We carried out a review of the data available to us about Ingleby House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Ingleby House, you can give feedback on this service.
Ingleby House is a care home operated by Voyage 1 Limited. The service provides support, personal care and accommodation for up to 8 people. It provides care to adults living with a learning disability, autism and behaviors that may challenge. Care is provided over two floors, with a communal lounge and dining room. One bedroom is located within the ‘flat’ annexed to the house. At the time of our inspection there were 8 people using the service
People’s experience of using this service and what we found
Right Support: People were involved and supported to make decisions about their care. Staff understood people’s communication needs and took time with people to make decisions. People were supported to access any services that they needed to ensure they received the right support.
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.
Right Care: Staff treated people with dignity and respect. Person centred care was promoted and staff spoke in a way that promoted people’s individualities in a person-centred way. People were supported to engage with their own interests and hobbies.
Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensured people using services led confident, inclusive and empowered lives. The management and staff team worked inclusively and supported people to live how they wished. The atmosphere was relaxed and there were enough suitably trained staff to keep people safe.
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.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
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 good (published 1 July 2019).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Ingleby House is a care home operated by Voyage 1 Limited. The service provides support, personal care and accommodation for up to eight people. It provides care to adults living with a learning disability, autism and behaviours that may challenge. Care is provided over two floors, with a communal lounge and dining room. One bedroom is located within the ‘flat’ annexed to the house. There is an enclosed garden. At the time of our inspection visit eight people lived at the home.
What life is like for people using this service:
Individual risks to people’s safety and well-being were assessed, recorded and reviewed. Actions were taken to mitigate risks of harm and injury to people.
There were sufficient skilled staff on shift. Staff received an induction, training and were supported through one to one and team meetings.
The home was well presented and had no offensive odours.
People had their prescribed medicines available to them and were supported with these by trained staff. However, some improvement was needed to ensure staff consistently kept accurate records about people’s medicines, such as what medicines were received on their behalf.
Staff received training on how to protect people from abuse and had reported a concern to the provider. The provider and registered manager had informed us, as required, about specific incidents and had taken appropriate action.
The provider’s quality assurance system identified where improvements were needed, and these were acted on to ensure people received a quality and safe service.
Rating at last inspection: At the last inspection the overall rating was Good. (The last report was published on 8 August 2018).
Why we inspected: This was a focused inspection based on information shared with us from the local authority. Concerns shared with us involved a lack of learning by the provider from incidents, insufficient staff trained in moving and handing and inconsistent support for staff. Our focused inspection looked at how safe and well led the service was. We found the provider had taken actions to address the issues raised with them by the local authority and improvements had been made. Some further improvements were planned for. The service continues to be rated as ‘Good’ overall.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Ingleby House is a ‘care home’ operated by Voyage 1 Limited, who are a large provider of care services. Ingleby House provides accommodation with personal care for up to eight adults. People cared for at the home are living with learning disabilities, autism, mental ill health conditions and behaviours that challenge. People in care homes receive accommodation and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. At the time of our inspection visit, there were eight people living at the home.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
At the last inspection in February 2016 all five key areas were rated as Good. At this inspection we found, overall, the quality of care had been maintained and people continued to receive a service that was safe, caring, effective and responsive to their needs. However, this inspection found some areas that related to mitigating risks and risk management required improvement. The safety of the service was rated ‘Requires Improvement’ and the other four key areas remained good, which gave the service an overall rating of 'Good'.
There were enough staff on shift with the appropriate level of skills, experience and support to meet people’s needs and provide effective care. Action was taken to cover shifts, due to staff absences, so people and others remained safe. Risk management plans were in place and, overall, gave staff specific guidance about potential risks to people’s health and wellbeing. However, some actions were not always taken to mitigate risks. Staff were trained in how to respond to behaviours that challenged so that the safety of people and others was protected and risks were minimised. However, whilst individual actions were taken when incidents occurred, the registered manager did not undertake any overall analysis of incidents that involved behaviours that challenged. Such analysis may potentially reduce risks of reoccurrence.
Staff understood their responsibilities to protect people from the risks of abuse. Staff had been trained in what constituted abuse and knew how to raise concerns under the provider’s safeguarding policies. The provider checked staff’s suitability to deliver care and support during the recruitment process. Staff received training and used their skills, knowledge and experience to provide safe care to people.
