19 April 2023
During an inspection looking at part of the service
Ladywood is a residential care home providing personal and nursing care for up to 38 people. The service provides support to older people and people living with a dementia. At the time of our inspection there were 21 people using the service. The home provides care over 2 floors with a range of communal spaces for dining, activities and relaxation.
People’s experience of using this service and what we found
There was no registered manager in the home. Management support was provided by interim management. The culture of the service did not always promote positive person-centred care. Quality assurance systems and checks were in place to monitor the service, however, did not always identify shortfalls in processes.
Mealtime experience was not always positive for people and people did not always receive appropriate support. People were not always supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.
The home was pleasantly decorated and areas of the service was undergoing some renovation, however there was a lack of signage to help people orientate around the home.
People were protected from the risk of abuse. Staff received safeguarding training and understood the procedures of how to raise a concern.
People’s needs were assessed and risk assessments were completed to guide staff to support people safely. There was enough staff to meet people’s needs. Staff were recruited safely and appropriate pre-employment checks were completed prior to employment. People received their prescribed medicines safely and correct infection and prevention control measures were followed. Accidents and incidents were recorded and trends identified to prevent risk of reoccurrence.
Staff felt management were supportive and approachable. Staff received regular training and supervision to support them in their role. The service had good networks with external healthcare professional, which gave people access to a range of healthcare services.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 04 March 2019).
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.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.