Ladywood

Updated 26 May 2023

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 completed by 2 inspectors.

Service and service type

Ladywood 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. Ladywood is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. An interim manager was overseeing the service whilst a new manager was being recruited.

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 and sought feedback from the local authority. 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

We spoke to 5 relatives and 9 staff members, including the area manager, clinical lead, nurse and activities co-ordinator. We reviewed 4 people’s care records which included care plans, risk assessments and medicine records. We looked at 3 staff files in relation to recruitment. A variety of records relating to the management of the service were reviewed including policies and procedures.

Updated 26 May 2023

About 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.