the service
Inglefield Nursing and Residential Home is registered to provide accommodation and nursing care for up to 49 people, including people living with cognitive impairments and physical needs. There were 43 people living at the home at the time of the inspection.
People’s experience of using this service and what we found
People were supported by staff who were kind, compassionate and caring and who understood their likes, dislikes and preferences. People were happy living at Inglefield Nursing and Residential Home and told us they felt safe.
There were clear processes in place to monitor risks to people, which helped to ensure they received effective care to maintain their safety and wellbeing. Recruitment practices were effective and there were sufficient numbers of staff available to meet people’s needs. People were protected from avoidable harm, received their medicines as prescribed and infection control risks were managed appropriately. Systems were in place to monitor incidents, accidents and near misses. These were recorded, acted upon and analysed to identified themes and trends.
People’s established care plans were accurate and contained detailed information about people’s needs and abilities. However, information gathered about people’s needs when they moved to the home was minimal.
People were supported to access health and social care professionals if needed and were happy with the food provided. Staff had received appropriate training and support to enable them to carry out their role effectively. They received regular supervision to help develop their skills and support them in their role.
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 said that the staff were caring and kind and they were treated with dignity and respect. People were involved in planning their care and the support they received.
The service had a strong focus on inclusion and the prevention of social isolation and offered people a range of personalised activities.
The management team were open and transparent. They understood their regulatory responsibilities. People and their relatives said the management team were open, approachable and supportive. There were effective governance systems in place to identify concerns in the service and drive improvement.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published October 2018). At this inspection we found improvements had been made and the overall rating for this service is now Good.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.