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Inspection Summary


Overall summary & rating

Outstanding

Updated 22 July 2017

This inspection was carried out on 9, 10 and 12 May 2017 and was unannounced. Langley Park provides residential care for up to 46 people over two floors in the centre of a village in County Durham. At the time of our inspection there were 45 people using the service. The home is not registered to provide nursing care.

Following our last inspection in March 2015 Langley Park was rated overall as “Good”.

There was 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.

We found staff in the home were extremely caring. People who used the service, relatives and visiting professionals were highly complementary about the staff team. They used words such as, “Brilliant” or “Outstanding” to describe them.

Staff had very positive relationships with people and their relatives. We found staff knew people exceptionally well and had found ways to engage with people which promoted their emotional and physical well-being to a high degree. We saw every member of staff approached people with kindness. Staff anticipated people’s needs and offered their help.

We saw the staff in the home provided people with meaningful activities which met every aspect of the National Institute for Health and Care Excellence (NICE). The activities and events in the home permitted relatives to have social times with the people who used the service. We found staff had successfully engaged people in a wide variety of activities which met their preferences and reflected their individual preferred lifestyles. The home was full of laughter. Music was used to enhance people’s emotional well-being and this was infectious through the home. Relatives described their family members as being “Happy” and “Content.”

People received consistent, personalised care and support which was documented in detail in people’s care records. These were regular reviewed and updated when people’s needs changed. Staff demonstrated they clearly understood people’s needs and were able to provide several examples of how they delivered individualised care to each person who used the service.

Visiting professionals told us they were confident in the care provided to people at the end of their life. One professional said, “They give people very good end of life care.” Relatives had sent cards to the home to say “Thank you” to the staff for providing sympathetic and thoughtful care when people who used the service approached the end of their life.

We found if relatives raised any concerns or wished to discuss issues these were promptly addressed by the registered manager. There had been no complaints in the last 12 months. Seven relatives had used a web based review site to leave comments about the service. All of their reviews highly praised the staff.

We checked people’s medicines records and talked to staff about how they administered people’s medicines. We found people received their medicines in a safe manner. Guidance was given to staff on signs to look out for if people were in pain.

We found regular checks were carried out on the building to ensure people lived in a safe and secure environment. People had personal emergency evacuation plans in place which were accessible to emergency services to help them locate people in the building and support them to leave.

The registered manager maintained safe staffing levels. Relatives told us they thought there were enough staff on duty. We found staff were able to respond quickly to people’s care needs.

Robust checks were carried out on staff to ensure they had the appropriate skills, experiences and attitudes to work in the home. Once recruited, staff were supported through internal and external training, supervision and apprai

Inspection areas

Safe

Good

Updated 22 July 2017

The service was safe.

Risks to people were identified and guidance had been put in place so staff knew how to prevent accidents and incidents occurring.

There was enough staff on duty to meet people’s care needs.

People were given their medicines in a safe manner. Checks were carried out on people’s medicines by the night shift to ensure records and stocks of medicines were accurate.

Effective

Good

Updated 22 July 2017

The service was effective.

The service was meeting the requirements of the Mental Capacity Act 2005 and had made appropriate applications to the local authority to seek authorisation to deprive people of their liberty and keep them safe.

Staff understood the need to have good nutrition and hydration in place for people. Arrangements were in place to ensure care staff and kitchen staff worked together to monitor people’s weight.

Visiting health professionals were confident in the abilities of the staff team to monitor people’s health care needs and request appropriate support from medical staff when they detected subtle changes in a person’s presentation.

Caring

Outstanding

Updated 22 July 2017

The service was exceptionally caring.

There were exceptionally positive relationships between everyone involved in the service including people who used the service, staff, professionals and the registered manager. This led to a warm and friendly atmosphere in the home.

Staff knew people very well and had detailed in their care plans the best ways to ensure their well-being was enhanced. Staff knew how to get the best out of people.

The home had developed an environment and provided care where people’s well-being was paramount. Consequently relatives found their family members to be content and happy living in the service

Responsive

Outstanding

Updated 22 July 2017

The service was highly responsive.

Meaningful activities for people were provided which met their individual needs and provided a highly stimulating environment. Events were planned during the week which meant people always had something to look forward to.

People were provided with consistent, personalised care and support which was informed by relatives who knew people well. Staff had documented detailed care plans which showed they knew and understood how to provide individualised care for people.

We found there had been no complaints made about the service in the last 12 months and found the registered manager promptly responded to any concerns and sought solutions.

Well-led

Good

Updated 22 July 2017

The service was well led.

Surveys carried out by the provider demonstrated staff were happy working in the home. Relatives, staff and professionals had confidence in the registered manager and were complimentary about their management skills.

In an independent review involving the views of 31 people living in the home Langley Park had achieved comparably higher scores than the averages obtained across a number of care homes.

Regular audits of the home were carried out to monitor the quality of the service.