Inspection on 22/07/09 for Langdale Heights

This is the latest available inspection report for this service, carried out on 22nd July 2009.

CQC found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Langdale Heights 04/09/07

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 16/02/2010.

Key inspection report CARE HOMES FOR OLDER PEOPLE Langdale Heights 352 Burton Road Derby DE23 6AF Lead Inspector Claire Williams Key Unannounced Inspection 22nd July 2009 09:30a DS0000070079.V376712.R01.S.do c Version 5.2 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Langdale Heights Address 352 Burton Road Derby DE23 6AF Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01332 367429 01332 367429 Neemat Kassam Yasmin Kassam Celine Joseph Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (31), Physical disability (3) of places Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered provider may provide the following categories of service only: Care Home only - PC To services of the following gender: Either Whose primary care needs on admission to the home fall within the following categories: Old Age, not falling within any other category Code OP, maximum number of places: 31 Physical Disability - Code PD, maximum number of places: 3 The maximum number of service users who can be accommodated is: 31 27th August 2008 2. Date of last inspection Brief Description of the Service: Langdale Heights provides nursing and personal care for up to 31 older people and is situated close to the centre of Derby. The property was originally a private house, which has been converted and extended into a nursing home. There are bedrooms on three floors, and all floors are accessed by a passenger lift and staircase. One shared room and two single rooms have en-suite facilities. The fees at Langdale Heights range from £360 to £503 a week, depending on the person’s needs. This information was provided to us at the time of our visit. Information about the home, including CQC inspection reports, is available the main entrance hall of the home, or from the acting manager. Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for the service is two stars. This means the people who use the service experience Good quality outcomes The inspection was unannounced and involved a visit to the site which lasted for a period of a day. The focus of inspections undertaken by the Care Quality Commission is upon outcomes for people who use the service and their views of the service provided. This process considers the homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. Where possible, we include evidence from other sources, notably District Nurses and Social Workers. We also use information gathered throughout the year, and since our last key inspection which was undertaken on 27th August 2008, to support our judgments. This may include notifications from the provider, complaints or concerns, surveys and the pre-inspection annual quality assurance questionnaire (AQAA), which the provider is required to complete prior to a visit to the service. We received the AQAA within the requested timescale. It was comprehensive in detail and gave us all the information we asked for. The main method of inspection used during the visit to this service was case tracking. This involved selecting three people who use the service and looking at the care they receive through the review of their records, discussion with them where possible, the care staff and observation of care practices. What the service does well: People told us they were encouraged to visit the service in order to familiarise themselves with the building, and to enable them to make an informed choice about their future. People told us they thought the service was “homely with a relaxed atmosphere”. People said the routines were flexible and they could choose how they wished to spend their day. People told us they are well looked after. They told us the staff team were: friendly”, “caring” and “responsive” and provided good care and support . People told us they were satisfied with the food provided, and they liked the trips and meals out. Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 6 People are supported by a stable and trained staff team who are dedicated to ensuring peoples needs are met to a good standard. People have opportunities to provide feedback about the service, through the quality assurance systems in place. What has improved since the last inspection? What they could do better: We have not made any requirements following this visit. We have made some good practice recommendations which if taken on board will enhance the service provided to people. Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 7 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): National Minimum Standards 1, 3, 4 and 5 (Standard 6 not applicable) People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have access to updated information, to assist them to make an informed choice about moving into this service. EVIDENCE: The providers told us in the information supplied about the service, how they carry out detailed pre-admission assessments as well as full care plans for every person. They provide detailed information about the home, its policies, and procedures, and provide an opportunity to visit the home for every person, their friends and family. They told us they provide a trial period for all new people and encourage, and motivate all people to follow their personal action plan. Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 10 People we spoke to and feedback from the surveys demonstrated that all individuals are provided with information, on their arrival to the service. This ensures people are aware of their rights, and the facilities available in the service. People who spoke with us told us they were encouraged to visit the service in order to familiarise themselves with the routines and to meet the staff and people. One person told us: I came for a visit and this helped me to make my decision. We looked at the records in three peoples files, and these demonstrated that an assessment of their needs had been undertaken before they moved in. This ensures people move into a service that is right for them and their needs. Letters confirming that the service was able to meet people’s needs had not been sent to these individuals in order to formally assure them that their needs can be met. Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): National Minimum Standards 7, 8, 9, and 10 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person has a plan of support which covers their personal, health and social care needs. This ensures support is provided based on their preferences. EVIDENCE: The providers told us in the information supplied about the service that the care provided is to a very high standard. They told us that people receive care that is unique and tailored especially for them and this is documented in their care plan. The providers told us they have trained and experienced nurses who administer medication, and all staff treat each person as an individual of equal importance. They said the staff preserve people’s dignity, and actively encourage all people to determine their own futures. They told us the staff respect the privacy of all people that live in this service. Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 12 We looked at three peoples care more closely and looked at their care files. Each file we looked at contained a plan of care, which had been completed in sufficient detail to inform the delivery of the persons care. However the care plans were not person centred and did not reflect the person’s preferences in respect of how personal or nursing care is to be provided. The care plans focused on the ‘problems’ people had, and information about their strengths was not recorded. There was some information available about peoples preferred routines in respect of what time they would like to go to bed. There was evidence in the files to support that the plan of care is reviewed on a regular basis. People told us they are consulted about their plan of care and the records seen demonstrated this. Each care plan that we sampled contained the required risk assessments that should be undertaken to monitor peoples mobility, pressure areas, nutrition and falls. These were reviewed as required. The care records that we sampled and discussions with people confirmed that contact with external health care services is routinely made. People told us in the surveys, that they received the care and support they needed and that staff was always available and listened to them. Comments in the surveys include the following: “The staff look after us well very well and I am happy here” “The care is very good”. “The staff support me with respect and dignity when undertaking personal care tasks. “The staff are friendly and I am happy living in the home” People and their relatives who we spoke to during our visit also told us they were satisfied with the care provided. When we looked at the arrangements for the handling and management of peoples medicines by the service, we found these to be satisfactory and people were receiving their medication as prescribed. The staff told us they had received training which included a practice observation and the records supported this. Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): National Minimum Standards12-15. People using the service good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although people are satisfied with the recreational activities provided, they would like the frequency of this provision increased in order to meet their preferences. EVIDENCE: The providers told us in the information supplied about the service, they ensure peoples leisure, social and cultural interests are catered for. They ensure people are provided with nutritious, appetising and varied meals whilst catering for individuals preferences by monitoring food intake, and meeting peoples religious and cultural needs. They actively encourage people to have full social lives, and welcome peopels guests with warmth and friendship. They encourage people to make their own choices. We spoke to people who were in the service for a period of respite, and they told us they did not think many activities were available. One comment made Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 14 included: “there’s not much to do, especially when you still have your mind, all we do is watch TV”. Out of the eleven surveys we received six people told us they usually have access to activities they can take part in, four told us they always do and one person told they never have access to activities they can access. A designated person is not employed to provide activities to people on a regular basis. During our discussions with staff members, they told us they try to spend time with people during the afternoon shift and undertake activities. During our visit we observed staff members chatting with people, after the lunchtime period but no other activties were provided. The hairdresser was working in the service and people did have the opportunity to have their hair done if they wished. We did see information displayed of external entertainment that had been planned and we looked in the activities log, which demonstrated that staff members do facilitate activities when they can. The records reflected that entertainment is provided in the service on a monthly basis. People told us they enjoyed this provision and the trips out. People who were mobile were recently supported on an outing to the local park, which they said they had enjoyed. Although these provisions are available on a regular basis people told us they would like activities to be planned on a weekly basis. No information about the provisions available for internal activities is displayed for people to access. There was limited evidence to support what activities are provided to people with dementia, and those individuals who due to their support needs remain in their room. People