Archived: Ladycross House Care Home

Updated 24 November 2020

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.

This inspection took place on 2 November 2020 and was announced.

Updated 24 November 2020

About the service

Ladycross is a care home that provides personal care for up to 35 people. Accommodation is provided in four separate areas on one level. Each area contains a self-contained living space with bedrooms, bathing facilities, a communal lounge, dining area and kitchenette. One of these units is used for ‘intermediate’ care. This is support for people being discharged from an acute setting such as a hospital prior to returning home and reduce the likelihood of a hospital re-admission. At the time of the inspection five people were using this facility. The other three areas of the home were in use and there were 17 people using the service.

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

Since our last inspection staff had made some improvements to the governance system, however, this was still not fully implemented or embedded to provide learning and fully reveal shortfalls. Further action was needed to improve the providers’ monitoring, consistency in the leadership and quality of care and support.

People felt safe living at Ladycross House Care Home. The risks to people had been assessed, and where appropriate some relatives had been involved in compiling and reviewing care plans. Staff had a detailed knowledge about the range of people’s needs.

People were supported with their medicines in a safe way. People accessed healthcare services when they needed them, and they were supported to eat and drink enough to remain healthy. Specialist medical appointments were arranged where needed.

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.

People were involved in making decisions about their care and support and their consent about the care and services offered was obtained. People were supported by a staff team who were kind and caring and treated them in a considerate and respectful manner.

Recruitment checks had been carried out to ensure staff were suitable to work at the service. Training relevant to people’s support needs had been undertaken by staff. The staff team felt involved in the running of the home and were supported by the registered manager and management team.

People’s views of the service were sought through meetings, surveys and informal chats. Questionnaires were being sent to people’s relatives to include them in the process. A complaints procedure was in place and people knew what to do if they had a concern of any kind.

The registered manager understood their roles and responsibilities as a registered person. They worked in partnership with other agencies to ensure people received care and support that was consistent with their assessed needs.

More information can be found in the detailed findings below.

Rating at last inspection

The last rating for this service was Requires Improvement. The last report was published April 2019.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.