Latest Inspection
This is the latest available inspection report for this service, carried out on 7th June 2010. CQC found this care home to be providing an Adequate service.
The inspector found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Ingleby Care Home.
What the care home does well Residents said good things about the home. One person said, "I get a good service and I feel very well looked after." People said that the home has a "homely atmosphere", "excellent activities co-ordinator" and "tasty meals." People said that the staff are very "friendly and chatty." The standard of accommodation is good. People have their own good sized bedroom and their own en-suite toilet. Most of the home has been refurbished, redecorated and recarpeted. The home has private gardens which are very well kept and people can sit here safely. What the care home could do better: The home must record the date of opening prescribed medication that has a limited shelflife, eg prescribed eyedrops, so that staff can be sure that it is still safe and effective to use. Care plans should be reviewed every month and should describes any progress or change in need. The temperature of the medication room should be made cooler, or an alternative room should be used. The home`s medication procedures should match what the staff actually do. Hand written entries about prescribed creams should include the directions for use. It would be better if all staff wear name badges so that the people who live (or stay) here can address them by name. Lighting to all bedrooms should be bright enough for people who might have poor sight. Staffing levels should be kept under review to ensure that peoples` needs can be met. There should be regular Staff Meetings to give all staff the chance to be informed about changes to the service. Random inspection report
Care homes for older people
Name: Address: Ingleby Care Home Lamb Lane Ingleby Barwick Stockton-on-Tees TS17 0UP one star adequate service 22/09/2009 The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Andrea Goodall Date: 0 7 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Ingleby Care Home Lamb Lane Ingleby Barwick Stockton-on-Tees TS17 0UP 01642750909 01642750966 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Lorna Sue Loughran Type of registration: Number of places registered: Conditions of registration: Category(ies) : T L Care Ltd care home 56 Number of places (if applicable): Under 65 Over 65 0 32 dementia old age, not falling within any other category Conditions of registration: 24 0 The maximum number of service users who can be accommodated is 56. The registered person may provide the following category of service only: Care home with nursing: Code N To service users of the following gender : Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category: Code OP, maximum number of places 32 Dementia: Code DE, maximum number of places 24 Date of last inspection 2 2 0 9 2 0 0 9 Care Homes for Older People Page 2 of 11 Brief description of the care home Ingleby Care Home is a 56 bedded purpose built care home, which provide personal care to older people. All 56 rooms are single rooms with ensuite facilities and there is the required number of bathing facilities and communal space. Ingleby is owned by TL Care who also operate a further four homes in the Teesside area. Ingleby Care Home is close to the centre of Ingleby Barwick, being in easy reach of the local church, supermarket and parade of shops. Care Homes for Older People Page 3 of 11 What we found:
Before the visit we looked at information we have received since the last key inspection visit on 22nd September 2009. We looked at any changes to how the home is run. We asked the Provider for their view of how well they care for people in their AQAA (an annual quality assurance assessment). We made an unannounced visit to the home on 7th June 2010. During the visit we talked with people who use the service, the manager and staff. We looked at how staff support the people who live here. We looked at information about the people who use the service and how well their needs are met. At the time of this visit there were 14 people living at this home, and four people were staying here for a short-break. Before the inspection we received three surveys from residents, three surveys from relatives and eight surveys from staff. Their comments are included in this report. Care plans are records that are used by all care services to show what sort of help each person needs and how staff will provide that care. The sample of care records seen at Ingleby include clear, detailed assessments about each persons daily needs, such as mobility, nutrition and hygiene. It is good practice that the assessments also describe what people can do for themselves, and about their preferred lifestyle. For example one persons assessment describes how they can wash and dress themselves, but prefers to spend most of their time in their nightclothes in their own room. The care records clearly show how this is to be respected as the persons own choice. It is good that there is an assessment of peoples decision-making skills, and right to take acceptable risks. From the assessments, the home has developed care plans that set out peoples needs and how they can be supported with these. Care plans were also detailed. However the monthly reviews of care plans were not a meaningful record of progress. This was also reported at the last inspection. Also the monthly reviews had not been completed between January and April this year. At the last inspection there were three requirements made about medication management and storage. Since then the home has provided each bedroom with a lockable facility in which people can safely store their medication if they manage this themselves. The home now also ensures that medication is only administered to the person it is prescribed for. However the storage of medication is still under review by the home as the current storage room is still very warm, and temperature records show that it is often above 25 degrees Centigrade. The manager commented that an electrician is to consider whether a cooling system can be fitted to keep this storage room at an appropriate ambient temperature. The home still does not systematically record the date of opening of prescribed eyedrops, so it is not possible to know the expiry date (eg 28 days later). Also, some prescribed creams had been hand-transcribed onto the medication records, but did not include the directions for use. Following the last inspection there have been some additions made to the homes medication policies and procedures. However, the procedures are from a range of different sources, and some elements of the procedures (eg some recording forms) do not match the actual practice in the home. Care Homes for Older People Page 4 of 11 In discussions the people who live here had positive comments to make about Ingleby care home. One person said, They are very friendly. I get a good service and I feel very well looked after. In