told us they were able to choose how they wished to spend their day, and that staff “always offered them choices”. People told us they are able to access religious services of their choice on a monthly basis. The relatives we spoke to told us they are “always welcomed into the service”, and that they are usually kept up to date with any significant events affecting their relatives wellbeing. We joined people for their lunch-time meal. There is no information displayed to tell people the choices for that day, and people are asked their preference at lunchtime. We looked at the menu and this reflected that choices are provided at each mealtime. People told us they are generally satisfied with the food provided, and this was supported by the comments made in the surveys. We visited the kitchen and spoke with the catering staff who told us they receive verbal information about peoples dietary requirements. Those people, who required assistance to eat their meal, were supported in a dignified and respectful manner. Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): National Minimum Standards 16 and 18 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Systems in place ensure people have confidence to raise their concerns, and are safeguarded from harm. EVIDENCE: In the self assessment we received, the providers told us they have an excellent complaints and protection policies and procedures which are simple, clear and accessible to all people. They record all complaints and the outcomes, and ensure that all complaints are responded to within 7 days. They told us they ensure all staff members are screened for suitability to work with vulnerable people. During our discussions with people they told us they knew how to complain and they said they would not hesitate to raise any issues with the staff team or manager. The feedback provided in the surveys also confirmed that people was aware of how to raise any concerns. People told us they have access to the complaints procedure in the information they have been provided with and it is displayed in the service. Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 16 The service has received 2 complaints since our last visit. Issues raised include they way a persons hair was set, and the length of time a person remained in a chair. Both of these issues were responded to, and the records demonstrated the outcomes for each person. The staff we spoke to demonstrated their awareness of both the complaints procedure and their role and responsibilities concerned with dealing with any potential abusive incidents. The staff and the records we looked at demonstrated they had received training in these areas. The service has had one safeguarding incident which is currently being responded to. The service has followed the procedures in place in order to safeguard people. Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): National Minimum Standards 19, 20, 22, 24, and 26 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from living in a clean and well equipped building that meets their needs. EVIDENCE: The providers told us in the information supplied about the service they have improved the location and layout of the home and it is now suitable for the purpose of serving as a nursing home. They ensure the building is maintained and complies with the fire service and environmental legislation. They told us the home and its grounds are kept clean and tidy and are always accessible and attractive to people. Sytems are in place to counter the spread of infections which includes staff training. They said they have invested a lot of money buying new laundry equipment. Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 18 We undertook a brief tour of the building and all areas we visited were found to be clean, comfortable, homely, warm and well lit. All areas that were identified as needing work following our last visit have been addressed. We were told that areas are being upgraded on a priority basis, as part of the ongoing investment to upgrade areas of the building. However a renewal programme was not in place to reflect work undertaken and the work that is panned for the future. The access and security of the outside area that people use has been identified in previous reports, as this leads onto the car park and therefore could be a potential risk to people. We were told the providers intend to improve this area and make it secure, but no timescale has yet been set for the completion of this work. People confirmed they are encouraged to personalise their bedrooms and those visited reflected peoples preferences. People told us the building suited their needs, and they confirmed they had access to equipment which encouraged and promoted their independence. The building appeared clean throughout and was free from offensive odours on the day of the inspection visit. People we spoke to and visitors told us “it always smells nice and this was one of the reasons we chose this service, as it does not smell”. Feedback provided in the surveys also supported this and all people said the home is “fresh and clean” at all times. Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): National Minimum Standards 27-30 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by a competent staff team, who have been recruited to ensure they are safeguarded from any harm. EVIDENCE: The providers told us in the information supplied about the service; they always ensure that staffing numbers are appropriate to the assessed needs of people at all times. They continually, invest money with the aim of ensuring that they have a motivated, well-trained, and happy workforce who are appropriately rewarded. They said they have created an environment in which working practices, health and safety and staff skills have improved. They ensure all staff members are checked for suitability, and have all of the required employment checks undertaken. During our visit we observed that sufficient staff members were on duty in order to meet peoples dependency needs. People we spoke to told us “the staff are always around to help us”. We received positive feedback from people about the staff both in our discussions and in the surveys we received. Comments we received include some of the following: Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 20 The staff are good and look after me really well. The staff are caring and treat me with respect. I like living here, this is a good home and the staff are good at their job” “The staff are very responsive to my needs, they are good”. When we spoke with staff they told us they thought the staffing levels were sufficient to enable them to meet peoples needs. Discussions with the staff team demonstrated their enthusiasm, commitment and motivation to ensuring they support people to a good standard. Staff members told us they have access to positive training opportunities. We received surveys from staff and some of their comments they made include: We are well supported and have access to good training so we can do our job to a good standard. We encourage people to be independent when they can, and ensure they feel safe in their home. We work well together as a team and provide quality care to people”. We looked at three staff member’s recruitment files. These contained all of the required recruitment information, to demonstrate that all of the checks had been undertaken to ensure these individuals were suitable for their role. We were also provided with information to support that new staff members are provided with an induction to assist them to gain the required skills and knowledge for their role. A training programme is also in place for refresher training and service specific training ensuring the staff have access to regular training opportunities. Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): National Minimum Standards 31, 33, 35, and 38 People using the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is managed to ensure people receive consistent care that meets their needs. EVIDENCE: The providers told us in the information supplied about the service they have a manager who is qualified, competent, and experienced to run the home. All staff have the relevant training associated with caring for people of old age with conditions and diseases. They have an effective Quality Assurance and Quality Monitoring System in place which allows them to gauge peoples views Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 22 and opinions about the running of the home as well as measure their progress. They told us they carry out full risk assessments and take all reasonable steps to ensure the risk is eliminated. The acting manager has had many years experience of working in her role and she is currently going through the process of registering with us. People their relatives and feedback provided in the surveys told us that the service was managed well and people were consulted about the way it is run. People spoke positively about the management team who they described as approachable, friendly” and easy to talk. The staff team told us they felt supported in their role, and told us the manager is always available, and the office door is always open, we only have to ask for help. As stated in the self assessment we saw evidence to support that quality assurance processes are in place in order to gain peoples feedback about the service provided. These included annual quality assurance surveys and internal audits to monitor the standards in place. This ensures people are consulted and receive a service that meets their needs and preferences. People said they were happy with the way their personal money was managed. We looked at the systems in place and these were satisfactory, although it seemed a little complicated. A delegate of the provider undertakes monthly visits and completes a report of their findings. This is to monitor the standards in the service and to ensure it is meeting peoples needs. The report covers the required areas and indicated that standards have been maintained on a monthly basis. The service continues to keep us informed of any significant events in the service. They completed their self assessment within the timescale provided and the information was detailed and covered all required areas. They have addressed all requirements that were made following our last report with the exception of securing the garden area. Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 2 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 2 X 3 X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 2 X X 3 Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP2 OP7 OP12 Good Practice Recommendations People should be notified in writing that based on the preadmission assessment the service is able to meet their assessed needs. The care plans should be completed in a person centred way and reflect peoples strengths and preferences. The range and frequency of activities should be increased to ensure that all people in the home, including those with dementia, are offered enjoyable and stimulating activities to meet their needs and preferences. The menu should be displayed to enable people to be aware of the food choices for that day. Records should be completed of the food taken by people. People should be consulted about the food provided to ensure it meets their preferences. A renewal programme should be in place and include the timescale for when the outdoor area which is used by people living in the home is to be made safe. (This is DS0000070079.V376712.R01.S.doc Version 5.2 Page 25 4. 5. 6. 7. OP15 OP15 OP15 OP19 Langdale Heights 8. OP35 specifically for people with dementia who may have limited understanding of the risks of walking into the car park.) The system followed for managing peoples finances should be reviewed. Langdale Heights DS0000070079.V376712.R01.S.doc Version 5.2 Page 26 Care Quality Commission East Midlands Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. 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