The inspection was unannounced and took place on 14 and 15 February 2017.

Inglewood Residential Care Home is a three-storey Victorian building located in Disley near Manchester. The home provides care and accommodation for up to twenty two people. The building is situated in its own grounds and has a purpose built extension with a conservatory. Accommodation is situated on the lower ground floor, ground floor and first floor. Most of the rooms have an en-suite toilet and sink and there are two bathrooms with a shower and bath. Access between floors is via a passenger lift or staircase.

The service was last inspected in December 2015. At our last inspection, we found the provider to be in breach of four regulations. They were not meeting the required standards in relation to safeguarding people, training, consent and assessing and monitoring the quality of care. At this inspection we found that the provider was meeting all the regulations and had made significant improvements to the service.

The home has a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. At the time of our inspection there were 20 people living in the home.

We found that people were provided with care that was safe, person centred, sensitive and compassionate. Inglewood is a family run business. The registered manager had worked and owned the home for over 20 years and many of the staff had worked at the home for a number of years, therefore people living in the home received care from a consistent, knowledgeable staff team.

We saw that the service was now following safeguarding procedures and accurately recording and reporting where issues had arisen. All the staff we spoke to confirmed that they were aware of the need to report any safeguarding concerns.

We saw that the service was now auditing and analysing records in order to pick up any discrepancies for example in medication records to ensure that people were receiving medication safely. They were regularly reviewing risk assessments to ensure that people living in the home were safe and their records reflected the care that they were receiving.

We looked at recruitment files for the most recently appointed staff members to check that effective recruitment procedures had been completed. We found that appropriate checks had been made to ensure that they were suitable to work with vulnerable adults.

We found that there were sufficient staff deployed to meet the needs of the people living in the home. The registered manager told us they did not use agency staff and covered sickness and holidays from the existing staff team.

The provider had their own induction training programme which was designed to ensure that any new staff members had the skills they needed to do their jobs effectively and competently. This resulted in staff having the skills and knowledge to carry out their jobs well and provide safe and effective care.

We asked staff members about training and they all confirmed that they received regular training throughout the year and that this was up to date and provided them with knowledge and skills to do their jobs effectively.

There was a flexible menu in place which provided a good variety of food to people using the service. People living there told us that the food was good and their preferences were accommodated.

The service had a range of policies and procedures which helped staff refer to good practice and included guidance on the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. This meant that staff were able to help and support people who had difficulty in making decisions and ensured that plans were put in place in the person’s best interests. We

The inspection was unannounced and took place on 09 December 2015.

This service was last inspected on 11 October 2013 where it was found to be compliant in all the areas we looked at.

Inglewood Residential Care Home is a three-storey Victorian building located in Disley near Manchester. The home provides care and accommodation for up to twenty two people. The building is situated in its own grounds and has a purpose built extension with a conservatory. Accommodated is situated on the lower ground floor, ground floor and first floor. Most of the rooms have an en-suite toilet and sink and there are two bathrooms with shower and bath. Access between floors is via a passenger lift or staircase. On the day of our inspection there were 19 people living in the home.

Inglewood had a Registered Manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At this inspection we identified breaches of the relevant regulations in respect of the need for good governance, the need for consent and notifications. You can see what action we told the provider to take at the back of the full version of the report.

Whilst we found that people were provided with care that was person centred, sensitive and compassionate, records of care were not been kept consistently and effectively so changes or increased risks to people’s care were not clearly identified.

Although the people living in the service we spoke to told us they felt safe and the provider had a safeguarding policy, we found that staff could not sufficiently describe the possible abuse and were not clear on the correct procedures to protect vulnerable people from abuse and neglect.

We found management were conducting very few audits of the systems and processes which meant that they are not learning from past events, or taking effective corrective action to improve the service.

We asked staff members about training and they all confirmed that they received regular training throughout the year and that it was up to date. We found a number of gaps where training had not been updated that needed to be addressed.

The provider had a range of policies and procedures which included guidance on the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards, however staff and management were not clear on the processes to be followed when someone lacked mental capacity.

The provider was not submitting the required notifications to the CQC as required by the regulations.

We found that the staff team were very caring and knew the residents very well. We saw care being carried out in a dignified and respectful manner.

We looked at two care records and noted there were procedures in place to ensure people’s consent was gained in relation to the care provided. Two people spoken with told us their needs had been discussed and they had agreed to the support being provided.

We found that the care records identified the needs of people in relation to the care and support they required to maintain their health and wellbeing. Two people spoken with indicated that the staff provided sensitive and flexible care and support and they were well cared for.

People spoken with told us they had no concerns about the care being provided and they felt safe and protected by the staff from potential harm.

We observed staff administering medicines and saw that these were administered safely.

We looked at two staff records and noted they had been provided with training relevant to their role. Two people spoken with said, “The staff do a very good job” and “They know what they are doing and are very kind”.

We found there were adequate systems in place to regularly assess and monitor the

quality of the service people received at the home.

People told us what it was like to live in Inglewood. They told us they were very happy with the care and support they received and comments included, “The staff are very good, very obliging and very polite" and “You couldn’t wish for better support.”

We spoke with six relatives of different people living in the home. All stated they were very pleased with the care and support their relative was receiving in the home. Comments included, “The home is perfect, my mother has a lovely room, peaceful and quiet and she still lives local.”

“The staff are excellent, they cannot do enough for both residents and visitors and there are always enough staff around to help people.”

“There is not a single issue that we have a concern about; we know mum is being looked after 24 hours a day in the best place possible.”

“The staff are very patient and considerate towards the residents.”

“Some staff are exceedingly good. I have watched how they deal with people who may be a little difficult at times. They respect the persons dignity and do whatever they can to support the person in the best way possible.”

On completion of this compliance review we found that people were well cared for and that the provider was meeting the regulations we looked at, with the exception of the regulation which concerned management of medicines where there were minor issues. We have asked that the provider take action to ensure that the management of medicines is improved.

We spoke with twelve of the people who lived at Inglewood and a visiting relative. Those people that were able to say spoke positively about the home and the people who were working there. Comments included; “The staff are very kind”, “I am being well looked after”, “The staff are good and they look after me well”.

The visiting family member we spoke to said; “The home is well run and the staff members are very friendly, I am always made to feel welcome”.

Before we visited the home we spoke with Cheshire East contracts monitoring officers. They told us that they did not have any concerns about the home.