Archived: Ladybrook Manor

Updated 2 June 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

This inspection was undertaken by 2 inspectors.

Service and service type

Ladybrook Manor 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. Ladybrook Manor is a care home without 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 a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. 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. We used all this information to plan our inspection.

During the inspection

We spoke with 8 people who used the service and 8 relatives about their experience of the care provided. We observed interactions between staff and people living at Ladybrook Manor. We spoke with 13 members of staff in various roles. We reviewed 7 people's care records and other records relating to people's care and support. We looked at 10 staff files in relation to recruitment. A variety of records relating to the management of the service was reviewed, including policies and procedures.

Updated 2 June 2023

About the service

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.