Langwith Lodge Care Home

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm. At our last assessment we rated this key question as good. At this assessment the rating has remained as good. This meant people were safe and protected from avoidable harm.

This service scored 72 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a proactive and positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice.

We did not look at Safe systems, pathways and transitions during this assessment. The score for this quality statement is based on the previous rating for Safe.

The provider worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. Staff concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The provider shared concerns quickly and appropriately.

The provider worked with people to understand and manage risks by thinking holistically. Staff provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them.

The provider did not always ensure the environment was safe because systems for identifying and managing environmental risks were not consistently effective. During the assessment, we found several environmental hazards that had not been identified through the service's health and safety oversight processes. For example, window restrictors did not have tamper-proof screws fitted, despite routine health and safety audits. This put people at the increased risk of falls from height. We also identified 4 water deadlegs in the cinema room and sluice area. Although these had been highlighted as actions within a Legionella risk assessment, the required work had not been completed within the identified timescales. This put people at the increased risk from Legionella bacteria. Legionella is a bacterium commonly associated with water systems and can cause Legionnaires' disease.
We found additional environmental risks associated with fire safety arrangements. The service's fire risk assessment had not identified these concerns. This put people at the increased risk of trips and falls and contact with an open body of water.
The provider took immediate action when concerns were identified. Tamper-proof screws were fitted to window restrictors, the fire assembly point was relocated, temporary fencing was installed to reduce risks around the evacuation area, and plans were put in place to improve external lighting and signage. These actions demonstrated a willingness to respond to concerns, however, the fact that significant environmental risks had not been identified through existing audits and risk assessments showed further improvement was needed to ensure people were consistently protected from harm.
 

The provider made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs.

We did not look at Infection prevention and control during this assessment. The score for this quality statement is based on the previous rating for Safe.

The provider made sure medicines and treatments were safe and met people’s needs, capacities and preferences. Staff involved people in planning, including when changes happened.