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Inspection Summary


Overall summary & rating

Outstanding

Updated 14 March 2017

Langham Court is a family run nursing home that provides support to up to 28 people. The home is located in a rural area outside Hindhead. On the day of the inspection there were 28 people living at the home. The home specialises in supporting people who are at the later stages of living with dementia and are supported with a full range of tasks, including maintaining their health and well-being, personal care, support with nutrition and activities.

Langham Court was specifically designed to meet the needs of people living with advanced dementia. There was a clear vision that was centred around the principles of Dementia Care Matters’s Butterfly Household Approach. This is a national scheme aimed at improving the lives of people living with dementia. The service was consistently praised for the positive outcomes staff had achieved to ensure that people living with dementia received exceptional care. The ethos and values of the service created a caring and compassionate environment and ensured that the care delivered was truly focused on meeting the holistic needs of people.

Langham Court was last inspected on 13 January 2014 and there were no concerns.

On the day of inspection we met the registered manager. 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 inspection was unannounced and took place on 19 December 2016.

People said that they were safe at Langham Court as they were protected from harm. Staff had the training and the ability to understand risk, and reported accidents and incidents in a timely manner. Staff understood how to report suspected abuse so that action could be taken if necessary.

Incidents and accidents were investigated and the manager reviewed reports to prevent them from re-occurring. Any potential risks to individual people had been identified and appropriately managed.

Risk assessments had been completed to ensure the home was safe for people to live in and there were arrangements in place should there be an emergency.

People were supported by sufficient numbers of staff who were recruited safely and had the skills and knowledge to support people. All nurses had an up to date PIN number to prove they were registered.

Medicines were managed and administrated in a safe way and staff had a good understanding of the medicines they were administrating.

Staff had the knowledge and skills to support people with dementia. Training was available to staff, which included training courses related to people’s needs. When a training need was highlighted the registered manager arranged for it to take place.

The requirements of the Mental Capacity Act were being fully met. Best interest meetings had taken place and the registered manager had submitted Deprivation of Liberty Safeguard applications when people were being deprived of their liberty. The registered manager was aware of the people who could legally make decisions for people who lacked capacity.

People’s nutritional needs were met and people had a varied diet. People were positive about the quality of food served and they had access to food throughout the day. Staff ensured that people had enough to eat and drink.

Staff ensured people were supported to maintain their health and wellbeing and people received support from specialist healthcare professionals when required.

The environment was adapted to support people with dementia. The vibrant and interactive corridors were praised in a recent Dementia Care Matters audit. Equipment had been introduced to help people maintain their independence.

The caring and compassion offered by staff was exceptional. People were cared for by staff who put them at the centre of all they did. People

Inspection areas

Safe

Good

Updated 14 March 2017

The service was safe.

People were protected from harm. Staff could identify and minimise risks to people’s health and safety. Accident and incidents were recorded and staff understood how to report suspected abuse.

Risk assessments had been completed to ensure the home was safe, this included ensuring safe emergency arrangements were in place.

People were support by sufficient number of staff who were recruited safely.

Medicines were managed and administered safely.

Effective

Good

Updated 14 March 2017

The service was effective.

Staff had the skills and training to support people’s needs and staff felt supported.

The requirements of the MCA were fully met and DoLS applications had been submitted.

People had food that they liked and their nutritional needs were met.

People had access to specialist health and social care professionals who helped them to maintain their health and well-being.

The environment was adapted to aid people with a dementia.

Caring

Outstanding

Updated 14 March 2017

The service was exceptionally caring.

There was a strong caring culture amongst all staff members which created a ‘Family atmosphere.’

People were treated with dignity and respect by staff who knew them well. People were supported to create and maintain relationships.

Staff had time and did not rush people. Staff took time to communicate in a way people understood.

People were supported in exceptionally caring ways when they were nearing the end of their life.

Responsive

Good

Updated 14 March 2017

People’s care was centred around them and reviews involved people and those close to them.

Staff were responsive to the needs and wishes of people and meaningful conversations were stimulated by support tools and initiatives around the home.

People had access to a wide variety of activities and help design an inventive reminiscence tool.

People and relatives knew how to make a complaint and were confident it would be acted on.

Well-led

Outstanding

Updated 14 March 2017

The service had a positive culture that was person centred, open, inclusive and empowering.

Organisational values of a family were reflected in the support we observed from staff and led to consistent positive outcomes for people living in the service.

Quality assurance systems were in place to monitor the quality of the service and improvements had been made. Reflective practice was encouraged to aid improvements in service delivery.

Staff worked in partnership with other agencies to enhance the lives of people living with dementia.