Landermeads Care Home

Updated 10 March 2020

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 Care Act 2014.

Inspection team

The inspection team comprised of one inspector, one assistant inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Landermeads Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. 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. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

During the inspection

We spoke with 18 people who used the service and three relatives about their experience of the care provided. We spoke with fifteen members of staff including the nominated individual, registered manager, nursing staff, trainee nurse associates, home makers, support leads, support workers, and the cleaning manger. We observed people in all five home areas and observed meal times and activities.

We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at a variety of information the nominated individual provided for us.

Updated 10 March 2020

About the service

Landermeads Nursing Home is registered to provide accommodation for people who require nursing or personal care. The home can support up to 86 people across five interconnected houses, each of which has separate adapted facilities. The home specialises in providing care to people living with different stages of dementia, and people are matched to a house depending on the level of their dementia. One of the houses specialises in providing care to people living with a physical, neurological or learning disability.

People’s experience of using the service and what we found.

The registered manager and all staff were totally committed to providing high-quality, person- centred care. The vision and values of delivering emotionally led care was at the heart of the service and staff were committed and compassionate, in striving to deliver excellent care. Staff were passionate to ensure people achieved the best outcomes they could.

People were treated with exceptional care and kindness, people were respected and treated as equals and part of a family. End of life care was excellent.

The service had a homely atmosphere and the environment was stimulating. People’s interest’s and hobbies were incorporated into the design of the home and gardens in innovative ways.

Staff recruitment was safe, and staff were recruited in a way to ensure they shared the values of the service. Staffing levels were high, so people’s needs were quickly attended to. Staff were very proud to work at the service and received excellent training around people’s specific needs.

The service was exceptionally well-led. The registered manager demonstrated how their links with external professionals and community organisations had sustained continual development and improvement for people living at the service. There was a comprehensive governance structure in place to continuously monitor the quality of the service.

People told us they were very happy at the service and felt safely cared for. Staff received training and knew how to identify abuse and protect people from harm.

There was comprehensive care planning for people’s holistic health needs, and people’s nutritional needs were very well managed.

The management team worked with external agencies to ensure the quality of the service was monitored and continuous improvement was embedded, through research projects and best practice guidance.

People using the service received planned and co-ordinated person-centred support that was appropriate and inclusive for them.

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.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. Accommodation and the environment was specifically adapted for people with learning disabilities. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Rating at last inspection

The last rating for this service was Outstanding (Published 15 December 2016)

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk