Latest Inspection
This is the latest available inspection report for this service, carried out on 17th May 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Excellent.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Ingelow Manor.
Annual service review
Name of Service: Ingelow Manor The quality rating for this care home is: The rating was made on: three star excellent service 1 3 0 3 2 0 0 9 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Tobias Payne Date of this annual service review: 0 9 0 3 2 0 1 0 Annual Service Review Page 1 of 6 Information about the service
Address of service: Rowley Road Boston Lincs PE21 6JE 01205363954 01205364423 ingelowmanor@lincolnshire.gov.uk www.lincolnshire.gov.uk Lincolnshire County Council Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Margaret Gavin Conditions of registration: Category(ies) : old age, not falling within any other category physical disability Number of places (if applicable): Under 65 Over 65 0 2 18 0 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Ingelow Manor is a purpose-built care home, established for over forty years and owned by the Lincolnshire County Council, named after a local poet, Jean Ingelow. It provides short-term and intermediate personal care for up to twenty people of both sexes over 55 years of age. The home is situated in a residential area near the centre of the town of Boston. It has a train service and bus services to the surrounding towns of Sleaford, Spalding and Bourne. In the town centre there are amenities and leisure activities available, including shops, schools, leisure centre, churches, library, theatre, cinema, pubs and
Annual Service Review Page 2 of 6 1 3 0 3 2 0 0 9 restaurants and the parish church called The Boston Stump. The accommodation consists of twenty single bedrooms, two ensuite with toilet and washbasin. Communally, there are three lounges, three dining rooms, an activities room, two bathrooms, two shower rooms and five toilets, most of which are accessible with wheelchairs. These are strategically positioned near to bedrooms without ensuite facilities and communal areas. There are two day centre rooms with full facilities for use independent to the care home but accessible to people. Outside there are spacious, well-manicured, accessible gardens. There is ample car parking at the front and rear of the property. The managers philosophy is to maintain and improve peoples independence to enable them to cope when they return home. The weekly fees at the last key inspection on the 13/3/2009 ranged from £351 and £442. People pay for their own hairdressing and chiropody, personal newspapers and magazines. Information about these costs, as well as the day-to-day operation of the home, can be found in the statement of purpose and service user guide. These and a copy of the latest inspection report are kept in every persons bedroom and available to people who are interested in coming to stay at the home. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What has this told us about the service? The manager sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and and very detailed and gave us all the information we asked for. The manager told us that they continue to ensure people coming to the home receive an assessment of their needs before they stay at the home. For non emergency people who use the service this helps to compile care plans for people who use the service on admission. For planned admissions, people are encouraged to visit prior before their stay, to see what facilities are available and to decide if it meets their needs. Once a person is admitted to the home a care plan is produced jointly with the person. Information about the home including the statement of purpose, service users guide and copy of the last inspection report are available at the entrance to the home. The manager told us that they work closely with the NHS Primary Care Trust Intermediate Care Team to provide Intermediate Care for people leaving hospital or from the community, to have rehabilitation in a non health setting. People who have the Intermediate Care programme have an allocated social care co-ordinator, in addition to an Occupational Therapist and Physiotherapist. Each person has their own key worker. An initial care plan is compiled from the information available, this is reviewed on admission to ensure correct information has been received. Care plans are kept in peoples rooms so that they can access them are reviewed within 72 hours of admission with the person using the service and then again at intervals of not more than 7 days. These care plans are reviewed monthly with their key worker. Each person has a nutritional assessment. Over the last year they have made the admission process more streamlined for the person using the service, ensuring that the person is aware of the choices available to them and their carers. The manager has adjusted staffing rotas to accommodate admissions throughout the day. A joint review has been carried out with the permanent long term person using the service and they have now have person centred care plans Annual Service Review Page 4 of 6 in line with other people using the service. They have provided seating areas outside the home with comfortable chairs and parasols for the Day Centre. They have also provided locked medication boxes in bedrooms for a more safer self medicating arrangement. They have also provided more staffing hours to provide a range of activities. We looked at the information in the AQAA and our judgement is that the care home is still providing a positive service and that they know what further improvements they need to make. The manager told us that they are part of a consultation programme that will determine the future of the home. During this period they intend to continue to provide excellent services to people using the service. They also want to arrange for activities for people using the service to be part of the care provision. Although they have improved this they have told us they want to develop this into an individual plan of activities. We did not on this occasion send out any surveys but we have no evidence to show that the people living in the home are not being cared and supported by staff who are skilled in delivering care. Staff continue to be recruited correctly with a check by the Criminal Records Bureau. Staff continue to receive an induction training programme. Their training has included mental capacity and deprivation of liberty safeguards to identify and protect the peoples rights and choices. They have increased the number of staff with nationally recognised National Vocational Qualifications to 100 with NVQ level 2. In addition 2 staff have achieved NVQ level 3. Mandatory training including moving and handling, fire prevention, safeguarding adults and equality and diversity is provided. Training has been provided for groups of staff from all areas of the home in infection control and they have implementation new infection control guidelines. sixteen staff have had nutrition training and 42 infection control. Training has also included dementia awareness. There is an established quality assurance system and the home. There is a quality survey questionnaire on discharge for people who use the service to complete and they encourage informal feedback at all times. Questionnaire results are evaluated and published within the home. They also receive monthly unannounced monitoring visits by Lincolnshire County Councils service manager to monitor the quality of the service. The home continues to let us know about things that have happened over the last year and they have shown that they have managed issues well. They and us have received no complaints or safeguarding adults issues over the last 12 months. What are we going to do as a result of this annual service review? The information we have tells us that the service continues to provide positive outcomes for the people who use the service. We are not going to change our inspection plan. The next inspection of the service will be based on the Fees and Frequency Regulations (2007) and the assessment of risk. Annual Service Review Page 5 of 6 Reader Information
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