Langdale House Residential Home

Langdale House Residential Home can accommodate 12 people with mental health needs in one adapted building. Accommodation is provided on two floors; a passenger lift is available. At the time of our inspection, seven people were living at the service permanently and one person was receiving respite care.

People's experience of using this service and what we found

Some improvements were required in how people were supported to remain safe. This included written guidance for staff and clear recording of when care and support was provided. Infection prevention and control, including cleaning of the environment was not sufficiently robust. Fire safety needed further consideration to ensure people's safety. The systems used to monitor health and safety and how the service developed and improved required reviewing.

We have made a recommendation about the management of infection control practice.

There were sufficient staff employed at the service and staffing levels considered people's dependency needs. No new staff had commenced at the service since it had reregistered, and the management team were aware of the safe recruitment checks and standards they were expected to complete for new staff.

People received their prescribed medicines safely and medicines were administered and managed following best practice guidance. People were protected from abuse and avoidable harm; staff had received training and understood their role and safeguarding information was available and discussed with people. There was a positive approach to learning to reduce the risk of incidents reoccurring.

Staff received ongoing training and support. People were supported with their physical, mental and welfare needs. Staff worked with external health and social care professionals to support people to achieve good outcomes and remain well and safe.

People received enough to eat and drink and they were involved in the development of the menu.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were involved in their care and support and were positive about the approach of staff who knew them well. People had information about advocacy services.

Some improvement was required to ensure there was a person centred approach in encouraging independence. People's diverse needs and lifestyle choices were known, understood and supported by staff. In house games were available and people enjoyed summer day trips and accessed the community as they wished.

People were supported to raise any concerns or complaints and any made were investigated and resolved. People's communication needs had been assessed and planned for. People's end of life wishes had been discussed with them.

Staff were positive about their role and the support and leadership of the service. The registered manager had met their registration regulatory requirements. Positive links had been developed with external professionals and the registered manager had up to date policies and procedures and used best practice guidance to support their practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (published 25 April 2018). Since this rating was awarded the registered provider of the service has altered its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.