CQC report explained · a nursing home
What the CQC found at Ladyville Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People felt safe and inspectors found enough staff, safe medicines management, suitable risk assessments and infection control procedures. Some windows could not be closed securely, some rooms were unlocked and maintenance work was still outstanding.
- Effective?
- Good
- People's needs were assessed before they moved in. Staff were trained, people received suitable food and drink, health professionals were involved and the home followed the Mental Capacity Act principles.
- Caring?
- Good
- Staff were kind and respectful. Inspectors saw staff spending time with people, supporting their independence and respecting privacy, equality and personal choices.
- Responsive?
- Good
- Care plans were personalised and included people's histories, preferences and communication needs. Activities and family contact were supported, but no activity was planned on the inspection day and some people had little to do.
- Well-led?
- Good
- The management team used audits and an action plan to monitor quality and address shortfalls. People, relatives and staff were involved and inspectors found an open and supportive culture.
What inspectors found, July 2022
Ladyville Lodge is rated Good; inspectors found kind, safe care, but some building repairs and activities still needed attention.
Inspectors made an unannounced visit on 18 May 2022. They spoke with people living at the home, relatives and staff. They observed care and checked care plans, staff files, medicines, infection control and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe. Inspectors found enough staff, safe medicines practices, suitable risk assessments, kind staff and personalised care.
There were some areas to improve. Parts of the building needed repairs, including windows and doors. A sluice room was found unlocked, some recruitment records were incomplete and there was no planned activity on the inspection day. The provider had identified these issues and had plans or actions under way.
Kind and respectful staff
People and relatives described staff as caring. Inspectors observed staff speaking kindly, spending time with people and supporting their independence.
“We observed staff speaking kindly to people.” from the report
Personalised care
Care plans contained detailed information about people's backgrounds, preferences, routines and communication needs. Staff used this information to provide individual support.
“Care plans provided detailed information about people's personal history, preferences for their care needs, likes and dislikes, interests and communication abilities.” from the report
Safe medicines and health support
People received medicines as prescribed, and staff were trained and checked as competent. The home worked with health professionals and monitored areas such as wounds, weight and pressure sore risks.
“We reviewed MARs and saw that people received their medicines as prescribed.” from the report
Family involvement
People and relatives were involved in care decisions and could give feedback. Relatives were also invited to monthly online meetings with the registered manager.
“Relatives also met with the registered manager monthly in virtual online meetings to listen to updates and air their views.” from the report
Quality monitoring
The management team carried out audits and kept an action plan for improvements. Inspectors found the provider was meeting regulatory requirements.
“Quality assurance systems were in place to monitor the safety of the home.” from the report
Outstanding repairs
needs fixingSome windows had missing handles and could not be closed securely. Repairs and improvements to parts of the building were still in progress, although the provider had an action plan.
“Some windows had handles missing which meant they could not be closed securely.” from the report
Unlocked sluice room
needs fixingA room that could contain harmful chemicals or waste was found unlocked. The manager said a reminder notice had been put on the door after the inspection.
“The door to the sluice room, which can contain harmful chemicals or waste, was not locked.” from the report
Limited activities on the inspection day
needs fixingNo activities were planned on the day inspectors visited because activities staff did not work every day. Some people therefore had little to do, although the home planned to recruit a full-time activities coordinator.
“This meant some people did not have much to do.” from the report
Incomplete recruitment records
minorSome staff files did not include proof of address or previous employment history. The manager had identified this through audits and was reorganising the records.
“However, some staff recruitment files were incomplete.” from the report
Medicine storage records
minorThe temperature of the medicine room was not recorded regularly. The manager said a recording chart had been put in place after the inspection.
“The temperature of the room was not recorded regularly to ensure medicines were stored within the recommended range to retain their effectiveness.” from the report
- 01Which window, door and outdoor area repairs from the action plan have now been completed?
- 02How do you make sure the sluice room and other rooms containing harmful chemicals or waste remain locked?
- 03How often are activities now provided, and what happens on days when the activities coordinator is not working?
- 04Have all staff recruitment files been completed, including proof of address and previous employment history?
- 05How often is the medicine room temperature checked and recorded?
This was an unannounced inspection covering all five key questions, including infection prevention and control; it was the first inspection of the service under the new provider. This explanation was written from the published report of 15 July 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.
Every inspection of Ladyville Lodge
4 rated inspections over 7 years: the service has held its Good rating throughout.
- July 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2017Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2015Inspected but not ratedResponsive: Good
- February 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- March 2020
Registered with the Care Quality Commission on 3 March 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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Havering
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,230 a week. 81 can care for a couple. 11 years' experience on average.
“Sidonia is a first class live-in carer whose dedication and thoughtfulness made her stay a happy experience.”
“Always on time and with a lovely smile for my mum. Theresa is kind and sensitive to my mum's needs.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.