the surveys some people commented on the homely atmosphere, excellent activities co-ordinator and the tasty meals. It was apparent that staff were respectful and engaging with the people here, but it was noted that several staff did not have name badges on. One resident said, Staff are very friendly and chatty, but I dont know their names - although they may have told me a long time ago. In this way residents may find it difficult to address staff, or awkward to call for staff attention. The home is currently registered to provide up to 56 places for the personal care of older people. The provider has applied to change the registration to include dementia care and to include nursing care. To achieve this the home has been separated into three different units. It is proposed that the first floor will provide a separate unit for people with dementia care needs, and a unit on the ground floor will provide a nursing care service. The existing residential care unit for the people who live here will remain on the ground floor. The standard of accommodation in all units is good. All areas of the new units have been fully refurbished and refurnished, and all new bedrooms have been recarpeted. All bedrooms have their own en-suite toilets. The lighting to some bedrooms appeared quite dim due to the use of low energy bulbs, which could cause a tripping hazard for people with reduced vision. The home benefits from good sized gardens that can be accessed from the ground floor. The gardens are well maintained and provide a very pleasant, sheltered and private place for residents to sit in better weather. At the time of this inspection there were 18 people living or staying at the home. At least three people needed the assistance of two staff for their personal care needs. The staff rota provides three staff on duty from 7.30am-10.30am, and three staff from 4pm-7pm. In this way there are sufficient staff at the times that people need most support. At all other times there are only two staff on duty. During this visit there was staff presence at most times near the lounge, although this included activities staff and kitchen assistants who do not carry out personal care. In surveys relatives commented mainly on staffing levels as an area that could be improved. They said, I feel there is inadequate cover during emergencies, eg if staff have to accompany someone to hospital. Another relative said, The caring staff do an excellent job with the resources available but lack sufficient coverage (eg absence through sickness and holidays). In this way the home needs to keep staffing levels under constant review in relation to peoples needs. Clearly there have been some major changes to the building and the proposed new services at the home. In staff surveys some staff felt that there should be more communication between staff and management and that regular staff meetings would be a good idea so all staff could have their say and keep updated about what is occurring and know what is expected of them. It was apparent that there have been few staff meetings over the past year so some staff may have felt excluded from the proposed changes for Ingleby care home. Some relatives felt that there is a difference in the service during the weekend as the
Care Homes for Older People Page 5 of 11 manager is not present. At this time the supervisor staff have not been given responsibility for carrying out formal supervision sessions with care staff. In this way they may feel excluded from carrying out their supervising role. The manager has now applied for registration as the manager of the home, and her application is currently being processed. It was a requirement of the last inspection that a representative of the provider must carry out and record monthly visists to the home to check on its operations. It was clear from discussions that there have been many visits by representatives of the provider during the period of refurbishment and change to the building. However the records of visits have only been recorded on a two-monthly basis. What the care home does well: What they could do better:
The home must record the date of opening prescribed medication that has a limited shelflife, eg prescribed eyedrops, so that staff can be sure that it is still safe and effective to use. Care plans should be reviewed every month and should describes any progress or change in need. The temperature of the medication room should be made cooler, or an alternative room should be used. The homes medication procedures should match what the staff actually do. Hand written entries about prescribed creams should include the directions for use. It would be better if all staff wear name badges so that the people who live (or stay) here can address them by name. Lighting to all bedrooms should be bright enough for people who might have poor sight. Staffing levels should be kept under review to ensure that peoples needs can be met. There should be regular Staff Meetings to give all staff the chance to be informed about changes to the service.
Care Homes for Older People Page 6 of 11 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 7 of 11 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 8 of 11 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 9 13 The home must record the 01/08/2010 date of opening prescribed medication that has a limited shelf-life, eg prescribed eyedrops. This is to make sure that it is within the timescale for medication to remain safe and effective to administer. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 7 Care plans should be evaluated on a monthly basis, and should include a meaningful record that describes any progress or change in need. The home should continue to pursue a cooling system for the medication storage room, or should find a suitable alternative room that can be maintained at the right ambient temperature for the storage of medication. The homes medication procedures should match the actual practice around medication recording, and vice versa. Hand transcribed records of medication should include the directions for use.
Page 9 of 11 2 9 3 9 Care Homes for Older People Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 4 5 6 7 10 25 27 33 Staff should wear name badges so that the people who live (or stay) here can address them by name. Lighting to all bedrooms should be sufficiently bright. Staffing levels should be kept under review to ensure that peoples needs can be met. The record of the visits by a representative of the provider to check on its operations should be completed on at least a monthly basis. There should be regular Staff Meetings to give all staff the opportunity to be kept informed and involved in the running of the service. Supervisor staff should be involved in supervising staff, and should be made aware of their responsibility for the standard of service at weekends. 8 36 9 36 Care Homes for Older People Page 10 of 11 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 11 of 11 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
