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Inspection on 19/10/09 for Ladymead Nursing Home

Also see our care home review for Ladymead Nursing Home for more information

This inspection was carried out on 19th October 2009.

It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Ladymead Nursing Home The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Andrew Pollard Date of this annual service review: 1 4 0 8 2 0 0 9 Annual Service Review Page 1 of 8 Information about the service Address of service: Moormead Road Wroughton Swindon Wiltshire SN4 9BY 01793845063 01793845068 ladymead@fshc.co.uk www.fshc.co.uk Laudcare Ltd (a wholly owned subsidiary of Four Seasons Health Care Ltd) Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category physical disability terminally ill Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 4 4 40 0 4 No more than 4 service users with a terminal illness may be accommodated at any one time The minimum staffing levels set out in the Notice of Staffing issued by Wiltshire Health Authority and dated 27 January 2000 must be met at all times Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Ladymead is a purpose-built home in the village of Wroughton, on the outskirts of Swindon. The home provides accommodation on two floors and has single and double rooms, with en-suite facilities. There are lounge and dining areas on both floors and a Annual Service Review Page 2 of 8 None passenger lift is available. The home has a garden, which is level and well maintained. Shops and local amenities are within a short walking or driving distance. The home is registered to accommodate up to 40 older people requiring nursing care, which may include up to four persons requiring nursing care due to terminal illness and four requiring nursing care due to physical disability. Current fees are between #650 & #700 per week. All people are provided with a copy of the service users? guide and a copy is also available in the front entrance hall. The home is part of the Four Seasons Healthcare Group. The registered manager is Mrs. Anne Rouse. Nursing staff are on duty at all times, supported by care assistants. Activity, administrative, domestic, laundry, catering and maintenance services are also available in the home. Annual Service Review Page 3 of 8 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection. This included: The annual quality assurance assessment (AQAA that was sent to us by the service. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys were sent to people using the service and other people with an interest in the service. What the service has told us about things that have happened in the service through notifications. Information we have about how the service has managed any complaints. We review the previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What has this told us about the service? In the last key inspection it was stated that. This home has a manager who is supported by a deputy both of whom are keen to develop and improve service provision. They are both open to introducing new ideas and practice. They have taken action to address all areas identified at the last inspection, to improve outcomes for residents from adequate to good. A team of staff who work effectively together and who aim to provide a resident centred approach to care provision supports them. All staff spoken with knew their residents needs in detail and showed a caring approach. This was particularly noted by residents when they reported on response times when they used their call bells, where unlike many other similar homes, no resident reported that staff were slow in responding when they used their call bell. Relatives also reported that staff were very good at contacting them to report changes in condition or discuss any matters affecting their relative. Residents and their relatives reported on how they appreciated the care given to them by the home. We received the annual quality assurance assessment (AQAA) by the due date. We got good information from the AQAA. It was detailed with clear evidence of how the service has improved since the last key inspection. The manager and staff are able to think of new ways to make sure that their service is able to do the things that matter to the residents and improve their quality of life. The AQAA stated. We have made the following changes as a result of listening to people who use our services. Redecoration of home. Both dining rooms have new flooring. Annual Service Review Page 4 of 8 New bedroom furniture purchased. New shower room fitted. We have more profile beds to meet service users needs. New hot trolley purchased. New weighing scales and hoist scales for weighing service users who are bed bound. Activities for our service users. We are planning to make these further changes as a result of listening to people who use our services. Continue to refurbish and decorate home. Recruit more volunteers. Instalment of 2 new bath suites and another shower room. To continue with ongoing refurbishment of carpets, curtains and furniture. Three surveys were returned by residents and seven by staff at the time this report was completed. All residents said they received the care and support they needed and that staff always listen to them and act on what they say. People liked the food and were clear how to make a complaint if need be. Comments included,Staff are always ready to listen and It is excellent. All staff stated that they had relevant training and received good support from their managers. Six of the seven respondents stated that there were usually enough staff on duty, one person said always. All staff made very positive comments about the quality of the care and the overall standards in the home, including, There is a high quality of care, training and teamwork. This is a very good home I would highly recommend it and I feel lucky to be a member of staff at Ladymead which I consider to be the best care home for older people. The only negative comments related to the need for refurbishment but this is being addressed as evidenced in the AQAA which post dates the survey results. Formal notifications have been made when required about a number of issues all of which were properly managed and resolved. We have not received any complaints or concerns about the home in the last year. In the last key inspection it was stated that. Annual Service Review Page 5 of 8 This home has a manager who is supported by a deputy both of whom are keen to develop and improve service provision. They are both open to introducing new ideas and practice. They have taken action to address all areas identified at the last inspection, to improve outcomes for residents from adequate to good. A team of staff who work effectively together and who aim to provide a resident centred approach to care provision supports them. All staff spoken with knew their residents needs in detail and showed a caring approach. This was particularly noted by residents when they reported on response times when they used their call bells, where unlike many other similar homes, no resident reported that staff were slow in responding when they used their call bell. Relatives also reported that staff were very good at contacting them to report changes in condition or discuss any matters affecting their relative. Residents and their relatives reported on how they appreciated the care given to them by the home. We received the annual quality assurance assessment (AQAA) by the due date. We got good information from the AQAA. It was detailed with clear evidence of how the service has improved since the last key inspection. The manager and staff are able to think of new ways to make sure that their service is able to do the things that matter to the residents and improve their quality of life. The AQAA stated. We have made the following changes as a result of listening to people who use our services. Redecoration of home. Both dining rooms have new flooring. New bedroom furniture purchased. New shower room fitted. We have more profile beds to meet service users needs. New hot trolley purchased. New weighing scales and hoist scales for weighing service users who are bed bound. Activities for our service users. We are planning to make these further changes as a result of listening to people who use our services. Continue to refurbish and decorate home. Recruit more volunteers. Instalment of 2 new bath suites and another shower room. Annual Service Review Page 6 of 8 To continue with ongoing refurbishment of carpets, curtains and furniture. Three surveys were returned by residents and seven by staff at the time this report was completed. All residents said they received the care and support they needed and that staff always listen to them and act on what they say. People liked the food and were clear how to make a complaint if need be. Comments included,Staff are always ready to listen and It is excellent. All staff stated that they had relevant training and received good support from their managers. Six of the seven respondents stated that there were usually enough staff on duty, one person said always. All staff made very positive comments about the quality of the care and the overall standards in the home, including, There is a high quality of care, training and teamwork. This is a very good home I would highly recommend it and I feel lucky to be a member of staff at Ladymead which I consider to be the best care home for older people. The only negative comments related to the need for refurbishment but this is being addressed as evidenced in the AQAA which post dates the survey results. Formal notifications have been made when required about a number of issues all of which were properly managed and resolved. We have not received any complaints or concerns about the home in the last year. What are we going to do as a result of this annual service review? We think the quality of the service has been maintained or improved since the last key inspection. We will do a key inspection by the 24062010 to review our assessment and rating of the home. Annual Service Review Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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