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CQC report explained · a residential care home

What the CQC found at Landona House

Goodpublished 5 February 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection prevention and control measures were in place, including PPE, testing, visitor controls, safe admissions, hygiene and outbreak management.
Effective?
Good
This was not assessed in this targeted inspection.
Caring?
Good
This was not assessed in this targeted inspection.
Responsive?
Good
This was not assessed in this targeted inspection.
Well-led?
Good
This was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors were assured that infection prevention and control measures were safe during the COVID-19 pandemic.

This was an announced, targeted inspection on 29 January 2021. It looked only at infection prevention and control because of coronavirus outbreaks in care homes.

Inspectors were assured that the home was using PPE safely, arranging testing, managing visitors and admissions, and following shielding and social distancing guidance. They also found that the infection control policy was up to date.

The home supported contact between residents and relatives through telephone and video calls, photographs and a social media profile. The inspection did not give an overall quality rating, and the Safe area was recorded as inspected but not rated.

What inspectors praised
  • PPE and testing

    Staff used PPE in line with guidance and the home had a whole-home COVID-19 testing programme.

    “People were supported by staff who wore Personal Protective Equipment (PPE) in line with current guidance.” from the report
  • Infection controls

    Inspectors were assured that the home managed visitors, admissions, distancing, hygiene and outbreaks safely.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
  • Contact with relatives

    The home helped residents keep in touch with relatives through calls, video calls, photographs and a dedicated social media profile.

    “People were supported by staff to communicate with their relatives via telephone calls and video calls and through sharing of photographs.” from the report
  • Communication support

    The home used practical support for people with sensory impairments, including writing on whiteboards for one person with hearing loss.

    “One person had a hearing impairment so staff wrote on white boards to communicate with them.” 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 are visitors currently prevented from catching or spreading infections?
  2. 02How often are residents and staff tested now, and what happens after a positive result?
  3. 03What procedures are followed when someone is admitted to the home?
  4. 04How do you support residents who have hearing or other sensory impairments?
  5. 05What are the home's current ratings and most recent inspection findings for Effective, Caring, Responsive and Well-led?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not assess the other five-question areas and gave no overall rating. This explanation was written from the published report of 27 March 2021 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, February 2019

Landona House was rated Good; inspectors found safe, kind and personalised care, with a small issue about some consent records.

Inspectors visited on 16 January 2019 without telling the home in advance. They spoke with 11 people living there, three relatives and staff. They looked at care records, recruitment and training records, medicines, building safety and management checks.

They found that people were safe and well cared for. Staff were trained, recruitment checks were completed, medicines were managed well and the home was clean. People and relatives gave positive feedback, and inspectors saw warm and respectful relationships.

Care plans were detailed and regularly updated. Food was highly praised, and people were offered activities and outings. The home also supported people at the end of their lives.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection in February 2016. The report says there was no evidence of serious risks or concerns.

What inspectors praised
  • Kind and attentive staff

    Staff were seen treating people warmly and responding to their individual needs. People and relatives spoke positively about the care.

    “We saw that staff were very thoughtful in their approach to people.” from the report
  • High-quality food

    People and relatives praised the food. Inspectors saw appetising meals and staff adapting food and snacks to people's preferences and needs.

    “The food served at the home was of a very high standard.” from the report
  • Personalised care plans

    The care plans included people's backgrounds, communication methods, health needs, routines and preferences. They were reviewed and updated.

    “The care plan files we looked at were person-centred, very detailed and informative, regularly reviewed and reflected the needs of the people living at the home.” from the report
  • Safe staffing and recruitment

    Required recruitment checks were completed before staff started. The home had an established team and did not use agency staff.

    “We saw that this had been done safely and all the required checks had been completed prior to new staff commencing work in the home.” from the report
  • Active quality monitoring

    The provider and management team used audits, staff meetings and feedback from people to monitor and improve the home.

    “The registered manager and the provider used a variety of methods to assess and monitor the quality of the service.” from the report
What inspectors were concerned about
  • Consent records needed clearer wording

    needs fixing

    Inspectors asked the manager to check and update some consent forms so they clearly showed when relatives had been consulted as required.

    “We asked the registered manager to check and update some of the wording used on consent forms to ensure that they demonstrated that relatives were consulted with when this was required.” from the report
Questions to ask them, based on this report
  1. 01What changes have you made to the consent forms since the inspection?
  2. 02How do you record when relatives are consulted about decisions?
  3. 03How are care plans reviewed when a person's needs change?
  4. 04How do you make sure staff training stays up to date for people's specific needs?
  5. 05How do you use complaints, accidents and incidents to make improvements?

This was an unannounced inspection of the overall service, covering all five CQC questions and looking at the building as well as the care provided. This explanation was written from the published report of 5 February 2019 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 Landona House

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

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Landona House →

  2. February 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Landona House →

  3. July 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. July 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. August 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. March 2011

    Registered with the Care Quality Commission on 30 March 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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