Widnes Hall
Widnes, WA8
ResidentialDementia
Rated 3 years agoReport explained
CQC report explained · a residential care home, run by Anchor
Landemere Residential Care Home
Inverary Close, Sinfin, DE24 3JX
Requires improvementpublished 11 May 2023, 3 years ago
Rated Requires improvement: inspectors found the service was not performing as well as it should and told it what to change.
The five questions inspectors ask
- Safe?
- Requires improvement
- Risk monitoring and staffing had improved, but care plans did not always reflect current risks or changes. Medicines improvements were still being implemented and monitored.
- Effective?
- Good
- People received suitable healthcare support, enough food and drink, and care from staff who were generally trained and supported. First aid training was not yet complete for all care staff.
- Caring?
- Good
- People's privacy, dignity, independence, views and preferences were respected. Staff knew people well and supported them to be involved in their care.
- Responsive?
- Good
- Care was personalised and adapted to people's needs. Complaints were investigated, communication needs were assessed, and people were supported with relationships and activities.
- Well-led?
- Requires improvement
- Audits and monitoring had improved, but governance was not yet consistently embedded or sustained. Care plans and records did not always keep pace with changes in people's needs.
The latest report, explained
What inspectors found, May 2023
Landemere Residential Care Home was rated Requires Improvement; care was kind and responsive, but safety records and management oversight were not yet reliable enough.
This was an unannounced follow-up inspection after the previous Requires Improvement rating. Inspectors visited on 21 and 22 March 2023, spoke with people, relatives, staff and managers, and reviewed care plans, medicines records, audits, training records and recruitment files.
The home had improved since the last inspection. There were enough staff, people said they felt safe, medicines checks were being strengthened, and infection control was satisfactory. Inspectors also found good care, food, activities, communication and support for people's dignity and choices.
However, some care plans did not contain up-to-date information about risks and changing needs. Some restrictions, such as lap belts, were not supported by recorded best-interest decisions. The home was still working to make improvements consistent and lasting, so the overall rating remained Requires Improvement.
What inspectors praised
Enough staff
Inspectors found enough staff to meet people's needs, with staff responding quickly to call bells and keeping oversight of people.
“There were enough staff to meet people's needs.” from the report
Kind and respectful care
People were treated with dignity and respect. Staff supported independence and knew people's preferences.
“During our inspection we saw staff acted in ways to promote people's dignity and privacy.” from the report
Personalised support
Staff knew people well and provided care around their routines, preferences and communication needs.
“People received personalised care as staff knew them well.” from the report
Activities and relationships
People were supported to maintain relationships, socialise and take part in activities linked to their interests.
“People were supported to follow their interests and enjoy activities.” from the report
Improved complaints handling
Complaints were investigated and reviewed for patterns and lessons that could improve people's care.
“All complaints were investigated and analysed for trends and lessons learnt.” from the report
What inspectors were concerned about
Care plans not always up to date
needs fixingSome care plans did not record important risks, changes in health or the actions staff should take. In one case, a weight change increased the risk of malnutrition but the plan was not updated and no dietician referral had been made until inspectors raised it.
“Care plans did not always reflect relevant information about people's care needs and changes to these.” from the report
First aid training incomplete
needs fixingThe provider was still working to ensure all care staff completed first aid training. A risk assessment was used so that a first-aid-trained staff member was present on every shift.
“The provider told us the numbers of staff who had completed this training remained low due to staff turnover and cancelled training.” from the report
Medicines improvements still ongoing
needs fixingThe provider had identified medicines errors shortly before the inspection. New checks and actions were in progress, so families should ask how these changes are being sustained.
“Shortly before our inspection, the provider had identified some medicines errors and had taken action to improve medicines safety.” from the report
No registered manager in post
minorThere was no registered manager at the time of the inspection. The current manager had applied to register, and the application was being processed.
“At the time of our inspection there was not a registered manager in post.” from the report
Questions to ask them, based on this report
- 01How do you make sure care plans are updated promptly when a person's risks, weight, mobility or health needs change?
- 02What checks are now in place after the medicines errors identified shortly before the inspection?
- 03How do you record best-interest decisions for lap belts and any other restrictions?
- 04How many care staff have now completed first aid training, and what is the plan for those who have not?
- 05Has the current manager's application to become registered been approved?
This was an unannounced follow-up inspection covering all five rating areas, with infection prevention and control also reviewed; inspectors visited the home on 21 and 22 March 2023. This explanation was written from the published report of 11 May 2023 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 Landemere Residential Care Home
4 rated inspections over 7 years: the service has slipped, from Good to Requires improvement.
- May 2023Requires improvementcurrent ratingstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
Read what inspectors found at Landemere Residential Care Home →
- July 2022Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- May 2022Inspected but not ratedSafe: Inspected but not rated
- February 2019Goodstayed GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 25 November 2010.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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