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Landermeads Care Home, Nottinghamshire

Landermeads Care Home in Nottinghamshire, was rated outstanding for being safe, effective, caring, responsive and well-led following an inspection by the Care Quality Commission (CQC), on 18 December 2019.

The highest score possible given by the CQC.

Landermeads provides nursing care to people living with different stages of dementia.

It was clear to CQC inspectors that the approach of staff was exceptionally person centred to enable people to take maximum control over their lives.

One of the resident’s was desperate to go home after living at Landermeads for three years following a stroke. Staff completed an emotional and physical risk assessment to help facilitate this. Even though the physical risk was identified as high, staff proceeded to support the resident to achieve their aim.

A member of staff said, "If that person thinks there is no chance, they will ever get home again, it will be devastating for them emotionally, they will feel they have no choice or control over their life. We have to support them as much as we can with positive risk taking to achieve that goal and respect their wishes."

The person later left Landermeads.

Staff were skilled in in dementia care and the service and always engaged with residents throughout the day to stimulate and include. Staff highlighted that as a result of this engagement people were happy and relaxed.

Leadermeads had achieved Butterfly status, an accredited scheme developed by Dementia Care Matters.

Staff were genuinely committed to providing exceptional care and were very attentive spending time with people. Staff showed exceptional knowledge about people's needs and described how they tried to get into people's 'bubble of dementia' by making short connections with people through conversation and touch.

Staff were exceptionally warm and friendly to people. A resident that spoke to CQC inspectors said, "They are really kind and caring, nothing is too much trouble for them."

People's care was personalised to meet their needs. Staff said, "When we had one person who was very unwell and in hospital, we all got together and had a meeting to plan their return. We put together a crisis plan and everyone that was going to be involved in their care did extra training in positive behaviour before they came back so we could meet their needs. We went to visit them every week while they were in hospital, so they could still recognise who we were and maintain the connection. It was still very challenging, but we involved outside agencies and have managed to keep them here, near to their family home rather than having to move miles away, which was what they wanted."

The service was exceptionally well-led. The registered manager demonstrated how their links with external professionals and community organisations had sustained continual development and improvement for people living at the service.

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