CQC report explained · a residential care home
What the CQC found at Lansdowne Hill Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, May 2018
Rated Outstanding; inspectors found exceptionally kind, well-led care, with one falls risk assessment not clearly recorded.
Inspectors made an unannounced visit on 20 March 2018. They spoke with people living there, relatives, staff and an external professional. They observed care and checked care plans, staff files, medicine records and management records.
People were found to be safe and supported by enough staff. Medicines were managed safely. Staff had suitable training, people received help with food and healthcare, and care plans reflected people's needs and preferences.
The strongest findings were about kindness and leadership. Staff respected people's dignity, supported family relationships and provided emotional support. The management team was described as open, effective and focused on improving people's quality of life.
The overall rating was Outstanding. Safe, Effective and Responsive were rated Good, while Caring and Well-led were rated Outstanding. The home had improved from Good at the previous inspection.
Kind and respectful care
Staff consistently treated people with warmth, patience and dignity. Inspectors saw care that went beyond what they normally expect to see.
“We found that staff cared for people in ways that exceeded expectations with staff often going extra mile.” from the report
Strong emotional support
Staff used their knowledge of people's lives and preferences to support their emotional wellbeing. They found individual ways to help people feel calmer and more connected.
“This meant staff effectively used information about people to provide them with compassionate approach that increased their emotional well-being?” from the report
Family involvement
Relatives were welcomed and encouraged to stay involved in people's lives. There were no restrictions on visiting times.
“There were no restrictions on when people could visit their relatives.” from the report
Effective leadership
The management team was trusted by people, relatives and outside professionals. Staff were encouraged to raise concerns and suggest improvements.
“The provider and management demonstrated they looked for initiatives to improve the service delivery and improve people's quality of life and experiences.” from the report
Safe staffing and medicines
Inspectors found enough staff to respond promptly to people's needs. Medicine records were accurate and staff administering medicines had their competence checked.
“Staffing levels ensured people received timely care.” from the report
Falls information was not clearly recorded
needs fixingOne person known to be at risk of falls did not have a separate falls risk assessment. Inspectors found the information elsewhere and said the risks were being managed safely, but the management team agreed to review how it was recorded.
“We saw that one person was known to be at risk of falls, but there was no falls risk assessment in place.” from the report
Low survey response
minorThe 2017 feedback survey received few responses. The manager had acted on the points raised and encouraged people to give feedback in other ways.
“The 2017 survey had a low response rate but we saw the registered manager had fed back on points raised” from the report
- 01How do you now record and review falls risks for each person?
- 02What changes were made after the medicine error mentioned in the report, and how are staff checked on these procedures?
- 03How do you make sure there are enough staff at different times of day and night?
- 04How would you involve our family member and us in decisions if they could not make a decision themselves?
- 05How are people's end of life wishes recorded and updated if their needs change?
This was an unannounced inspection of the whole service, including accommodation and care, and inspectors considered all five quality areas. This explanation was written from the published report of 23 May 2018 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 Lansdowne Hill Care Home
2 rated inspections over 2 years: the service has improved, from Good to Outstanding.
- May 2018Outstandingcurrent ratingup from GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Outstanding
- April 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- October 2011
Registered with the Care Quality Commission on 10 October 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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44 live-in carers within about an hour of Swindon
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 £990 to £1,280 a week. 34 can care for a couple. 12 years' experience on average.
“Linet became her carer and all changed, my daughter started eating, taking her medications and more important her happiness came back.”
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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.