This was an unannounced inspection that took place on 31 October 2018. We previously inspected this service in March 2016 and rated the service good. At this inspection we found the evidence continued to support the rating of good. There was no evidence or information from our inspection and ongoing 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.

Inglewood residential care home provides care for up to 24 people, some of whom were living with dementia. There were 23 people living there at the time of our inspection. Inglewood residential care home is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The home 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.

The staff team were aware of their responsibilities under the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The staff team understood how to protect adults from situations in which they would be vulnerable to harm and abuse. Staff had received suitable training and talked to us about how they would identify any issues and how they would report them appropriately. Risk assessments and risk management plans supported people well. Arrangements were in place to ensure that new members of staff had been suitably checked before commencing employment. All new staff completed an induction.

Any accidents or incidents had been reported to the Care Quality Commission as necessary and suitable action taken to lessen the risk of further issues. Risk assessments and care plans provided guidance for staff in the home. Where possible, people in the service were involved in writing care plans. The management team had ensured the plans reflected the person-centred care that was being delivered.

Medicines were appropriately managed in the service with people having reviews of their medicines on a regular basis. People in the home saw their GP and health specialists whenever necessary and were supported to attend hospital appointments.

We saw that an assessment of needs was in place. People were happy with the food provided. The home itself was clean and comfortable on the day we visited. Suitable equipment was in place to support people with their mobility.

Complaints and concerns were suitably investigated and dealt with and good records management was in place in the service. There was also a quality monitoring system in place which was used to support future planning. People were able to access a variety of activities to help them have a structured and meaningful day.

The inspection took place on 7 March 2016 and was unannounced.

Inglewood Residential Care Home Limited (Inglewood) is a privately owned, family run home. The home is registered to provide accommodation and personal care for up to 26 older adults.

The home is situated in a residential area to the west of Carlisle city centre. Inglewood is set in its own grounds, with garden areas and a car park.

Accommodation is provided in single bedrooms, most of which have en-suite facilities. There are communal facilities available, including dining and lounge areas, bathrooms, shower rooms and toilets.

There is a registered manager in post at the service. 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.

One of the people that lived at Inglewood told us; “I can ask staff for anything I need. I am treated nicely by the girls (staff). We have a bit of banter, which I like, the staff are never rude to me, I’m treated very nicely thank you.”

People said; that the staff were “very good” and that they were “very happy” with the service. One person told us; “The staff are very good. They know what they are doing and I always feel safe when they are helping me.”

One visitor to the home told us; “The staff are very good here. I have never seen or heard anything untoward and my relative has been here over seven years.” Another commented; “My relative is looked after very, very well. Placing my relative in a home was a difficult decision to make. The staff were lovely and the manager helped me with the decision making. It has worked out very well and we are both very pleased and very satisfied with the service provided.”

We spoke to the community nurse who was visiting the home at the time of our inspection. The nurse told us that the people who used this service “Always appeared well cared for and happy.” The nurse also said that staff “always follow any instructions we leave” and that any referrals to the nurses were “appropriate and timely”.

There were some minor omissions in falls risk assessment records and staff recruitment checks. However, risk assessments had been completed and prospective staff had undergone the more important checks prior to their employment. Records relating to people’s care and treatment were stored securely and generally provided an up to date account of care and support needs. We saw that people had received reviews of their care needs but dates of reviews were not consistently recorded. We discussed these matters with the registered manager at the time of our inspection.

We looked at the way in which the service protected the rights of people who may lack the capacity to make particular decisions. The senior staff that we spoke to could give us an overview of the process and they told us that they had received some training on the subject. However, there were no formal procedures in place to help ensure staff acted within the law.

Staff at the home had been provided with training to keep their skills and knowledge up to date. They also met regularly with the senior staff to enable them to discuss their work and further training needs.

We found that the home was clean, tidy and fresh smelling. The people we spoke to during our visit told us that the home was “always lovely and clean” and “there are never any unpleasant smells.” Staff understood their roles with regards to infection control and prevention. Although people had their own personal bedrooms at Inglewood, there was a variety of communal areas for people to spend their time in if they wish. For example; comfortable lounges, garden room, garden areas and specially adapted bathrooms and shower rooms.

People were well supported with their nutritional and hydration ne