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CQC report explained · a residential care home

What the CQC found at Ladyfield House

Requires improvementpublished 1 April 2025, 18 months ago

Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.

The latest report, explained

What inspectors found, May 2022

Ladyfield House rated Good; inspectors found safe, kind and person-centred care, with some records and dementia support still being improved.

This was an unannounced first inspection since the current provider registered the home. Inspectors spoke with staff, residents and relatives, observed care, and checked care records, medicines, recruitment files and management systems.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that risks were managed, medicines were given as prescribed, staff were trained, and people were treated with kindness, dignity and respect.

There were some areas still being developed. Minor infection control issues were dealt with quickly. Care plans were being moved to electronic records, menus for people living with dementia were being improved, and end of life plans needed more detail.

What inspectors praised
  • Kind and respectful care

    Inspectors saw staff treating people with kindness and respecting their privacy and dignity. People and relatives spoke positively about the care.

    “During our inspection we spent time observing staff interacting with people and found they were kind, caring and compassionate.” from the report
  • Medicines managed safely

    People received their medicines as prescribed. The records checked reflected what had been given, and relatives were confident medicines were safe.

    “People received their medicines as prescribed, by staff who were trained and competent to do so.” from the report
  • Risks were assessed

    The home had assessments for risks including falls, moving and handling, and choking. Staff knew how to follow these plans.

    “Risks associated with people's care had been identified and were managed appropriately.” from the report
  • Activities and choice

    People were offered choices about their care and daily lives. Inspectors saw an interactive musical session that people enjoyed.

    “This was very interactive, and people were involved and enjoying the session.” from the report
  • Open management

    People and relatives said managers were approachable. The home used feedback, audits and partnership working to improve care.

    “People and relatives, we spoke with were confident they could speak with the management team and found them approachable and supportive.” from the report
What inspectors were concerned about
  • Minor infection control issues

    minor

    Inspectors found minor infection control issues during their tour. The registered manager addressed them quickly.

    “During our tour of the home we identified some minor issues with infection control.” from the report
  • Care records being transferred

    needs fixing

    Care plans were being moved from paper to electronic records. Inspectors said further work was needed to make sure all information had been transferred and was current.

    “Care plans were in the process of transition from paper based to electronic records and further work was required to ensure all information had been transferred and was current.” from the report
  • Dementia-friendly menus

    needs fixing

    Menus were not available in a format suited to people living with dementia. The manager said pictorial menus were being introduced.

    “However, menus were not available in a format to suit people living with dementia.” from the report
  • End of life information

    needs fixing

    Care plans included some end of life information, but inspectors said it could be more detailed. The home was working with the local hospice to improve this.

    “People's care plans included some information regarding end of life care; however, these could be more detailed.” from the report
Questions to ask them, based on this report
  1. 01Have all care plans now been moved to electronic records, and how do you check that they reflect each person's current needs?
  2. 02What pictorial or other dementia-friendly menus are now available?
  3. 03What changes were made after the minor infection control issues found during the inspection?
  4. 04How are people's wishes and preferences for end of life care recorded and kept up to date?
  5. 05How do you use accidents, incidents, complaints and feedback to make changes to care?

This was an unannounced first inspection of the current provider, covering all five CQC questions and infection prevention and control under Safe; the previous provider's rating was Good in 2018. This explanation was written from the published report of 18 May 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Ladyfield House

5 rated inspections over 7 years: the service has held its Good rating throughout.

  1. May 2022Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Ladyfield House →

  2. September 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. August 2017Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
  4. December 2016Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
  5. February 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  6. February 2020

    Registered with the Care Quality Commission on 4 February 2020.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

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