Background to this inspection
Updated
16 December 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
This inspection was carried out by 1 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 Residential Rest 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. Inglewood Residential Rest Home is a care home 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
We reviewed information we had received about the service since the last inspection. We sought feedback from health professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 15 people and 5 staff including the registered manager, deputy and care staff. We observed the care people received. 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 looked at 8 care plans and a selection of medicines administration records. We looked at a range of records including audits, staff recruitment records and policies.
Updated
16 December 2023
About the service
Inglewood Residential Rest Home is a care home providing accommodation and personal care to up to 31 people aged 60 and over, some of whom are living with dementia. At the time of the inspection, there were 27 people living at the home.
People’s experience of using this service and what we found
People were supported by staff who understand how to keep them safe. Staff were able to manage risks to people’s safety and report any concerns about safety for investigation. People were supported by enough staff who had been recruited safely. People received support with their medicines administration by staff who had been trained. The home was clean, and staff understood how to minimise the risks from cross infection. Where incidents happened there was a system in place to learn from these and prevent reoccurrence.
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.
The registered manager encouraged an open and transparent culture in the home and sought opportunities to develop staff and improve the quality of care people received. There were monitoring systems in place to ensure people received the care they needed. There were systems to encourage learning and partnership working was imbedded into the home. People, relatives, and staff were engaged in the home and able to share their feedback with the management team.
Rating at last inspection and update
The last rating for this service was requires improvement (Published 25 April 2023) and there were 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
We carried out an unannounced comprehensive inspection of this service on 17 January 2023. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve governance arrangements in the home.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Inglewood Residential Rest 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.