Ladyville Lodge

Updated 15 July 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

Ladyville Lodge is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. 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

The inspection was unannounced.

What we did before the inspection

We reviewed the information we already held about the service. This included the last inspection report and notifications. A notification is information about important events, which the provider is required to tell us about by law. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all of this information to plan our inspection.

During the inspection.

During the inspection, we spoke with the registered manager, the clinical manager, four care staff, two nursing staff, one domestic staff and the chef who managed the kitchen. We carried out observations of people’s care and support and spoke with five people and seven relatives.

We reviewed documents and records that related to people’s care and the management of the service. We reviewed six people's care plans and five staff files. We also reviewed audits, medicine management and infection control procedures. After the inspection we spoke with the nominated individual by telephone. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

Updated 15 July 2022

About the service

Ladyville Lodge is a care home for older people who have nursing or dementia care needs. It is registered to accommodate and support up to 38 people. At the time of the inspection, 31 people were living at the home. The home has two floors with adapted facilities and en-suite rooms.

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

People told us they felt safe in the home. However, the home required some maintenance work, such as repairs to windows, doors and outdoor disposal areas, to ensure it was fully safe. The provider was aware of this and had plans in place for works and renovations to be carried out.

Medicines were managed and administered safely. Risks to people’s health were assessed and managed. There were appropriate numbers of staff and safe recruitment procedures were in place. Infection prevention and control procedures ensured the risk of infections spreading was minimised. Accidents and incidents in the home were reviewed to prevent re-occurrence.

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.

Staff were trained and developed to maintain their skills so people could be supported effectively. People were provided with food and drink they preferred to maintain a balanced diet. The provider worked well with health professionals and other agencies to ensure people’s health and wellbeing were maintained.

Staff were kind and respectful towards people. People’s equality and diversity characteristics were understood. People were supported to keep in touch with family and friends to avoid social isolation. There was an activities programme for people to keep them engaged and staff spent time with people at other times.

People received care and support that was personalised for their needs and preferences. Their communication needs were assessed and met by staff. People and relatives were involved in how the service was managed. Complaints were investigated by the management team.

Quality assurance systems were in place to identify shortfalls and take prompt action to ensure people always received safe care. The registered manager carried out audits to ensure procedures were being followed. The provider was meeting regulatory requirements and notifications of incidents were submitted to us.

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 3 March 2020 and this is the first inspection. The last rating for the service under the previous provider was Good, published on 15 December 2018.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.