CQC report explained · a residential care home
What the CQC found at Ingleby House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found enough staff, safe medicines procedures, suitable safeguarding systems and effective infection prevention and control.
- Effective?
- Good
- The report does not give a separate rating for Effective. Inspectors found that staff supported people to make choices and worked within the principles of the Mental Capacity Act.
- Caring?
- Good
- The report does not give a separate rating for Caring. Inspectors found that staff treated people with dignity and respect and supported their individual interests and communication needs.
- Responsive?
- Good
- The report does not give a separate rating for Responsive. Inspectors found that care was person-centred and that people were supported to express their views and live as they wished.
- Well-led?
- Good
- Management and quality systems were judged effective, and the rating remained Good. Inspectors found stability under the new registered manager and clear action plans to improve care records.
What inspectors found, April 2023
Rated Good; inspectors found people safe, respected and supported, while care records were still being updated.
The inspection was unannounced and took place on 7 and 13 March 2023. Inspectors spoke with people, relatives and staff, observed care, and checked care records, medicines, staffing, infection control and management records.
The home was rated Good overall. Safe was rated Good, improving from Requires Improvement at the last inspection. Well-led remained Good. Inspectors found enough trained staff, safe medicines systems, effective infection control and systems to protect people from abuse.
Inspectors found a positive, person-centred culture. People were supported to make choices, communicate in ways that suited them, take part in interests and hobbies, and access services. The registered manager was continuing to improve the detail and clarity of care plans and risk assessments.
People felt safe
People and relatives told inspectors that people were safe and looked after. Staff understood safeguarding and felt able to raise concerns.
“People told us they felt safe.” from the report
Enough suitable staff
Inspectors found enough staff to provide the support identified in people's care records, including one-to-one support where needed. Recruitment checks were in place.
“We found there were sufficient staff to provide the care that people needed.” from the report
Safe medicines practice
Staff were trained before giving medicines. Medicines were stored securely, records were audited and as-needed medicines were used with least restrictive principles.
“Medicines were administered in line with the STOMP (stopping over medication of people with a learning disability, autism or both with psychotropic medicines) principles.” from the report
Positive, person-centred culture
Staff supported people's choices, communication needs, interests and independence. Inspectors found the atmosphere relaxed and the management team supportive.
“The ethos, values, attitudes and behaviours of leaders and care staff ensured people using services led confident, inclusive and empowered lives.” from the report
Improving leadership
The new registered manager had clear action plans and was making progress with improvements identified by the provider and commissioners.
“The newly appointed registered manager was making significant progress on actions identified by the provider and commissioners to the service.” from the report
Some records still being updated
minorThe registered manager had not yet updated all care plans and risk assessments. The records inspectors checked that had not been updated still contained sufficient information, but families should ask about completion.
“The registered manager was in the process of updating the care plans and risk assessments.” from the report
- 01Which care plans and risk assessments still need updating, and when will this work be complete?
- 02How will you make sure one-to-one support is provided whenever a person's care plan says it is needed?
- 03How do you monitor the use of as-needed medicines and make sure they remain a last resort?
- 04What actions remain on the internal action plan, and how will progress be checked?
- 05How do residents and their key workers contribute to regular care reviews and decisions?
This inspection gave ratings for Safe and Well-led only; the overall rating was Good and the other key questions were not separately rated in this report. This explanation was written from the published report of 22 April 2023 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, July 2019
Ingleby House was rated Good overall, but Safe Requires Improvement because medicines records were not always accurate.
This was a focused inspection on 18 June 2019. One inspector reviewed care, risk, medicines, staffing and management records, spoke with people, staff and relatives, and checked the home.
The home had enough staff, trained staff supported people with their medicines, and risks such as choking, sore skin and emergencies were managed. However, some medicines records were not accurate or complete. Some guidance for creams and other topical medicines was also missing.
The home was rated Good overall and Good for being well-led. Safe was rated Requires Improvement, meaning some aspects were not always safe and there was an increased risk of harm. The overall rating remained Good, as at the previous inspection.
Risks were understood
People's risks were assessed and staff knew how to support them safely. Inspectors saw plans being followed for choking, sore skin and emergency evacuation.
“People's needs had been assessed to identify any risks to their health and wellbeing.” from the report
Enough staff
Inspectors found enough staff on shift to provide safe care. Recruitment checks were also carried out for recently appointed staff.
“There were enough staff on shift to provide safe care.” from the report
Positive relationships
Relatives said people were happy, settled and well cared for. They described staff as approachable and nurturing.
“We have no concerns, the home has a family-feel to it and staff have a nurturing attitude.” from the report
Good management checks
The provider used audits and other checks to identify improvements and said it had changed systems after incidents.
“Regular audits were completed and where improvement was needed, this was completed.” from the report
Medicine records were not always accurate
needs fixingA medicine was missing from a new administration record, one receipt was signed incorrectly, and stock was not recorded as carried forward. This made it harder to check medicines safely.
“Improvement was needed to the records made by staff to ensure people's medicine administration records consistently contained accurate information.” from the report
Some medicine guidance was missing
needs fixingSome people did not have clear protocols or body maps to guide staff about applying creams and other topical medicines. The deputy manager said this would be addressed immediately.
“Some people did not have protocols or body maps in place to guide staff about topical applications such as creams.” from the report
Further moving and handling training was planned
minorMost staff had received safe moving and handling training, but more training was planned after an earlier poorly planned shift had left trained staff unavailable.
“Most staff had received training in safe moving and handling and further training was planned.” from the report
- 01How do you now check that every medicine is recorded correctly when it arrives and is given?
- 02Have all missing protocols and body maps for creams and other topical medicines now been completed?
- 03How do you record carried-forward medicine stock and check that the records are accurate?
- 04Has all planned moving and handling training been completed, and how do you make sure trained staff are available on every shift?
- 05How have you used recent incidents and medicine errors to change staff practice?
This was a focused inspection of Safe and Well-led only; the other areas were not given new ratings in this report. This explanation was written from the published report of 2 July 2019 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 House
4 rated inspections over 7 years: the service has held its Good rating throughout.
- April 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2019Goodstayed GoodSafe: Requires improvementWell-led: Good
- August 2018Goodstayed GoodSafe: Requires improvementWell-led: Good
- February 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Registered with the Care Quality Commission on 4 February 2014.
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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At least 100 live-in carers within about an hour of Warwickshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £950 to £1,260 a week. 77 can care for a couple. 11 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
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