The Care Quality Commission

Archived: Landmere Nursing Home

Ruddington Lane, Wilford, Nottingham, Nottinghamshire, NG11 7DD (0115) 945 5940

Provided and run by:
Life Style Care (2011) plc

Important: The provider of this service changed. See old profile

All Inspections

19 June 2013

During an inspection looking at part of the service

There were seven people living in the home when we visited with a pharmacist inspector from the Care Quality Commission. We found that appropriate arrangements were not being undertaken in order to manage the risks associated with the unsafe use and management of medicines. We also found that proper steps were not being taken to identify and manage risks in a way that would ensure people were safe.

20 May 2013

During a routine inspection

The provider informed us of their decision to close the home. The people using the service and their relatives had also been informed. A relative and some staff told us there had been improvements at the home in recent weeks however others commented that it was the right decision to close.

We found there further improvements were needed to make sure people were safe and protected from risks to their health. We found further serious concerns with the organisation and delivery of certain aspects of care and we brought these to the attention of the manager and informed other stakeholders.

27 March and 24 April 2013

During an inspection looking at part of the service

We found serious concerns with the organisation and delivery of care at the home at our first visit. We brought these to the attention of the manager and informed other stakeholders. The provider produced an action plan to improve the service within one month. We visited again at the end of this period to check whether Landmere Nursing Home had taken action to safeguard people who used the service.

We found that some improvements had been made however we were still not assured that these were effective to safeguard people who used the service and meet essential standards.

20 December 2012

During an inspection looking at part of the service

We spoke with four people who were using the service who told us, 'Most of the staff are nice and they treat me well.' Another person said, 'They're pretty good here, they're kind and helpful.' We observed the care and support people were receiving during the breakfast period in two dining rooms. We saw that one person required support to be able to eat their breakfast and did not receive a consistent level of support.

On several occasions during our inspection we heard staff label people by making reference to their level of dependency. For example people were referred to as 'walkers' and 'feeders'.

We spoke with two relatives of people using the service who told us they were kept informed of any updates by staff, 'They let me know what's happening, for example if my relative has had a fall.' Assessments of risk were being carried out to ascertain the level of risk to people from various factors. However this did not always lead to the appropriate care being provided.

There was limited guidance available to staff in how they could prevent challenging behaviours from occurring or deal with them when they happened. We saw that the home had an appropriate amount of staff available on the day of our inspection.

15 May 2012

During a routine inspection

People living at the service were involved in some decisions about their care. One person said: 'I can tell the staff about how I want to be looked after, such as the time I wish to go to bed.' All people we spoke with told us that the staff were very respectful and spoke with them in a dignified manner. One relative told us: 'The staff speak nicely to people.' Another person told us that there is a range of activities to get involved in including playing 'catch ball' in the garden.

One person told us: 'The staff are very good, they are just like friends.' Another person told us: 'The staff are nice and kind.' People told us that they were happy with the quality of food and that they received drinks and snacks throughout the day. With regard to staff keeping relatives informed of people's needs we received mixed views. One relative told us that staff always keep them informed another relative told us that they were not always kept informed and updated by staff.

We spoke with people living at the service about how safe and supported they felt. All of the people told us that they were safe and staff protected them. One person told us: 'I feel safe here.' One person we spoke with told us that they did not always go to bed at their preferred time because there was a lack of staff. The told us: 'If there was one more it would help.' A relative we spoke with said they had serious concerns about the lack of staff. They told us that people are often left unattended for long periods of time in corridors and lounges and have to wait to be transferred from their wheel chair to more comfortable chairs. One person told us: 'The staff seem to be trained ok.'