- Care home
Inglefield Nursing & Residential Home
Assessment report published 20 February 2026
Contents
Ratings
Our view of the service
Date of Assessment: 7 December 2025 to 8 December 2025.
Inglefield Nursing Residential Home is a care home providing accommodation and support to up to 49 people. At the time of our inspection there were 41 people using the service. This inspection was undertaken in response to concerns raised with the Care Quality Commission about poor risk management at Inglefield Nursing Residential Home.
Our assessment identified a number of significant concerns affecting the safety and quality of care. At the last inspection, the service was rated good. At this assessment the service remains good overall. However, the provider was in breach of regulations in relation to safe care and treatment and good governance.
Medicines management was inconsistent. Some medicines were stored outside recommended conditions, including fridge temperature issues and use of liquid medicines past their in-use expiry date. Care plans and ‘as required’ (PRN) protocols were not consistently individualised, limiting assurance that people received consistent safe and personalised treatment.
Risk assessments and care planning contained inaccuracies and contradictions. Records sometimes misrepresented people’s needs, including support with personal care, constipation management, and prescribed medicines. Monitoring tools, including Abbey Pain Scale assessments and National Early Warning Score 2 (NEWS2) observations, were not always used effectively to guide care, reducing confidence that changes in people’s health were consistently identified and acted upon.
Consent processes were not fully robust. Closed-Circuit Television (CCTV) use lacked explicit consent, and some forms were completed on behalf of people with dexterity difficulties without clear verification. Environmental and risk management systems required strengthening; while the service was generally clean and well-maintained, some risks were not consistently identified or mitigated.
Governance and leadership were supportive and focused on improvement, but oversight processes were not always fully effective. Audits, supervision, and learning initiatives were in place, yet gaps in follow-through meant some risks were not identified and actions were incomplete, reducing assurance that care consistently met regulatory standards.
People received kind, compassionate, and person-centred care, and staff worked effectively with healthcare partners to promote wellbeing and maintain independence. Positive relationships with relatives and staff engagement supported a warm and inclusive culture.
We have asked the provider for an action plan in response to the concerns found at this assessment.
People's experience of this service
People living at Inglefield Nursing Residential Home told us they felt safe and supported. One person said, “In truth I feel very safe here.” We observed staff responding promptly to people’s needs, treating them with respect, and providing care in line with their individual preferences and care plans.
People described a friendly and welcoming atmosphere. One person said, “The atmosphere here is generally happy,” and another commented, “They do things properly but with a nice attitude.” Relatives reflected this, with one saying, “You’d have to struggle to find fault with the home itself,” and another adding, “There’s a nice atmosphere there, no tension.” Family members also praised aspects of care such as the quality of food, with one commenting, “When I go in, I see people’s meals sometimes, the food looks excellent.”
People told us they enjoyed the food and received care that met their individual needs. People were encouraged to maintain independence and take part in daily life. Staff supported residents to go outdoors, manage routines, and make choices about care, promoting health, wellbeing, and engagement. One person told us, “There are various activities and you are welcome to join in.”
Some relatives noted delays in access and communication, such as waits at the main door and for the phone to be answered. While these caused occasional inconvenience, they did not appear to compromise safety or the overall quality of care.
Overall, people and relatives described the home as a caring and positive environment. Staff were described as kind, compassionate, and respectful, delivering attentive, person-centred care. Residents felt included, supported, and valued, and the service fostered a warm and welcoming atmosphere.