Background to this inspection
Updated
17 January 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by two inspectors.
Service and service type
Langdale Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority, professionals who work with the service and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with three people who used the service and one relative about their experience of the care provided. We spoke with the registered manager, deputy manager, and a care worker.
We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at all seven staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We reported our concerns to the local authority, commissioners, infection control, and fire and rescue service. We continued to seek clarification from the provider to validate evidence found.
Updated
17 January 2020
About the service
Langdale Court is a residential care home providing personal and nursing care for up to seven people. On the day of our inspection there were five people living at the service.
The service was not developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. The service did not always consistently apply the principles and values of Registering the Right Support and other best practice guidance. The outcomes for people using the service did not fully reflected the principles and values for the following reasons, there was a lack of support focused on people having as many opportunities as possible for them to gain new skills and become more independent.
People’s experience of using this service and what we found
People were not always safe as infection control procedures were not followed, and this put people at risk of infection. The environment was not always clean and well maintained.
The service was not always well led. The provider did not have robust quality assurance procedures to monitor and improve care.
Risks to people’s safety were assessed but actions to mitigate against risk were not always clear.
People were supported by enough staff, who knew them well. The training was not always effective. Staff received training to support people, however this was not always followed. People were not always treated with respect.
People received medicines appropriately, peoples nutritional and healthcare needs were managed. Staff supported people to maintain their privacy and dignity. Peoples end of life wishes were explored. Complaints were dealt with in an appropriate way.
Staff told us they felt supported by the management team.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
This service was registered with us under this provider on 10 October 2018 and this is the first inspection under their current registration.
The last rating for this service was Good (published 24 October 2018). Since this rating was awarded the provider has altered its legal entity. We have used the previous findings to inform our planning and decisions about the rating at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Langdale Court on our website at www.cqc.org.uk.
Why we inspected
This was a planned inspection
We have identified two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to protecting people from the spread of infection and good governance.
Please see the action we have told the provider to take at the end of this report.
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.
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress.