CQC report explained · a nursing home
What the CQC found at Llysfield Nursing Home Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People felt safe and staff understood how to protect them from abuse and avoidable harm. Inspectors found enough staff, safe medicines management, suitable risk assessments and a clean environment.
- Effective?
- Good
- Staff had the skills and training to support people effectively. People's nutrition, health, consent and equipment needs were assessed and reviewed.
- Caring?
- Good
- Staff treated people with compassion, dignity and respect. People were involved in decisions about their care and supported to remain as independent as possible.
- Responsive?
- Good
- Care plans were detailed and personalised, and staff knew people's wishes and communication needs. Activities were tailored to people's preferences and complaints were acted on.
- Well-led?
- Good
- The home was described as well run and organised. The manager checked the quality of care, listened to feedback and used issues raised to improve the service.
What inspectors found, July 2019
Rated Good; inspectors found safe, kind and personalised care, with all five areas rated Good.
The inspection was unannounced and took place on 25 and 26 June 2019. One inspector spoke with people living in the home, relatives and staff, and reviewed care, medicines, recruitment and management records.
Inspectors found that people felt safe and well supported. There were enough staff, medicines were managed safely, risks were assessed, and the home was clean and well maintained.
Care was described as effective, caring and personalised. Staff understood people's needs, involved them in decisions, supported their health and nutrition, and provided activities based on their preferences.
The home was rated Good overall and Good in Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating and the same rating in each area as at the previous inspection, published on 14 December 2016.
Safe staffing and medicines
Inspectors found enough staff to meet people's needs and found that medicines were received, stored, given and returned safely.
“Enough staff were deployed to meet people's needs.” from the report
Kind and respectful care
Staff were described as compassionate and respectful. They protected people's privacy and involved them in decisions about their care.
“Staff demonstrated a high regard for people's dignity and respect.” from the report
Personalised support
Care plans contained detailed information about people's needs, wishes and communication. Staff reviewed care as people's needs changed.
“People received person-centred care; staff had a detailed understanding of their needs and what was important to them.” from the report
Activities and relationships
The home offered activities based on people's interests and provided one-to-one time for people who needed more support. Relatives were made welcome.
“Activities were based on what people wanted to do on the day.” from the report
Good management
The manager gathered views from people, relatives, staff and health professionals. Checks and feedback were used to improve the service.
“Regular checks were completed by the staff and registered manager to make sure people were safe and happy with the service they received.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you meet my relative's specific nursing and health needs, and how would you involve their usual health professionals?
- 02How would you support my relative's communication needs, including if they need information in an easy-read or picture format?
- 03What activities would be available that match my relative's interests and preferences?
- 04How would you involve my relative and our family in reviewing and changing their care plan?
- 05How are staffing levels decided when several people need help at the same time?
This was an unannounced planned inspection covering all five CQC questions, including the premises and care provided. This explanation was written from the published report of 25 July 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.
What inspectors found, December 2016
Llysfield Nursing Home Limited was rated Good; inspectors found safe, kind and personalised care, with a minor gap in complaints information.
This was an unannounced inspection on 8 November 2016. One inspector and an expert by experience spoke with people, relatives, staff and a visitor. They also reviewed care plans, staff records, medicines records and quality checks.
The inspectors found that people were safe and that there were enough staff. Medicines were stored and given safely. Staff understood safeguarding, risk assessments and legal rules about consent and decision-making.
People received personalised care and were treated with kindness and dignity. They had choices about food, daily routines and activities. Relatives were welcomed, and people and staff said the home was well managed.
The overall rating was Good. All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. A breach found at the previous inspection had been addressed.
Safe staffing
Inspectors found enough staff to meet people's needs. Call bells were answered promptly and staff were not rushed.
“We observed that staff had the time and resources to care for people safely.” from the report
Kind and dignified care
Staff knew people well and treated them respectfully. They asked permission before helping and supported personal choices.
“The staff we observed were attentive and treated people with kindness and respect.” from the report
Good management
The home used audits, meetings and surveys to monitor care and gather views. Staff described a supportive culture and good teamwork.
“The registered manager had good management oversight of the home and worked to keep improving the quality of the service provided.” from the report
Complaints information
minorThe complaints procedure did not tell people which external authorities they could contact if they were unhappy with how the provider dealt with a complaint.
“It did not inform people of external authorities they could approach should they not be happy with the way their complaint has been handled by the provider.” from the report
- 01How will you make sure my relative's individual preferences and routines are followed and kept up to date in their care plan?
- 02How many staff are usually on duty for people with nursing needs, and how do you manage short-notice sickness?
- 03How will you involve my relative and our family in decisions if they cannot make a particular decision themselves?
- 04What activities would be suitable for my relative, including if they do not want to join group activities?
- 05If we are unhappy with the way a complaint is handled, who outside the home can we contact?
This was an unannounced inspection covering all five areas of quality, including records, medicines, staffing, care and feedback from people, relatives and staff. This explanation was written from the published report of 14 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.
Every inspection of Llysfield Nursing Home Limited
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- July 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Llysfield Nursing Home Limited →
- December 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Llysfield Nursing Home Limited →
- December 2015Requires improvementSafe: GoodEffective: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Requires improvement
- January 2014
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 12 January 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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57 live-in carers within about an hour of Shropshire
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 £1,230 a week. 52 can care for a couple. 9 years' experience on average.
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.