- Care home
Ingleby Care Home
We issued a warning notice on T.L. Care Limited on 05/12/2024 for Oversight and management of the service was not always effective. Medicines were not always recorded or managed effectively at Ingleby care home.
Report from 28 August 2024 assessment
Contents
Ratings
Our view of the service
Ingleby Care Home is a care home providing accommodation and personal care for up to 56 older people, some of whom may be living with a dementia. At the time of the assessment 34 people were resident at the home. Dates of assessment 17 September 2024 to 09 October 2024. The assessment was undertaken in response to risks relating to care and treatment, medicines management, staffing and leadership. The service has been rated requires improvement following this assessment. We found 4 breaches of regulation relating to the safe management of medicines, governance and oversight, person-centred care and processes in relation to the Duty of Candour and notifiable safety incidents. In instances where CQC have decided to take civil or criminal enforcement action, we will publish this information on our website after any representations and/or appeals have been concluded. We have asked the provider for an action plan in response to the concerns found at this assessment. The care home was registered to support people with a learning disability and autistic people. We have not assessed the service against ‘Right Support, right care, right culture’ guidance to make judgement about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. It was confirmed that staff were not supporting anyone whose primary need was associated with a learning disability or autism. There was no registered manager in post and there was a history of inconsistent leadership during 2024. The provider had failed to ensure effective governance and oversight. Medicines were not managed safely. Notifiable incidents were not managed in line with regulations. Quality assurance mechanisms and audits had not been effective in driving improvements. Staff treated people kindly and with respect however care records were not person-centred.
People's experience of this service
People were happy with the care and support they received from staff who were caring. People said they felt safe however we found the care and support provided was inconsistent and did not always meet the expected standards. There were mixed views about involvement in care planning and it was acknowledged by the leadership team that this process needed to improve. Although there were enough staff, people had mixed views and it was noted that some people, whose needs were more complex, did not receive the same level of meaningful engagement and interaction as other people. Staff appeared to know people well and were compassionate with people however shortfalls in care records, and leadership impacted on the delivery of person-centred care.