Background to this inspection
Updated
27 April 2021
The inspection
This was a targeted inspection to check on a specific concern we had about the service working within the principles of the MCA, inappropriate use of Do not attempt cardiopulmonary resuscitation (DNACPR) and how the provider ensured that peoples basic human rights was at the centre of their care.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was completed by one inspector.
Service and service type
Langley View Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service did not have a manager registered with the Care Quality Commission. This means the provider is legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with two people who used the service about their experience of the care provided. We spoke with four members of staff including the manager and care workers.
We reviewed a range of records. This included one person’s care records and four people’s care plans relating to mental capacity and deprivation of liberty. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with one professional who had regular contact with the service.
Updated
27 April 2021
About the service
Langley View Residential Home provides accommodation and personal care for up to six people with mental health and learning disability support needs. At the time of our inspection there were four people living at the service.
The service was a domestic style property that was similar to surrounding property. There were deliberately no identifying signs, to indicate it was a care home.
The service has been developed and designed in line with most of the principles and values that underpin Registering the Right Support and other best practice guidance. Registering the Right Support ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
The outcomes for people using the service mostly reflected the principles and values of Registering the Right Support. People’s support focused on them having as many opportunities as possible for them to gain new skills and become more independent. However, stimulation and interaction for those with communication needs was sometimes limited.
We have made a recommendation about engaging with people with communication needs.
People were sometimes supported to have maximum choice and control of their lives and staff but did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support this practice.
We have made a recommendation about how the provider applies the principles of the Mental Capacity Act
The environment was showing signs of wear and tear. However, pictures were utilised throughout the home to aid those with communication needs.
The service had quality assurance systems in place and people were encouraged to give feedback on the service received. However, relatives told us they did not consistently feel listened to and their concerns were not always responded to appropriately.
People felt safe at the service and there were enough staff to meet people’s support needs. People were supported to manage their medicines safely.
The service worked well with other agencies and people were supported to ensure their health and dietary needs were met.
Staff told us they received training and support to carry out their role. They felt supported by the registered manager.
Support Plans and Risk assessments were in place, these were personalised to each person. They contained detailed information about their likes and dislikes and were reviewed regularly. Staff spoke about people in a dignified, compassionate manner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good. (Report published 24th March 2017).
Why we inspected
This was a planned inspection based on the previous rating. We have found evidence that the provider needs to make improvements. Please see the effective and responsive sections of this report.
Follow up
We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.