Ladyfield House

Updated 18 May 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector and an 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.

Service and service type

Ladyfield House is a ‘care home.’ People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Ladyfield House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

During inspection we spoke with six staff including the manager, members of the management team and care workers. The regional manager also attended to support the inspection and provide information.

We also spent time observing people’s care and interaction with staff in the lounges and dining room areas to help us understand the experience of people living at the home. We asked three people who used the service about their experience of the care provided, and spoke with eleven relatives.

We saw the day to day care records, risk assessments and care plans for three people and multiple medicines records. We looked at personnel and recruitment records for two staff and a range of records in relation to the management of the service.

We requested and reviewed further records in relation to the management of the service, which were provided to us remotely. This included quality and safety systems and processes and quality monitoring.

Updated 18 May 2022

About the service

Ladyfield House is a residential care home providing personal care for up to 50 people. The accommodation is arranged at ground level and has two units, one unit specialising in dementia care. There were 40 people living at the home on the day of our inspection.

People’s experience of using this service and what we found

Risks associated with people's care had been identified and assessments were in place to minimise risks occurring. The home had a process in place to safeguard people from the risk of abuse. Staff were knowledgeable about safeguarding and knew what action to take if they suspected abuse. The provider had a robust recruitment system in place to ensure appropriate staff were employed.

The registered manager could evidence that maintenance checks had been carried out to ensure the building was meeting health and safety requirements. Accidents and incidents were analysed to ensure trends and patterns were identified to minimise future incidents. People's received their medicine as prescribed. During our tour of the home we identified some minor issues with infection control. These were swiftly addressed by the registered manager.

People's needs were assessed, and care and treatment delivered in line with them. Staff felt supported and told us they received training which gave them the knowledge to carry out their role. People were assisted to eat and drink and were offered choice in line with their needs and preferences.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

We spent time observing staff interacting with people who used the service. Staff were kind, caring and thoughtful. We saw staff respected people's privacy and dignity by closing doors where appropriate.

People received person centred care which met their needs and took into consideration their preferences. Care plans were in the process of transition from paper based to electronic records and further work was required to ensure all information had been transferred and was current.

The provider had a complaints procedure and kept a log of concerns received. Concerns were used to develop the service.

The provider had a quality assurance system in place and ensured audits were carried out frequently to identify and actions and resolve them.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 04 February 2020 and this is the first inspection.

The last rating for the service under the previous provider was good, published on 11 September 2018.

Why we inspected

This was the first inspection since the current provider registered with us. Therefore, we needed to inspect the service to obtain a rating.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.