Background to this inspection
Updated
8 July 2023
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 Health and Social Care Act 2008.
Inspection team
The inspection was undertaken by 1 inspector.
Service and service type
Inglewood Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. [Care home name] is a care home [with/without] nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
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.
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
During the inspection we reviewed a range of records. These included 2 recruitment records, accidents and incidents and quality assurance audits. We looked at medicine administration , 4 care plans and risk assessments along with other relevant documentation to support our findings.
We spoke with 9 people who lived at the home. We also gathered feedback from the relatives and representatives of 3 people. We spoke with 17 staff members; this included the registered manager and 2 senior managers from the provider. We also contacted 3 health and social care professionals for their feedback.
We observed people in areas throughout the home and could see the interaction between people and staff. We watched how people were being supported by staff in communal areas, this included the lunchtime meals.
Updated
8 July 2023
About the service
Inglewood Nursing Home is a residential care home providing regulated activities personal and nursing care up to 60 people. The service provides support to people who were living with a range of health care needs. Some people had memory loss associated with their age and physical health conditions. At the time of our inspection there were 50 people using the service.
People’s experience of using this service and what we found
Improvements were needed for some aspects of record keeping. We discussed this with the registered manager and senior managers from the provider and they told us what actions they would take to address this.
There were systems in place to keep people safe and protected from the risk of harm and abuse. Staff were aware of the risks associated with people they supported. There were risk assessments to guide staff. Medicines were managed safely by staff who had received the appropriate training. There were enough staff, who had been recruited appropriately to support people. The home was clean and tidy throughout.
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.
There was a positive culture at the home. People, relatives and staff spoke well of the home. They were regularly asked for feedback to improve and develop the home for the benefit of people living there. The registered manager had good oversight of the home and knew people and staff well. There was a quality assurance system which helped identify areas to improve and develop.
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 13 February 2018).
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.
We undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
We have found evidence that the provider needs to make improvements. Please see the well-led section of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Inglewood Nursing Home on our website at www.cqc.org.uk
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.