People were encouraged and supported to maintain good health. Staff frequently liaised with other healthcare professionals and followed their guidance. Staff promoted healthy eating choices and knew about people’s nutritional needs. Prescribed medicines were stored and managed safely. Overall, medicines were given to people safely and in accordance with the provider’s policy. Medicine errors were recorded and investigated by the registered manager.
Overall, people liked living at the home. Whenever a person expressed a desire to move to a more independent supported living setting, steps were taken to enable discussions and options to be considered. Relatives felt their family members were well care for. Staff were patient and understood how to respond to people’s behaviours that challenged. People had varying levels of communication and these had been assessed so staff knew the appropriate communication methods to use to enable people to express themselves and make choices and to tell staff when they were anxious about something.
The registered manager understood their responsibilities under the Mental Capacity Act 2005. They had applied to the supervisory authority for the right to deprive three people of their liberty when their care and support included restrictions in the person's best interests, these restrictions had been authorised. Further applications were pending approval for two people.
People had detailed individual care and support plans which provided staff with the information they needed to respond to people’s needs. Staff shared information about people at the start of each shift and read a ‘communication’ book to update them on any changes so there was continuity of care. Staff recognised people as individuals and care was given in a person-centred way. This included people being supported to plan their own weekly activity plan for both inside and outside the home. Some people preferred a routine of when things happened which made them less anxious.
The registered manager and provider regularly checked the quality of the service to make sure people's needs were met safely and effectively. People and their relatives were encouraged to share their views and provide feedback about the service and felt they would be listened to. The provider and registered manager understood their regulatory responsibilities and worked with other organisations and healthcare professionals to ensure positive outcomes for the people who lived at Ingleby House.
Further information is in the detailed findings below.
Voyage 1 Limited is a large provider of care services. Ingleby House provides accommodation, personal care and support for up to eight people with a learning disability, behaviours that challenge and / or autistic spectrum disorders. At the time of the inspection visit six people lived at the home.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run.
Staff understood their responsibilities to keep people safe and protect them from harm. Guidance was displayed, in the office, to remind staff how to raise concerns following the provider’s safeguarding and whistleblowing policies. Risks to people’s health and welfare had been assessed. Staff were trained to use safe levels of restraint for people whose behaviours challenged and could present a risk to themselves or others.
People had their prescribed medicines available to them and staff supported them to take them. Staff received training in the safe handling, administering and recording of people’s medicines.
People had been involved in planning their care. Staff read people’s care plans and received an induction and training so that they were able to effectively meet people’s needs. Further training was planned for to update and refresh staff skills and knowledge. Staff said people’s care plans provided them with the information they needed to support people in a way they preferred.
The registered manager and staff understood their responsibility to comply with the requirements of the Mental Capacity Act (2005) and Deprivation of Liberty Safeguards (DoLS). Health care professionals were involved in people’s care needs and making decisions in their best interests. Staff supported people to access healthcare appointments to maintain their wellbeing.
Risks to people’s nutrition were minimised because staff knew about people’s individual dietary requirements and, for example, any allergies they had. People were involved in menu planning and had choices about food and drink. People said the food was good.
People had been involved in how they wished to spend their time and had individual weekly activity plans. We saw people involved in various activities of their choice. People were supported by staff to maintain contact with their relatives.
Staff knew about people’s individual likes and dislikes and how to provide support so they did not become anxious. Staff promoted people’s independence whenever possible, and were kind and compassionate.
People and their relatives were involved in planning and reviewing care and support. Care was planned to meet individual needs and was person centred. People’s feedback on the service provided was sought by the provider. People told us they were happy living at Ingleby House. People and relatives told us they felt they could raise concerns or complaints if they needed to.
The provider had quality monitoring processes which included audits and checks on medicines management and staff practices. Where improvement was needed, action was taken. The provider’s visions and values were understood by the registered manager and staff. The vision at Ingleby House is ‘about thinking differently, offering real choice and real opportunities and enabling people to develop their independence and life skills’. During our inspection visit, we observed staff demonstrated this by their practice.