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Inspection carried out on 23 October 2017

During a routine inspection

We undertook an unannounced inspection of Langley House on 23 October 2017, which is registered to provide accommodation for up to 25 elderly people, some of whom have dementia. At this inspection there were 25 people living in the home.

At the last inspection on 23 and 24 July 2015 the home was rated ‘Good’. At this inspection we found the home remained ‘Good’.

The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the home. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the legal requirements in the Health and Social Care Act 2008 and the associated regulations on how the home is run.

Risks had been identified and assessed, which provided information to staff on how to mitigate risks to keep people safe. Medicines were being managed safely. There were sufficient staffing levels to support people. Premises safety checks had been carried out to ensure the premises was safe. Staff had been trained in safeguarding adults and knew how to keep people safe.

Staff had the knowledge, training and skills to care for people effectively. Staff received regular supervision and support to carry out their roles. People had choices during meal times and were supported with meals when required. People and relatives told us people enjoyed the food. People’s weights were regularly monitored and referrals made to health professional if there were concerns with people’s weight. People had access to healthcare services.

People and relatives told us that staff were friendly and caring. Our observations confirmed this. People were treated in a respectful and dignified manner by staff who understood the need to protect people's human rights. People had been involved with making decisions about their care.

People received care that was shaped around their individual needs, interests and preferences. Care plans were person centred and staff knew how to provide person centred care to people. People and relatives were aware of how to make complaints if they wanted to and staff knew how to manage complaints.

Staff felt well supported by the management team. People, relatives and health professionals were complimentary about the management of the home. Quality assurance and monitoring systems were in place to make continuous improvements.

Inspection carried out on 23 and 24 July 2015

During a routine inspection

The inspection took place on 23 and 24 July 2015 and was unannounced. We last inspected the service on 8 January 2014 and found the service to be compliant in all areas inspected.

Langley House is a care home that provides accommodation and support with personal care for up to 20 older people, some of whom have dementia.

The service had a registered manager 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.

People told us they liked living at Langley House and that they felt safe and the staff were caring. The service operated an open, transparent and person-centred approach to the delivery of care.

We observed staff interacting with people in a kind, respectful and caring manner. Staff had a clear understanding of people’s preferences, likes and dislikes.

The service demonstrated good practice with regards to medicine administration, storage and disposal.

The registered manager had implemented robust systems to ensure that people’s safety was maintained at all times. Records relating to risk assessments were comprehensive and gave clear guidance to staff to ensure known risks were minimised.

At the time of the inspection the registered manager was implementing a new electronic recording system to enable all records were stored electronically in one place.

The service had policies and procedures relating to the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. These aim to make sure that people in care homes, hospitals and supported living are looked after in a way that does not deprive them of their liberty and ensures that people are supported to make decisions relating to the care they receive. Services should only deprive someone of their liberty when it is in the best interests of the person and there is no other way to look after them, and it should be done in a safe and lawful manner.

Staff received on-going comprehensive training to enable them to effectively carry out their roles. Staff told us they could request additional training if they felt this appropriate to their role and personal development.

Inspection carried out on 8 January 2014

During a routine inspection

Many of the people living at Langley House were not able to tell us about their experience of their care because of their dementia. However we did speak to six people who lived at the home as well as two friends and relatives of people at the home. We were also able to observe people and staff in the communal areas of the house.

The people we spoke to, and their relatives told us that people were well cared for at the home. People said that they liked living there and felt safe. One person said, ‘the quality of the building would not score high marks, but the care here is brilliant. Speaks volumes.’

We saw that people were treated respectfully and that people’s different needs and preferences were understood by the staff looking after them. Care was planned and delivered safely and action taken to reduce any risks. People were safe from abuse because staff were clear about what they should do if they had any concerns about people and the provider had taken the appropriate steps to ensure that staff were suitable for the work they carried out. Relatives said that they appreciated that the manager had a desk at the end of the main communal area and was always aware of how people were.

The provider had systems in place to monitor the effectiveness of the service although the results of recent surveys to gather feedback were not available on the day of our visit.

The people we spoke to said that they were content with the level of activities they had access to although there was little variety available to help ensure people remained stimulated and to maximise choice and independence.

Inspection carried out on 7 February 2013

During a routine inspection

People were treated with respect and their care and welfare needs were being met. They were supported to be as independent as possible. One person said “we do things, quizzes, exercises, cake decorating. The staff treat you nicely.” Another told us “the staff are nice and treat me with respect.” People also told us that the food was good and we saw that they were supported to have a nutritious diet and if necessary to eat and drink. There were systems in place to ensure that people received their prescribed medication appropriately.

Staff received the training and support that they needed to carry out their duties and support people who used the service. One member of staff said “I have had the training that I need. The manager is very approachable and leads by example.” Another told us “yes I have definitively had the right training and can ask for any that I feel I need. I have got NVQ level 2 and am doing NVQ level 3.”

The manager and the provider monitored the quality of the service to ensure that people were receiving a safe service that met their needs. We found that people who used the service and their relatives were asked for their opinions about the service and that, as far as possible, the provider addressed any issues that were raised.