Ings House Nursing Home

Updated 20 June 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This was a comprehensive inspection. This inspection took place on 11 May 2018 and was unannounced. The inspection team consisted of two adult social care inspectors and one expert-by-experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before our inspection visit we reviewed the service's inspection history, current registration status and other notifications the registered person is required to tell us about. Notifications are when registered providers send us information about certain changes, events or incidents that occur within the service. We contacted commissioners of the service, safeguarding and Healthwatch to find whether they held any information about the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. This information was used to assist the planning of our inspection and inform our judgements about the service.

We used a number of different methods to help us understand the experiences of people who lived in the home. We spoke to four people and five relatives of people who lived at the home. We spoke with the registered provider, the registered manager, one nurse, two staff members and the cook. We reviewed three staff files, three people's support records and a variety of documents which related to the management and governance of the home. We also spoke to a visiting health care professional. We looked around the building and saw the kitchen, people's bedrooms and the communal areas.

Updated 20 June 2018

Ings House Nursing Home is a registered nursing home in a quiet residential area of Liversedge. It provides accommodation, personal and/or nursing care for up to 32 people. The home was built in the early 1800s and has been extensively renovated and refurbished. Accommodation is provided over two floors, which can be accessed using a passenger lift or a stair lift. On the day of inspection there were 27 people living at the home.

At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

The manager and staff understood how to keep people safe. There were clear policies and procedures to follow for staff to raise concerns and staff were aware of these.

Risk assessments were in place for aspects of people’s care and support and these were updated regularly to protect people from harm. People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

Staff were trained to give medicines safely, all training was monitored, competencies were checked and staff received regular support from the manager through supervision and appraisals.

People had a choice of what to eat and where they ate their meals. People were supported to eat when appropriate and their nutritional intake was monitored. People were regularly weighed to make sure they were healthy. We observed staff were caring and told people what they were doing at all times, we observed that people were treated with dignity and respect. We saw in people’s care plans what is important to them and how these needs were met. People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

Some mental capacity assessments were in place. We have made a recommendation about decision specific capacity assessments for consent to care and support.

The manager was visible and spent time each week working alongside the staff. Meetings with staff were inclusive with staff describing the manager as approachable. Systems and processes for ensuring the quality of the service were securely and effectively in place.

Further information is in the detailed findings below.