CQC report explained · a nursing home
What the CQC found at Inglewood Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found people were protected from abuse and avoidable harm. Staffing, recruitment, risk management, medicines and infection control were judged safe.
- Effective?
- Good
- This question was not inspected during this focused visit. Its rating was carried forward from the last inspection.
- Caring?
- Good
- This question was not inspected during this focused visit. Its rating was carried forward from the last inspection.
- Responsive?
- Good
- This question was not inspected during this focused visit. Its rating was carried forward from the last inspection.
- Well-led?
- Requires improvement
- Inspectors found gaps in recording mental capacity decisions and in care plans for some people's needs. The rating remained Requires Improvement from the previous inspection.
What inspectors found, July 2023
Rated Good overall; inspectors found safe care, but the home’s well-led rating remained Requires Improvement because some records were incomplete.
This was an unannounced, focused inspection on 13 and 20 June 2023. One inspector reviewed records, medicines, care plans, risk assessments and audits. They spoke with 9 people, relatives of 3 people, 17 staff members and 3 health and social care professionals.
The home was rated Good for Safe. Inspectors found systems to protect people from abuse, enough safely recruited staff, safe medicines management and good infection control. The home was clean and tidy, and staff understood people’s risks and needs.
The home was rated Requires Improvement for Well-led. Some mental capacity decisions had not been recorded properly, and care plans did not cover all people’s needs. The overall Good rating includes ratings carried forward from the last comprehensive inspection, because this inspection did not review the other three questions.
Safe care and risk management
Staff understood people’s risks and individual needs. Risk assessments and emergency plans were in place, and safeguarding concerns were referred appropriately.
“Risks to people were managed safely. Staff knew people well and understood people's individual needs and the risks associated with their care.” from the report
Staffing and recruitment
Inspectors found enough staff to meet people’s needs and saw people attended to promptly. Recruitment checks and staff training were in place.
“There were enough safely recruited staff to support people.” from the report
Medicines and infection control
Medicines were administered by trained and assessed staff using an electronic system. Inspectors also found the home clean and infection controls effective.
“Medicines were given to people individually in a way that suited each person and people told us they received their medicines when they needed them.” from the report
Kind and respectful culture
People and relatives spoke highly of the care. Staff involved people in decisions, sought consent and spent time talking with people.
“People and relatives spoke highly of the care and support people received.” from the report
Incomplete mental capacity records
needs fixingSome records did not show how decisions had been made for people who lacked capacity, including decisions about room sharing and bed rails. The provider said improvements were needed.
“Mental capacity assessments had not always been recorded to demonstrate how decisions had been made, for example room sharing and the use of bed rails.” from the report
Care plans did not cover every need
needs fixingCare plans were missing guidance for some people, including people in shared rooms and a person who may experience seizures. Staff could explain how they supported people, but this was not consistently recorded.
“Care plans were not in place to guide staff in relation to all people's needs.” from the report
Some PRN guidance was missing
minorProtocols for medicines prescribed as needed were missing for some medicines. Staff knew people well and used safeguards, while the provider was still adding guidance to the electronic system.
“The senior manager explained that the medicine system was relatively new and work was ongoing to ensure all PRN guidance was added to the system.” from the report
- 01What has been done to record mental capacity assessments and best-interest decisions for room sharing and bed rails?
- 02How are care plans being updated for people in shared rooms and for anyone who may experience seizures?
- 03Has guidance for all medicines prescribed as needed now been added to the electronic medicines system?
- 04How does the home check that the planned improvements to record keeping are complete and consistently used?
- 05How will the home make sure staffing gives people enough time for conversation and support as well as essential care?
This was an unannounced focused inspection of Safe and Well-led only; the other ratings were carried forward from the last comprehensive inspection. This explanation was written from the published report of 8 July 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, April 2022
Inspected but not rated; inspectors found infection controls were in place during a COVID-19 outbreak.
The inspection took place on 6 April 2022 and was announced one day beforehand. It was a targeted inspection of infection prevention and control, including the effect of COVID-19 staffing pressures.
Inspectors found systems to support people safely during the outbreak. People who tested positive stayed in their rooms and were cared for by a dedicated staff team. The home was clean, PPE supplies were adequate, and staff used PPE appropriately.
Visitors were welcomed through an appointment system. People were also supported to keep in touch with family and friends by phone, video calls and visits. The service was inspected but not rated, so this report does not give a full overall quality rating.
Outbreak arrangements
People who tested positive were supported to stay in their rooms and were cared for by a dedicated staff team. This was intended to reduce the risk of infection spreading.
“People who had tested positive to Covid-19 were supported to remain in their rooms.” from the report
Clean environment and PPE
The home was clean and tidy. Cleaning schedules included high-touch areas, PPE supplies were adequate, and staff used PPE appropriately.
“The home was clean and tidy throughout. There were cleaning schedules and this included high touch point cleaning.” from the report
Family contact
Visitors could meet people in bedrooms or a lounge area, with an appointment system to manage visits safely. People were also supported to keep in touch by phone and video calls.
“Visitors were welcomed to the home; they were able to meet with loved ones in their bedrooms or in a lounge area.” from the report
Infection control systems
Inspectors were assured that the home had arrangements covering testing, safe admissions, social distancing, shielding, cleaning and managing outbreaks.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you manage a new COVID-19 outbreak, including separating people who test positive?
- 02How would you maintain safe staffing if staff were affected by COVID-19?
- 03How do you make sure PPE is available and used safely by staff?
- 04How are visits arranged and supported during an infection outbreak?
- 05How do you make sure people can keep in touch with family and friends if visiting is restricted?
This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it did not provide ratings for the other four questions or an overall quality rating. This explanation was written from the published report of 27 April 2022 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 Inglewood Nursing Home
4 rated inspections over 8 years: the service has held its Good rating throughout.
- July 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- April 2022Inspected but not ratedSafe: Inspected but not rated
- February 2018Goodstayed GoodSafe: GoodWell-led: Requires improvement
- April 2017Goodstayed GoodResponsive: Good
- October 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- December 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 11 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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19 live-in carers within about an hour of East Sussex
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 £1,000 to £1,400 a week. 13 can care for a couple. 10 years' experience on average.
“When he point blank refused to go into hospital for a life saving blood transfusion she talked him through the situation and agreed to go in the ambulance with him and stayed until he was settled.”
“Una felt safe, secure and loved in her time with Debbie which is a gift that I am eternally grateful for.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.