CQC report explained · a nursing home
What the CQC found at Ledbury Intermediate Care Unit
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People's risks were assessed and staff understood how to support them safely. Medicines were checked, staff were trained before administering them, and there were enough staff at the time of inspection.
- Effective?
- Good
- Care was based on assessments and input from people, relatives and health professionals. Staff supported nutrition, health appointments and rehabilitation, and applied the Mental Capacity Act appropriately.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. People were involved in day-to-day decisions and were encouraged to remain as independent as possible.
- Responsive?
- Good
- Care plans reflected people's changing health needs, histories and preferences. People could keep in touch with relatives and take part in activities, although the recording of preferences was due for further review.
- Well-led?
- Good
- The manager and provider carried out checks on care, medicines, the environment and staff training. People, relatives and professionals described the management as approachable and said suggestions were listened to.
What inspectors found, February 2019
Rated Good; inspectors found safe, kind and personalised care, with some recording and staffing arrangements still being developed.
This was an unannounced planned inspection on 8 January 2019. Inspectors spoke with five people, three relatives, eight staff members and two visiting health and social care professionals. They observed care and checked care plans, medicines records, complaints and quality checks.
The home provided short-term care, nursing and rehabilitation for people recovering after illness or an incident at home. Inspectors found that staff promoted independence, respected people's choices and understood their health and safety needs. Medicines, staffing, infection control and safeguarding systems were found to be safe.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home was also rated Good at the previous inspection in 2016. The manager planned to improve how people's preferences were recorded and was recruiting more staff as care needs changed.
Independence and dignity
Staff supported people to do things for themselves and helped only when needed. Inspectors also saw that staff respected privacy before entering rooms.
“They let you do things for yourself and help when it's needed, they don't treat you like a child.” from the report
Safe medicines
Staff had to complete training and pass competency checks before giving medicines. The manager regularly checked that medicines were administered as prescribed.
“People's medicines were managed safely. Staff had to undertake training and their competency was checked before they could administer people's medicines.” from the report
Activities and relationships
People could keep in touch with important people and take part in activities such as knitting, reading and board games.
“People had a range of interesting things to do within the home, such as knitting, reading and board games.” from the report
Preferences were still being reviewed
minorThe manager planned to improve how people's care preferences were recorded. This was intended to help ensure care was consistently provided in the way each person preferred.
“The registered manager was planning to review systems for recording people's preferences, futher, so they could be assured people would consistently receive their care in the ways they preferred.” from the report
Recruitment was under way
minorStaffing was sufficient during the inspection, but the manager was recruiting additional staff because the level of care being provided was changing.
“The registered manager was in the process of recruiting additional staff to respond to changes in the level of care being provided.” from the report
- 01How will you make sure my relative's personal preferences are recorded and followed while the recording system is being reviewed?
- 02What progress has been made with recruiting additional staff as people's care needs change?
- 03How will you involve my relative and our family in planning care and preparing for a return home?
- 04How do staff work with physiotherapists, occupational health professionals and other services to support rehabilitation?
- 05What activities and arrangements are available to help my relative keep in touch with important people?
This was an unannounced planned inspection covering all five CQC areas, with additional detailed work on oral health support as part of a national review. This explanation was written from the published report of 7 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.
Every inspection of Ledbury Intermediate Care Unit
2 rated inspections over 2 years: the service has held its Good rating throughout.
- February 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Ledbury Intermediate Care Unit →
- August 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 22 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.
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11 live-in carers within about an hour of Herefordshire, County of
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 £960 to £1,410 a week. 10 can care for a couple. 8 years' experience on average.
“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.