Background to this inspection
Updated
16 December 2021
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 carried out by one inspector 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
Inglewood is a ‘care home’. People in care homes receive accommodation and nursing or 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.
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 inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with six people who used the service and 13 relatives about their experience of the care provided. We spoke with eight members of staff including the registered manager, supervisors, care workers and the cook. We also sent an email to 37 other staff inviting their views.
We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures, were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We contacted healthcare professionals who regularly visit the service.
Updated
16 December 2021
About the service
Inglewood is a residential care home providing personal care for up to 40 people aged 65 and over. At the time of the inspection there were 28 people living or staying at the home.
The home has been adapted into four distinct units, one of which provides six NHS interim places and two respite places for people discharged from hospital who need arrangements put in place before returning home. The other three units provide permanent places for older people or people living with dementia.
People’s experience of using this service and what we found
Inglewood continued to provide an outstanding service. People and their relatives said the service was exceptionally caring and personalised. People had excellent support to lead the lives they wanted. Relatives said people’s well-being had “flourished” since moving there.
People continued to be treated with the utmost dignity, respect and compassion throughout their time in the home. People's abilities and choices were highly valued and staff worked hard to support people to live as independently as possible.
People and relatives were extremely positive about the way the service was run and had excellent relationships with the registered manager and staff. They described the care as “beyond outstanding”. Staff said they felt very valued and the home was like a “family”. The registered manager and staff continued to be fully commitment to providing high-quality, person-centred care.
The service had superb links with local healthcare services which benefitted people who lived there. The home was also a highly respected resource in the local community and was fully involved in local initiatives and social clubs.
People felt safe and comfortable with staff. Staff knew how to report any concerns and said these would be acted upon. The home was bright, warm and clean.
There were enough staff to support people and each day they were allocated to one of the four units. Staff responded quickly to calls for assistance. Staff were very knowledgeable about each person and how they wanted to be supported.
People’s needs were assessed to make sure their care could be provided by this service. Staff said they had good training and support to carry out their roles.
People said the meals were good and there were plenty of choices. Staff worked very closely with other care professionals to support people’s health needs. Staff provided sensitive and compassionate care to people when they reached the end stages of their lives.
People were supported to have maximum choice and control of their lives and staff assisted them in the least restrictive way possible and in their best interests; the policies and systems in the service upheld this practice.
People received individualised support that matched to their personal preferences. There was a good range of activities and engagement in the local community to maintain people's social inclusion.
Rating at last inspection
The last rating for this service was outstanding (published 14 February 2020).
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding to test the reliability of our new monitoring approach.
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Inglewood on our website at www.cqc.org.uk.
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.