CQC report explained · a residential care home
What the CQC found at LD Care
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors found enough trained staff, detailed risk plans, safe medicines practice and suitable infection control. Staff knew how to recognise abuse and respond to incidents.
- Effective?
- Good
- People's needs were assessed before and after moving in. Staff had relevant training, supported healthy eating and worked with health professionals. Mental capacity and best-interest decisions were handled lawfully.
- Caring?
- Good
- The report did not give a separate Caring rating. Inspectors described staff as kind and compassionate, and said they protected people's privacy, dignity and rights.
- Responsive?
- Outstanding
- Care was highly personalised. Staff used detailed communication plans and creative activities to help people make choices, build skills, take part in the community and improve their wellbeing.
- Well-led?
- Outstanding
- Inspectors found exceptional leadership, an open and inclusive culture and a strong focus on learning and improvement. Families, staff and professionals were encouraged to share their views.
What inspectors found, September 2022
Rated Outstanding overall; inspectors found exceptionally person-centred care, with Safe and Effective rated Good.
This was a focused inspection on how the home applied the principles of right support, right care and right culture. Two inspectors visited on 23 August 2022. They met people and staff, reviewed three care records and checked medicines, staffing, training, safety, infection control and management records. They also spoke with relatives and an external professional.
People were supported to make choices, build independence and take part in activities suited to their interests. Inspectors found kind care, good communication and detailed support plans. People took part in community projects, work experience, holidays, camping trips and daily activities. Staff used creative approaches to help people develop skills and reduce anxiety.
The overall rating was Outstanding. Responsive and Well-led were Outstanding, while Safe and Effective were Good. The overall rating changed from Good at the previous inspection, published on 3 November 2017.
Personalised communication
Staff understood different ways people communicated, including body language, sounds, signs, pictures and symbols. This helped people express choices and emotions.
“The staff had created detailed communication support plans which described exactly how people communicated in different scenarios and when expressing different needs.” from the report
Meaningful lives
People were supported to develop skills and take part in activities, holidays, work experience and community projects. Inspectors found clear improvements in wellbeing for some people.
“People had an enhanced sense of wellbeing and an exceptional quality of life.” from the report
Community involvement
People took part in volunteering, work experience, social events, camping and activities outside the home. Staff adapted plans for people who found travel or overnight stays difficult.
“People living at the service took a key role in the local and wider community.” from the report
Strong leadership
Managers encouraged staff to share ideas, reflect on practice and improve the service. Families and professionals gave very positive feedback.
“There was a strong emphasis on continually striving to improve the service.” from the report
Safe care
Staff used detailed risk plans and positive approaches to reduce anxiety and avoid restraint. Medicines were stored, given and recorded safely.
“People received their medicines safely and as prescribed.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you update my relative's communication plan as their needs and ways of communicating change?
- 02What activities, community opportunities or work experience could you offer to my relative based on their interests?
- 03How do you review medicines and make sure they are not being used to control behaviour unnecessarily?
- 04How would you support my relative to take positive risks while keeping them safe?
- 05How will my family be involved in care plan reviews and receive updates about my relative?
This was a focused inspection of how the home applied right support, right care and right culture; ratings for key questions not inspected carried over from the previous inspection. This explanation was written from the published report of 28 September 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.
What inspectors found, February 2022
LD Care was inspected but not rated; inspectors found suitable COVID-19 safety and infection control arrangements.
This was a targeted inspection on 3 February 2022. It focused on infection prevention and control, visiting arrangements and whether COVID-19-related staffing pressures affected the home. The inspection was announced with 24 hours' notice.
Inspectors were assured that the home used personal protective equipment safely, arranged testing, managed visitors and admissions safely, and kept its infection control policy up to date. They also found suitable risk assessments, audits and staff training.
People continued to take part in activities, develop daily living skills and access the community safely. The service was inspected but not rated, so this report does not provide an overall quality rating.
Infection control
The home had organised arrangements for testing, daily health checks, cleaning and infection control audits.
“There were suitable arrangements to keep people safe during the COVID-19 pandemic.” from the report
Staff learning and support
Staff received training and learning sessions about COVID-19 and infection control. They said they supported one another and learned when things went wrong.
“The staff told us they had developed their knowledge and understanding during the pandemic.” from the report
Activities and community access
People continued to take part in activities, build daily living skills and see friends and family safely, including during lockdown periods.
“People using the service had continued to have active and full lives, even during periods of lockdown.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now?
- 02How do you manage visits and protect people from infections?
- 03How do you respond if COVID-19 or another infection affects residents or staff?
- 04How do staffing pressures affect the support available to residents?
- 05Can we see the home's more recent CQC inspection information and current policies?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service was inspected but not rated and the other question ratings were not given. This explanation was written from the published report of 11 February 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 LD Care
3 rated inspections over 7 years: the service has improved, from Good to Outstanding.
- September 2022Outstandingcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- February 2022Inspected but not ratedSafe: Inspected but not rated
- November 2017Goodstayed GoodSafe: GoodEffective: GoodResponsive: OutstandingWell-led: Good
- October 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2015
Report published without a new overall rating.
- July 2014
Report published without a new overall rating.
- June 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- April 2011
Registered with the Care Quality Commission on 19 April 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.
Weigh the report against the rest
Fees, photos and reviews from families
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What to check when you visit
At least 100 live-in carers within about an hour of Hounslow
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 £1,270 a week. 85 can care for a couple. 11 years' experience on average.
“Without his support we wouldn't have been able to navigate bringing and keeping Dad at home.”
“I can truly say that Peter always put Dad at the centre of everything and I know that they found a great friendship in difficult 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.