Ladybrook Manor

Ladybrook Manor is a residential care home providing accommodation and personal care to up to 98 people. The service provides support to older people and people living with dementia. At the time of our inspection there were 74 people using the service.

Ladybrook Manor is divided into two separate neighbourhoods, the 'assisted living' neighbourhood and the 'reminiscence' neighbourhood which supports people living with dementia. The purpose-built community is provided over three floors. Some accommodation is provided within studio suites that can be shared by up to 2 people who have chosen to live together. There are a range of shared facilities including living and dining areas and an outside garden.

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

Some shortfalls were identified relating to recording of care provided for people and made a recommendation to review communication plans held for people. The registered manager was responsive in making improvements in this area. An action plan was already in place to improve this.

People received good level of care and support. Ladybrook Manor offered a welcoming environment as you entered the building, which continued as you moved throughout the service.

People overall told us they felt well supported by staff who they described as caring and friendly.

Relatives informed us their loved ones were safe living at the service, confident that their needs would be met, and any queries would be acted on by staff and the management team.

People and relatives overall felt listened to and any feedback would be acted by the registered manager and staff team.

Safe recruitment processes were followed. Staff received training appropriate to their role.

Systems were in place to manage and mitigate risk and support people's health and well-being. Medicines were managed safely.

The service was well-led. The registered manager was passionate about their role and making continued improvements of the service. They were open and proactive to any queries we raised during the inspection.

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.

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 10 December 2021, and this is the first inspection. The last rating for the service under the previous provider was good (published 04 June 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.

Recommendations

We recommend the registered manager reviewed communication plans for people and consider best practice.

Follow up

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

The service, which is known as a 'community', is divided into two separate neighbourhoods, the 'assisted living' neighbourhood and the 'reminiscence' neighbourhood. The assisted living neighbourhood provides nursing and residential care for up to 72 older people. The reminiscence neighbourhood provides residential care and support for up to 26 older people living with dementia.

The purpose built community is located in Bramhall Stockport. Accommodation is provided over three floors and some accommodation provides single studio suites that can be shared by up to two people. At the time of our inspection the studio suites were all single occupancy.

Reminiscence rooms have a similar layout to those in assisted living and are situated on the ground floor. All bedrooms are single rooms with en-suite facilities and extensive car parking adjoins the building.

The home has recently come under the management of Care UK Community Partnerships Ltd and changed its name to Ladybrook Manor, it was previously known as Sunrise of Bramhall.

At the time of our inspection 67 people lived in the home.

We found the following examples of good practice.

All areas of the home were visibly clean, tidy and odour free. There was signage throughout the building informing staff, residents and visitors of requirements in relation to COVID-19, how to wear personal protective equipment and maintain social distancing.

We saw staff used appropriate personal protective equipment correctly. In the reminiscence neighbourhood staff wore visors, this is above the requirements of government guidance. This was because some residents living with dementia may leave their rooms when isolating due to a positive COVID-19 test. The home had ensured additional staff were on duty in this neighbourhood to support residents to close doors, remain in their room and to carry out one to one activities with residents.

Following an outbreak of COVID-19 the manager conducted a root cause analysis investigation to find the reasons for the outbreak and take appropriate action. The quality manager from the management group visited the home weekly to conduct quality control visits and provide additional support.