Inglewood Residential Care Home

We found the following examples of good practice:

Staff managed infection control well. The service had a portable room sanitiser which was used to deep clean rooms to maintain a clean environment.

Health professionals visiting the home had their temperature taken and were screened for symptoms of Covid-19 prior to entering the home.

The service had identified bedrooms with external doors which would allow a separate entry point for people discharged from hospital.

The service had displayed clear signage to encourage people to regularly sanitise their hands, and to socially distance around the home.

People living at the home were supported to maintain contact with their families via video technology.

Inglewood is a residential care home providing personal care to 20 people at the time of the inspection. The service provides care and accommodation to people living with dementia and older adults. The service can support up to 22 people. Accommodation is set out over three floors.

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

People and their relatives told us that they were happy with the standards of care in the home and that staff met all their needs. People’s experience was summed up by two people, who said, “The atmosphere is good, it’s more like a family home” and “I don’t want to be in a home, but if I had to be anywhere, I’d be here. I think this is the best you’ll get”.

There were enough staff to meet the needs of the people living in the home. Many staff had worked in the service for a long time and had developed good relationships with the people living there. The registered manager told us they never needed agency staff. Recruitment was managed safely, and staff received training when they started with the service and on an ongoing basis.

Medication was managed safely, and people received their medication when required.

The home was clean and well maintained. Equipment was checked regularly to ensure this remained safe. Staff had access to protective personal equipment to reduce the risk of infection. The garden was undergoing extensive renovations to create a fully accessible dementia friendly sensory garden that people were looking forward to using.

Accidents and incidents were recorded and analysed for patterns and lessons were learnt from any incidents within the home through staff briefings. Safeguarding incidents were recorded and reported.

People were supported to eat and drink enough and people had choice in relation to food. The feedback was very positive about the food.

People were supported to access other healthcare services and we received positive feedback from healthcare professionals who worked regularly with the service.

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 that staff were very kind and compassionate and knew them well as there was a consistent staff team. They always respected their dignity and privacy.

People had access to activities that they were interested in and felt they were supported to maintain relationships with people that were important to them.

People knew how to complain and were confident they would be responded to. No recent complaints had been received by the service.

There was a registered manager who was also the owner of the home. They and their management team provided consistent oversight of the service and everyone was positive about how the home was run.

Checks and audits were carried out regularly. The registered manager actively sought people’s feedback about the service and were open and transparent when things went wrong. The management team looked at good practice and ways to improve the service on a continuing basis.

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 25 March 2017).

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.

Inglewood Residential Care Home is a three-storey Victorian building located in Disley near Manchester. The home provides care and accommodation for up to twenty two people. The building is situated in its own grounds and has a purpose built extension with a conservatory. Accommodation is situated on the lower ground floor, ground floor and first floor. Most of the rooms have an en-suite toilet and sink and there are two bathrooms with a shower and bath. Access between floors is via a passenger lift or staircase.

The service was last inspected in December 2015. At our last inspection, we found the provider to be in breach of four regulations. They were not meeting the required standards in relation to safeguarding people, training, consent and assessing and monitoring the quality of care. At this inspection we found that the provider was meeting all the regulations and had made significant improvements to the service.

The home has a registered manager. 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 time of our inspection there were 20 people living in the home.

We found that people were provided with care that was safe, person centred, sensitive and compassionate. Inglewood is a family run business. The registered manager had worked and owned the home for over 20 years and many of the staff had worked at the home for a number of years, therefore people living in the home received care from a consistent, knowledgeable staff team.

We saw that the service was now following safeguarding procedures and accurately recording and reporting where issues had arisen. All the staff we spoke to confirmed that they were aware of the need to report any safeguarding concerns.

We saw that the service was now auditing and analysing records in order to pick up any discrepancies for example in medication records to ensure that people were receiving medication safely. They were regularly reviewing risk assessments to ensure that people living in the home were safe and their records reflected the care that they were receiving.

We looked at recruitment files for the most recently appointed staff members to check that effective recruitment procedures had been completed. We found that appropriate checks had been made to ensure that they were suitable to work with vulnerable adults.

We found that there were sufficient staff deployed to meet the needs of the people living in the home. The registered manager told us they did not use agency staff and covered sickness and holidays from the existing staff team.

The provider had their own induction training programme which was designed to ensure that any new staff members had the skills they needed to do their jobs effectively and competently. This resulted in staff having the skills and knowledge to carry out their jobs well and provide safe and effective care.

We asked staff members about training and they all confirmed that they received regular training throughout the year and that this was up to date and provided them with knowledge and skills to do their jobs effectively.

