Background to this inspection
Updated
21 February 2020
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 inspection manager.
Service and service type
Ingersley Court 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 did not have a manager registered with the CQC. The previous registered manager had left the service and a new manager had been appointed and had been in post for four months at the time of the inspection. The new manager had made application to the Care Quality Commission for registration as 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’, which 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 professionals who work with the service. 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 this information to plan our inspection.
During the inspection
We spoke with nine people who used the service and two family members about their experience of the care provided. We spoke with eleven staff members including the manager, support manager, deputy manager, regional manager, two care team leaders, one senior care assistant, one care assistant, a laundress, a domestic assistant and an activities coordinator. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We reviewed a range of records. This included four people’s care records, multiple medication records and records of four staff in relation to their recruitment and supervision. A variety of records relating to the management of the service were also reviewed.
After the inspection.
We continued to seek clarification from the provider to validate evidence found. We spoke with two professionals who regularly visited the service to gather their views on the quality of care provided.
Updated
21 February 2020
About the service
Ingersley Court Residential Care Home is registered to provide accommodation and personal care for up to 46 people. At the time of the inspection 28 people were using the service.
People’s experience of using this service and what we found
People living at Ingersley Court Residential Care Home told us they felt safe. Their comments included; “It [the home] has exceeded all my expectations for care, safety and maintaining dignity” and “Very nice, I enjoy living here, I feel safe.” Safeguarding systems, policies and procedures ensured people were safe and protected from abuse. Risks to people’s health safety and welfare were identified and managed safely with the involvement of the person or their representatives. Safe recruitment procedures were followed. Medicines were safely managed, and systems were in place for reporting accidents and incidents and learning from them.
People’s care, treatment and support achieved good outcomes and promoted a good quality of life. People told us they were involved in discussions about their care and their outcomes were good. Comments included: “The staff and the care are marvellous they do things the way I want them to be done” and “It [the home] is very good, all my needs met.”
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 were treated well, and their privacy, dignity and independence was promoted and respected. People and family members were given opportunities to openly express their views and opinions and they felt listened to. Their comments included: “Very good standard of care, very caring, smashing all round." “Yes, they are no problems, yes always treated with respect” and “Staff are marvellous never been kept waiting for anything”.
The atmosphere in the home was warm and welcoming. Staff had developed good relationships with people. Care plans were personalised and reflected people’s individual needs, their history and preferences. People told us staff knew them well and provided them with the right care and support.
The registered manager was clear about their role and responsibilities and they promoted a positive and person-centred culture. Staff worked well together as a team, and there was good partnership working with others to meet people's needs. Staff morale was good, and staff felt well supported. Effective systems were in place for checking on the quality and safety of the service and making improvements where needed. However, we found examples where two audits had not been completed effectively. No one was in any way harmed by this and managers acted effectively to make sure people were safe and protected from harm.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update:
The last rating for this service was requires improvement (published 29 December 2018) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
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.