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Langley Lodge Residential Home Good

Inspection Summary


Overall summary & rating

Good

Updated 3 November 2018

This unannounced inspection took place on 20 September 2018. This is the second comprehensive inspection of this service. At the previous inspection the service was rated as good. At this inspection the overall rating for the service remained Good. However, the rating for ‘is the service safe’ had deteriorated to requires improvement.

Langley Lodge Residential Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

At the time of our inspection there were 18 people using the service. Langley Lodge Residential Home can accommodate up to 20 people in individual or double bedrooms in one adapted building. It is a two-storey building with a stair lift to access the first floor.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service was not always safe. Medicines were not always administered as prescribed and the recording of some medicines was not accurate. Healthcare professional advice had not always been sought when errors occurred. Incidents of potential neglect had not been referred to the local safeguarding authority. Risks to people were identified but they were not always well managed. This put people’s safety at risk.

We have made a recommendation about the management of some medicines.

Sufficient staff were in post and the recruitment process for new staff had helped ensure that only suitable staff were employed. Lessons were learned when things had not always gone well. Staff adhered to the provider’s policies in maintaining a clean environment.

The service was effective. People’s needs were met by staff who had the right training and skills to do this. People at healthily and they had sufficient quantities of food and drink. People were enabled to access health care services. 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. The registered manager worked with others involved in people’s care, such as health professionals when people moved into the service so they received consistent care.

The service was caring. People received compassionate care from staff who took account of each person’s care needs. People’s privacy and dignity was promoted and respected. People were given support and information to access advocacy services. Staff involved people in their care with care and consideration of how they wanted to be cared for. People were cared for without discrimination. People’s confidential records were held securely.

The service was responsive. People received person centred care that was based upon their what their preferences were. People could be as independent as they wanted to be. Technology was used to enhance the quality of people’s lives. People concerns were identified and responded to and this helped drive improvement. People, relatives and staff, when required, had the support they needed if any person needed end of life care.

The service was well-led. The registered manager led by example and ensured the staff they supported had the right skills and values. Staff worked as a team to help people and each other. Quality assurance and governance systems were mostly effective in identifying and acting upon improvements when these were needed. People had a say in how the service was run. Staff were given feedback and support with their work in a positive way. An open and honest staff team culture was in place. The registered manager and staf

Inspection areas

Safe

Requires improvement

Updated 3 November 2018

The service had deteriorated to requires improvement.

Medicines were not always administered or recorded as prescribed.

Risks to people’s safety were not always reported or managed well.

Infection control measures helped keep the service clean and free from odours.

Sufficient staff with the right skills had been recruited and deployed in a way which kept people safe. Staff were knowledgeable about keep people safe from harm.

Lessons were learned when things had not always gone well.

Effective

Good

Updated 3 November 2018

The service remains good.

Caring

Good

Updated 3 November 2018

The service remains good.

Responsive

Good

Updated 3 November 2018

The service remains good.

Well-led

Good

Updated 3 November 2018

The service remains good.