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CQC report explained · a residential care home

What the CQC found at Landau Lodge

Goodpublished 12 March 2020, 6 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, safe recruitment checks, appropriate risk management and safe medicines arrangements. Staff understood safeguarding procedures and accidents and incidents were reviewed.
Effective?
Good
Staff had induction, training, supervision and appraisals. People's needs were assessed and reviewed, and staff worked with health professionals to support people's health.
Caring?
Good
People were treated with kindness, dignity and respect. Staff understood people's personalities, communication, likes and dislikes, and supported people to remain independent.
Responsive?
Good
Care was personalised and people took part in activities, community outings and holidays suited to their interests. Communication needs were identified and information was adapted so people could understand it.
Well-led?
Good
Inspectors found the home open, organised and well-run. Managers involved people, relatives and staff, and used feedback to make improvements.
The latest report, explained

What inspectors found, March 2020

Landau Lodge is rated Good; inspectors found safe, kind and personalised care with effective management.

This was an unannounced planned inspection on 10 February 2020. One inspector spoke with people, staff, the manager and relatives. They reviewed care records, medicines records, recruitment checks, training information, policies and complaints.

The home supported nine people with learning disabilities and/or autism. Inspectors found that care was tailored to people's needs and preferences. People were supported with communication, activities, health care, medicines, independence and making choices.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means inspectors found people's needs were being met and the home was consistently managed. The previous overall rating was also Good, published on 24 July 2017.

What inspectors praised
  • Personalised care

    Care was planned around each person's needs, preferences and interests. People and relatives were involved in developing and reviewing care plans.

    “Care and support was tailored to each person's needs and preferences.” from the report
  • Safe medicines

    Inspectors found that medicines were received, stored, given and returned safely. People received them when they should.

    “People received their medicines safely and on time and their health was well managed.” from the report
  • Choice and independence

    Staff supported people to make choices and take positive risks. They encouraged people to do tasks for themselves, including personal care and household tasks.

    “People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible.” from the report
  • Activities and communication

    People took part in community activities and staff supported their individual communication needs. Some staff had training in Makaton.

    “People regularly engaged in local community activities including swimming, football matches, local parks and cafes or restaurants.” from the report
  • Open management

    Inspectors found the home organised and well-run. Staff and relatives said the management team was approachable and listened to feedback.

    “The service was organised and well-run and the registered manager understood their legal responsibilities to ensure regulations were being met.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you assess and review my relative's individual communication needs, and which staff are trained to support them?
  2. 02How will you make sure my relative receives medicines safely and on time, including any medicines prescribed for use when required?
  3. 03What activities and community opportunities would match my relative's interests, and how would these change if they were not suitable?
  4. 04How do you make sure there are enough suitably trained staff if recruitment is still taking place?
  5. 05How would my relative and our family be involved in reviewing their care plan and making decisions?

This was an unannounced planned inspection covering all five CQC questions, including the premises and the care provided. This explanation was written from the published report of 12 March 2020 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.

An earlier report, explained

What inspectors found, July 2017

Rated Good; inspectors found safe, kind and personalised care, with all five areas rated Good.

The announced inspection took place on 7 June 2017. The inspector reviewed care plans, medicines, staffing, recruitment, training, maintenance and management records. They also observed care, spoke with people, the manager and staff, and contacted health and social care professionals.

The home supported nine adults with learning disabilities. Inspectors found people felt safe and received kind, respectful and patient support. Staff understood people's complex needs, care plans were personalised, medicines were managed safely and the building was clean and maintained.

People had access to healthcare and were supported to make choices, including helping with shopping and preparing meals. The manager used audits, surveys, staff meetings and house meetings to monitor the service and involve people.

The home was rated Good overall and Good in Safe, Effective, Caring, Responsive and Well-led. It was also rated Good at the previous inspection in October 2014, so this inspection found that the rating remained Good.

What inspectors praised
  • Personalised care

    Care plans included people's goals, needs and preferences. The keyworker system helped staff understand individuals and build trust.

    “Care plans identified care and support people required.” from the report
  • Safe medicines and staffing

    Staff recruitment checks, training and staffing levels were found to be suitable. Inspectors found medicines were given as prescribed and records accounted for them.

    “This meant people had received their medication as prescribed.” from the report
  • Choice and independence

    People could choose when to use the kitchen and were encouraged to help with shopping and preparing meals.

    “Helping with shopping and meals promotes self-confidence and independence.” from the report
  • Management and monitoring

    The manager used audits, surveys, staff meetings and house meetings to monitor the home and gather views.

    “The registered manager had procedures in place to monitor the quality of the service provided.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How do you make sure one-to-one staffing is provided when a person's care plan says it is needed?
  2. 02How are medicines checked and recorded, and how do you deal with any missed or refused medicines?
  3. 03How do you keep care plans and risk assessments up to date when a person's health or behaviour changes?
  4. 04How are people supported to take part in shopping, cooking and other activities that matter to them?
  5. 05How can a person or relative raise a complaint, and how will it be followed up?

This was an announced inspection covering all five questions and the overall rating; the previous inspection in October 2014 had also rated the home Good. This explanation was written from the published report of 22 July 2017 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 Landau Lodge

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

  1. March 2020Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Landau Lodge →

  2. July 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Landau Lodge →

  3. December 2014Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 20 December 2010.

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.

Next steps

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Most charge £1,020 to £1,350 a week. 12 can care for a couple. 8 years' experience on average.

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