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Inspection Summary


Overall summary & rating

Good

Updated 7 November 2020

About the service

Langford Park is a 'care home' registered to provide accommodation, nursing and personal care support for up to 35 older people, people living with a dementia and younger people with a physical disability. At the time of this inspection there were 32 people living there.

People’s experience of using this service and what we found:

On coming into post in June 2020 the registered manager had identified failings in the management of the service and quality assurance processes. Action was being taken to address these failings. However, the issues we found related to recording and documentation showed they were not yet fully effective or embedded. In addition, the service had not met its regulatory requirements to notify us of certain events as required by legislation since the new manager came into post.

There was an open, transparent and positive culture at the service. Staff told us they felt valued and part of a dedicated team. They were excited about the progress being made and future direction of Langford Park.

The new manager and provider had reviewed the quality assurance programme and made changes to make it more effective. A service improvement plan was in place. Changes already in progress included the strengthening of the leadership team and a review of staff roles and responsibilities; improved communication; staff induction, supervision and training; investment in the environment and the replacement of equipment which was no longer fit for purpose.

Improvements to the quality and consistency of care plans had continued since the last inspection. Care plans were reviewed regularly, and when people’s needs changed. Since coming into post the registered manager aimed to include family members and the resident when possible in the planning of their care, which hadn’t always been the case previously.

People told us, and records showed, staff numbers had fallen below safe levels at times, however we were reassured that this was no longer the case, following a successful recruitment programme. Robust recruitment systems were in place.

The nursing team had been expanded and was now better supported with clinical oversight from the registered manager. There were safe systems in place for the administration of medicines, which meant people received their medicines as prescribed.

There had been a focus on staff training, including the development of a team leader training programme and specialist training to equip staff to meet people’s complex needs.

People were safe living at Langford Park. Staff were working closely with external health and social care professionals to identify and manage risks to people. The provider had good systems to manage safeguarding concerns, accidents, infection control and environmental safety. The service was clean and there were effective processes to prevent the spread of infection.

The service had continued to develop and provide a programme of activities for people, working within the restrictions of the Covid-19 precautions in place. People were supported to maintain contact with friends and family.

People and their relatives told us they knew how to make a complaint and were confident they would be listened to and action taken.

The service was committed to ensuring people received the support they needed at the end of their lives to have a comfortable and dignified death

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 1 November 2019). There were no breaches of regulation. The service has now improved to good.

Why we inspected

We undertook this focused inspection to check the quality and safety of the service, as there had been two previous ratings of requires improvement and one of inadequate. This report only covers our findings in relation to the Key Questions Safe, Responsive and Well-led which

Inspection areas

Safe

Good

Updated 7 November 2020

The service was safe.

Effective

Good

Updated 7 November 2020

Caring

Good

Updated 7 November 2020

Responsive

Good

Updated 7 November 2020

The service was responsive.

Well-led

Requires improvement

Updated 7 November 2020

The service was not always well-led.