CQC report explained · a residential care home
What the CQC found at Ingleby Care Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, September 2020
Inspected but not rated; inspectors found good infection-control arrangements during a targeted COVID-19 review.
Inspectors visited the home on 18 August 2020. The visit was announced and focused only on infection prevention and control during the coronavirus pandemic.
Inspectors were assured that the home was using personal protective equipment safely, following social distancing and shielding rules, and admitting new people safely. They also found up-to-date infection-control policies, testing arrangements and extra cleaning.
Staff had training in infection control. The home had an infection-control lead, carried out checks and audits, and supported people to keep in touch with relatives through calls, social media and outdoor visits.
The home was inspected but not rated. This means the report does not give an overall quality rating or ratings for the other areas of care.
Infection-control systems
The home had systems to reduce the spread of infection, including extra cleaning, social distancing measures and staggered mealtimes.
“Systems were in place to prevent people, staff and visitors from catching and spreading infections.” from the report
Staff training and checks
Staff had training in PPE and hand hygiene. Their practice was monitored, and an infection-control lead was in place.
“Staff had undertaken training in putting on and taking off PPE, hand hygiene and other Covid-19 related training.” from the report
Contact with relatives
People were supported to stay in contact with friends and relatives through calls, social media and planned outdoor visits.
“People were supported to keep in contact with friends and relatives through telephone calls, social media and outdoor visits via an appointment system.” from the report
Infection-control checks
The home carried out infection-control audits and checks, and had an up-to-date infection-control policy.
“Infection control audits and checks were carried out.” from the report
Inspectors raised no specific concerns in this report.
- 01How are PPE use, hand hygiene and infection-control practice checked now?
- 02How are visits from relatives currently arranged, and what happens if there is an infection risk?
- 03How are people supported to keep in contact with relatives and avoid loneliness if visits are restricted?
- 04How are new admissions tested and supported during any required isolation period?
- 05When was the infection-control policy last reviewed, and what do the latest audits show?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not rate the other areas of care or give an overall rating. This explanation was written from the published report of 9 September 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, August 2018
Rated Good, with Outstanding caring; inspectors found safe, personalised support and improved records, but best-interest decisions were not always clearly documented.
The inspection was unannounced and took place on 21 June 2018. Inspectors spoke with people living in the home, relatives and staff. They observed care and checked care plans, medicines records, staff recruitment files and other records.
The home was rated Good overall. It was rated Good for Safe, Effective, Responsive and Well-led, and Outstanding for Caring. Inspectors found people felt safe, medicines were managed correctly, care was personalised and staff were kind, respectful and supportive.
The home had previously been rated Requires Improvement in May 2017 because records were incomplete and contained gaps. At this inspection, records had improved and the home was no longer in breach of the governance regulation. Inspectors noted that best-interest assessments were still not always recorded clearly.
Kind and compassionate care
Inspectors saw many examples of staff noticing when people needed reassurance, companionship or emotional support. Staff also supported people living with dementia in a calm and patient way.
“We saw numerous examples of very kind and caring support being delivered throughout the inspection” from the report
Safe medicines management
Inspectors checked all 47 medicines administration records they sampled. They found them correctly completed, with no errors or unexplained omissions.
“We looked at 47 people's MARs and saw they had been correctly completed without errors or unexplained omissions.” from the report
Personalised care planning
Care plans included people's support needs as well as their life history, important relationships, hobbies and interests. This helped staff understand each person as an individual.
“Care plans also contained information that went beyond people's support needs, including on their life history, relationships of importance and hobbies and interests.” from the report
Activities and community links
People could choose from a wide range of activities based on their interests. The home also maintained links with local schools, a church and community events.
“Recent activities had included themed nights to raise money for charities people had chosen, meals out in the local area, trips to the cinema, entertainers visiting the service, dance, aerobics and pet therapy visits.” from the report
Improved governance
Records had improved since the previous inspection. The provider and manager used audits and action plans to identify and address issues.
“The registered manager and provider carried out a number of quality assurance audits to monitor and improve standards at the service.” from the report
Best-interest decisions were not always clearly recorded
needs fixingAlthough care plans showed staff were acting in people's best interests, there were no specific best-interest assessments in place in every relevant case. The manager said this documentation would be reviewed and improved.
“However, though care plans contained evidence of staff acting in people's best interests they did not have specific best interest assessments in place.” from the report
- 01How do you now record best-interest assessments, and who is consulted before decisions are made for someone who lacks capacity?
- 02How are staffing levels adjusted when a resident needs extra observation or support?
- 03How do you make sure activities are suitable for my relative's interests, abilities and any dementia-related needs?
- 04How would you support my relative with end-of-life care if this became necessary?
- 05How are care plans reviewed with residents and their relatives when needs or preferences change?
This was an unannounced inspection that considered all five key questions and the overall quality of the home, including both the premises and the care provided. This explanation was written from the published report of 4 August 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Ingleby Care Home
3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- September 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- August 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- May 2017Requires improvementstayed Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- April 2015Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 21 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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