Ivydene Care Home

Social Care Org · East Midlands

Overall Rating
Requires Improvement Last inspected 6 October 2016
Domain Ratings
Safe
Requires Improvement
Effective
Requires Improvement
Caring
Good
Responsive
Requires Improvement
Well-led
Requires Improvement

View Full CQC Report

4 must-do actions
10 should-do actions

Must-Do Actions (4)

Legal requirements based on regulation breaches identified during inspection.

Must Do
Well-led
The provider did not always notify without delay significant events to Care Quality Commission as required in the carrying on of a regulated activity. Regulation 18 (1) (2) (e).
Regulation 18 Registration Regulations 2009 Notifications of other incidents
The provider did not always notify without delay significant events to Care Quality Commission as required in the carrying on of a regulated activity.
Must Do
Effective
People's consent to their care and treatment was not always considered in line with the Mental Capacity Act 2005. Regulation 13 (1).
Regulation 11 HSCA RA Regulations 2014 Need for consent
People's consent to their care and treatment was not always considered in line with the Mental Capacity Act 2005.
Must Do
Safe
Systems to protect people from allegations of or actual abuse were not always followed. Regulation 13 (3).
Regulation 13 HSCA RA Regulations 2014 Safeguarding service users from abuse and improper treatment
Systems to protect people from allegations of or actual abuse were not always followed.
Must Do
Well-led
The provider did not display on their website or within the service the most recent rating by Care Quality Commission. Regulation 20A (2,3).
Regulation 20A HSCA RA Regulations 2014 Requirement as to display of performance assessments
The provider did not display on their website or within the service the most recent rating by Care Quality Commission.

Should-Do Actions (10)

Recommended improvements to enhance service quality.

Should Do
Effective
The registered manager told us they would complete the assessments.
Should Do
Safe
The registered manager told us they would use their incident forms more thoroughly in the future to detail their investigations.
Should Do
Safe
The provider told us they would remove the items.
Should Do
Effective
The registered manager told us they would make improvements to people's care records.
Should Do
Safe
The provider said they would put these checks in place.
Should Do
Effective
The registered manager told us they would add this to their records so that staff had clear guidance in order to maintain the person's health.
Should Do
Effective
The registered manager told us they would make sure these were all in place.
Should Do
Responsive
The registered manager told us they would look at the recorded information when they next reviewed people's care plans to make sure staff had all of the required information available to them to offer responsive care.
Should Do
Well-led
The registered manager told us they would review the audit to make sure that all actions had been undertaken.
Should Do
Well-led
They told us a member of staff had been given this responsibility during 2016 and they would make sure that these audits were recorded in the future to show where improvements were needed where required.
Location Details
CQC ID: 1-106953628
Local Authority: Leicestershire
Region: East Midlands
Inspection Report
Type: Comprehensive inspection
Date: 6 October 2016
Rating: Requires Improvement
Actions: 4 must-do , 10 should-do
AI-extracted 17 Feb 2026