We carried out a review of the data available to us about Langley House Care Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Langley House Care Centre, you can give feedback on this service.
Langley House Care Centre is a residential care home that provides accommodation and personal care for up to 30 people. At the time of our inspection there were 25 people using the service, some of whom were living with a dementia type illness. The home accommodates people in one adapted single storey building.
People’s experience of using this service and what we found
People and relatives told us they felt the service was safe. The home was clean and safety checks were carried out. There were enough staff to meet people’s needs quickly. Any incident or accidents in the home were responded to and learning shared.
Staff were trained and skilled to meet people’s needs and were supported through regular supervisions. People were supported with their nutritional needs. The environment was designed to help people with dementia find their way around.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Relatives were involved in decision making but it was not always clear what legal authority they had.
We made a recommendation that the provider review their mental capacity and best interest assessment processes.
The home had a registered manager who had good knowledge of people’s needs and clear oversight of processes in the home. There were systems to assess the quality of the service, which were closely monitored. People, relatives and staff gave us positive feedback and told us they had opportunity to comment on the service. Professionals we contacted told us people were well looked after and that staff and the registered manager were approachable and responsive.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 10 April 2021).
The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an announced comprehensive inspection of this service on 2 March 2021 and returned for a second day unannounced on 5 March 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment, need for consent and good governance.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Langley House Care Centre on our website at www.cqc.org.uk.
Recommendations
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Langley House Care Centre is a residential care home that provides accommodation and personal care for up to 30 people. At the time of our inspection there were 26 people using the service, some of whom were living with a dementia type illness. The home accommodates people in one adapted single storey building.
People’s experience of using this service and what we found
At the time of our inspection, the ownership of the registered provider had recently changed. During the same week our inspection took place, the new provider was carrying out their own audits and quality assurance checks. Staff spoke highly of the new provider and the support the home was now receiving. One member of staff told us “The new owners are a breath of fresh air and improvements are happening already.”
The new provider responded to the concerns we found immediately during and after the inspection. We observed the new provider beginning to implement comprehensive new policies, procedures, care plans and risk assessments into the service. The new provider had increased staffing levels in the home.
We found safety concerns and risks to people were not consistently identified and ongoing monitoring of risks to individuals was limited. Care plans and risk assessments did not always reflect people’s current needs or provide appropriate guidance for staff. We were not always assured appropriate and timely referrals to relevant professionals were made.
People were not always supported to have maximum choice and control of their lives and staff 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.
Audits had failed to identify the issues found during this inspection regarding assessing risk, monitoring safety, the requirements under the MCA, and governance records. Care plans and risk assessments were not effectively reviewed.
People said they felt safe and well cared for. There were enough staff on duty and staff were recruited safely. Staff received training and supervision to support them to carry out their roles. Staff understood their safeguarding responsibilities and medicines were managed safely.
People’s likes, dislikes and preferences were recorded and staff were knowledgeable about people’s needs. People had enough to eat and drink to maintain a balanced diet.
There was a person-centred culture at the home and the registered manager had an ‘open door’ policy. Relatives, staff and people told us that the registered manager was approachable and would take appropriate action. The home had good links with the local community,
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 (published 4 February 2020).
Why we inspected
We undertook this targeted inspection to look at infection prevention and control (IPC) measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
We inspected and found concerns with the recording of capacity assessments and consent around COVID-19 testing and vaccinations. We therefore widened the scope of the inspection to become a focused inspection which included the key questions of safe, effective and well-led.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service to keep people safe and to hold providers to account where it is necessary for us to do so.
We have identified breaches in relation to consent, safe care and treatment, and good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Langley House Care Centre is a residential care home which can provide personal care for up to 30 people. The home accommodates people in one adapted single storied building. At the time of this inspection there were 26 people living at the service, some of whom were living with a dementia.
People’s experience of using this service and what we found
People told us they were happy with their care at Langley House Care Centre. Staff understood how to keep people safe. Effective recruitment procedures were in place. People received care in a timely way. The environment and equipment were safe and well maintained. People were protected from the risks associated with the management of medicines and the spread of infection.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were supported to eat and drink enough to maintain their health and welfare. Staff received appropriate training and supervision. People's health was well managed. Staff worked closely with other professionals to provide effective care.
Staff were kind and had developed caring relationships with people. Staff respected people’s privacy and dignity. People’s independence was promoted. Staff ensured people maintained links with their friends and relatives.
People’s care was based on detailed assessments and person-centred care plans. A range of activities were available. People felt confident raising concerns. Complaints had been dealt with effectively. Staff were aware of good practice in end of life care. People's religious beliefs and preferences were respected.
The provider and registered manager monitored the quality of the service to make sure they delivered a high standard of care. People and relatives were encouraged to provide feedback.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This is the first inspection of this service which registered with CQC on 3 December 2018.
Why we inspected
This was a planned inspection based on the date the service first registered with CQC.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.