CQC report explained · a nursing home
What the CQC found at Landermeads Care Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Outstanding
- People's risks were assessed, managed and regularly reviewed. The home used positive risk-taking to support people's choices while protecting them from avoidable harm.
- Effective?
- Outstanding
- Staff were highly trained, especially in dementia care, and people's health and nutritional needs were carefully assessed. The home worked closely with health professionals and used detailed care plans.
- Caring?
- Outstanding
- Staff treated people with exceptional kindness, dignity and respect. People were encouraged to make choices, take part in daily life and maintain their independence.
- Responsive?
- Outstanding
- Care was tailored to people's individual needs, interests and communication styles. The home provided a wide range of activities, community links and highly skilled end-of-life support.
- Well-led?
- Outstanding
- The management team created a strong person-centred culture and had comprehensive systems to monitor quality. Staff, relatives and health professionals gave very positive feedback.
What inspectors found, March 2020
Landermeads Care Home was rated Outstanding in every area; inspectors found exceptionally safe, kind and personalised care.
Inspectors made an unannounced visit on 18 December 2019. They spoke with 18 people, three relatives and 15 staff. They observed care, meals and activities, and checked care records, medicines records, staff recruitment files and management records.
The home was judged Outstanding for safety, effectiveness, kindness, responsiveness and leadership. Inspectors found high staffing levels, safe recruitment, detailed care planning, strong dementia care and excellent support at the end of life.
The home had a warm, family-like atmosphere. People were supported to make choices, stay active, keep relationships and develop independence. The previous overall rating was also Outstanding in 2016. Safe and Effective improved from Good to Outstanding, while the other three ratings remained Outstanding.
Personalised care
The manager and staff were strongly committed to person-centred care. Inspectors found that staff understood people's needs, wishes and personalities in depth.
“The registered manager and all staff were totally committed to providing high-quality, person- centred care.” from the report
Staffing and recruitment
Staffing levels were high and staff could respond quickly when people needed help. Recruitment checks were completed and staff were chosen for their caring values.
“Staffing levels were exceptionally good, and this allowed staff to be flexible and respond quickly to people's individual needs.” from the report
Kindness and dignity
People were treated as equals and included in the life of the home. Staff respected privacy, asked for consent and supported people to do things for themselves.
“People were treated with exceptional care and kindness, people were respected and treated as equals and part of a family.” from the report
Activities and independence
The home adapted activities to people's interests and abilities. People were supported to go out, maintain relationships and develop or keep their independence.
“There was an embedded culture of person-centred care.” from the report
Strong leadership
The management team used audits, staff feedback, research and partnerships with other organisations to improve care.
“There was a comprehensive governance structure in place to continuously monitor the quality of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you review risk assessments when someone wants to take a positive risk or regain independence?
- 02How do you decide which house is right for a person's stage of dementia or other needs?
- 03How do you keep staff training and competency up to date in dementia care, medicines, oral care and manual handling?
- 04How do you increase staffing when a person's needs change, including when someone is receiving end-of-life care?
- 05How are people and families involved in reviewing care plans, activities and decisions about daily life?
This was an unannounced comprehensive inspection covering the premises, care provided and all five CQC questions. This explanation was written from the published report of 10 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.
What inspectors found, December 2016
Rated Outstanding; inspectors found exceptionally caring, responsive and well-led support, with safe and effective care rated Good.
This was an unannounced inspection carried out on 20 and 21 July and 17 August 2016. The inspector reviewed care records, staff recruitment files, medicines records, audits and meeting notes. They also observed care and spoke with people, relatives and staff.
Inspectors found people were safe and supported by enough suitably trained staff. Risks were assessed, medicines were managed safely and the building was well maintained. People also received effective support with food, drink, healthcare and decision-making.
The strongest findings were about kindness, personal choice and activities. Staff knew people well, respected their privacy and supported them to live meaningful lives. The home was rated Outstanding overall, with Outstanding ratings for Caring, Responsive and Well-led, and Good ratings for Safe and Effective.
Kind and respectful care
Inspectors saw caring relationships and staff who took time to comfort people. Privacy and dignity were protected.
“People were always treated with dignity, kindness and respect” from the report
Personalised support
Staff understood people's histories, personalities and preferences. Care plans focused on what people could do and what mattered to them.
“Care plans we viewed were person centred and focused on giving staff an understanding of the person as well as their care and support needs.” from the report
Meaningful activities
People were supported to take part in activities linked to their interests and everyday lives. They were also helped to use the wider community.
“We focus on what people would be doing at home. People wouldn't have been playing bingo with their husbands.” from the report
Safe support and positive risk-taking
Risks were assessed and managed while people were supported to make choices and remain as independent as possible.
“People were encouraged and supported to take positive risks and make decisions that enhanced their enjoyment of life.” from the report
Strong leadership
The provider involved people, relatives and staff in decisions and used audits and feedback to improve the service.
“There was a very positive atmosphere and high quality care and support was provided as effective systems were in place to regularly assess, monitor and improve the quality of care.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you check that medicines are still stored, administered and recorded safely?
- 02What is the current position on any Deprivation of Liberty Safeguards applications and authorisations?
- 03How do you make sure staffing levels and staff skills match each person's needs, including at busy times?
- 04How are activities chosen for my relative's interests, history and abilities?
- 05How are relatives involved in reviewing care plans and raising complaints or concerns?
This was an unannounced comprehensive inspection covering all five CQC questions, following earlier findings in March 2015 about medicines, dignity, care plans, orientation, activities and complaints. This explanation was written from the published report of 15 December 2016 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 report was longer than we could read in one go; the later sections may not be reflected.
Every inspection of Landermeads Care Home
3 rated inspections over 5 years: the service has improved, from Requires improvement to Outstanding.
- March 2020Outstandingcurrent ratingstayed OutstandingSafe: OutstandingEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- December 2016Outstandingup from Requires improvementSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- June 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- September 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 14 February 2011.
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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75 live-in carers within about an hour of Nottinghamshire
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 £1,260 a week. 63 can care for a couple. 10 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
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.