There was a flexible menu in place which provided a good variety of food to people using the service. People living there told us that the food was good and their preferences were accommodated.

The service had a range of policies and procedures which helped staff refer to good practice and included guidance on the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. This meant that staff were able to help and support people who had difficulty in making decisions and ensured that plans were put in place in the person’s best interests. We saw that applications had been made appropriately. The provider had identified that some of the paperwork could be clearer to record consent and best interest decisions and had started to implement this.

People had care plans which were personalised to their needs and wishes. Each care plan contained detailed information to assist staff to provide care in a manner that respected the relevant person’s individual needs, promoting their personal preferences’.

People living in the home told us that the standard of care they received was good. Comments included, “The staff are kind” and “They are very, very kind and the care is very good”. Relatives spoken with praised the staff team for the quality of care provided. They told us that they were confident that their relatives were safe and well cared for. One person told us, “They are wonderful the carers, she is very lucky being here”.

Staff members we spoke with were positive about how the home was being managed and felt that the managers were supportive and approachable.

There was now a comprehensive internal quality assurance system in place to review systems and help to ensure compliance with the regulations and to promote the welfare of the people who lived at the home. This included audits on care plans, medication and accidents. The management team were proactively questioning practice and seeking out advice on a regular basis as to how the service could be improved.

The home was well-maintained and clean and provided a calm, relaxing atmosphere. There were a number of maintenance checks being carried out weekly and monthly. These included water temperatures as well as safety checks on the fire alarm system and emergency lighting. These were audited regularly.

This service was last inspected on 11 October 2013 where it was found to be compliant in all the areas we looked at.

Inglewood Residential Care Home is a three-storey Victorian building located in Disley near Manchester. The home provides care and accommodation for up to twenty two people. The building is situated in its own grounds and has a purpose built extension with a conservatory. Accommodated is situated on the lower ground floor, ground floor and first floor. Most of the rooms have an en-suite toilet and sink and there are two bathrooms with shower and bath. Access between floors is via a passenger lift or staircase. On the day of our inspection there were 19 people living in the home.

Inglewood had a Registered Manager. 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 this inspection we identified breaches of the relevant regulations in respect of the need for good governance, the need for consent and notifications. You can see what action we told the provider to take at the back of the full version of the report.

Whilst we found that people were provided with care that was person centred, sensitive and compassionate, records of care were not been kept consistently and effectively so changes or increased risks to people’s care were not clearly identified.

Although the people living in the service we spoke to told us they felt safe and the provider had a safeguarding policy, we found that staff could not sufficiently describe the possible abuse and were not clear on the correct procedures to protect vulnerable people from abuse and neglect.

We found management were conducting very few audits of the systems and processes which meant that they are not learning from past events, or taking effective corrective action to improve the service.

We asked staff members about training and they all confirmed that they received regular training throughout the year and that it was up to date. We found a number of gaps where training had not been updated that needed to be addressed.

The provider had a range of policies and procedures which included guidance on the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards, however staff and management were not clear on the processes to be followed when someone lacked mental capacity.

The provider was not submitting the required notifications to the CQC as required by the regulations.

We found that the staff team were very caring and knew the residents very well. We saw care being carried out in a dignified and respectful manner.

We found that the care records identified the needs of people in relation to the care and support they required to maintain their health and wellbeing. Two people spoken with indicated that the staff provided sensitive and flexible care and support and they were well cared for.

People spoken with told us they had no concerns about the care being provided and they felt safe and protected by the staff from potential harm.

We observed staff administering medicines and saw that these were administered safely.

We looked at two staff records and noted they had been provided with training relevant to their role. Two people spoken with said, 'The staff do a very good job' and 'They know what they are doing and are very kind'.

We found there were adequate systems in place to regularly assess and monitor the

quality of the service people received at the home.

We spoke with six relatives of different people living in the home. All stated they were very pleased with the care and support their relative was receiving in the home. Comments included, 'The home is perfect, my mother has a lovely room, peaceful and quiet and she still lives local.'

'The staff are excellent, they cannot do enough for both residents and visitors and there are always enough staff around to help people.'

'There is not a single issue that we have a concern about; we know mum is being looked after 24 hours a day in the best place possible.'

'The staff are very patient and considerate towards the residents.'

'Some staff are exceedingly good. I have watched how they deal with people who may be a little difficult at times. They respect the persons dignity and do whatever they can to support the person in the best way possible.'

On completion of this compliance review we found that people were well cared for and that the provider was meeting the regulations we looked at, with the exception of the regulation which concerned management of medicines where there were minor issues. We have asked that the provider take action to ensure that the management of medicines is improved.