Inspection on 11/12/07 for Langley Lodge Residential Care Home

This is the latest available inspection report for this service, carried out on 11th December 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

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Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Langley Lodge Residential Care Home 26 Queens Road Wisbech Cambridgeshire PE13 2PE Lead Inspector Don Traylen Unannounced Inspection 11th December 2007 10:15 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Langley Lodge Residential Care Home DS0000070645.V356427.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Langley Lodge Residential Care Home DS0000070645.V356427.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Langley Lodge Residential Care Home Address 26 Queens Road Wisbech Cambridgeshire PE13 2PE 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) 01945 582324 01954 466253 Mr Ben Mauremootoo Arnas Mauremootoo Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Langley Lodge Residential Care Home DS0000070645.V356427.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service: Care Home - CRH to service users of the following gender: Both whose primary needs on admission to the home are within the following categories: Old Age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is 20. This is the first inspection for this service since the home changed ownership and the new providers became registered. 2. Date of last inspection Brief Description of the Service: The owners of Langley Lodge purchased the home as an ongoing business and became the registered providers on 27th September 2007. Langley Lodge is a large detached property built in the 1920’s, situated in a residential area of Wisbech, approximately half a mile from the town centre. Accommodation for residents is provided in fourteen single rooms and three double bedrooms. Ten rooms have en-suite WCs and a sink. The home is spacious. There are two small bathrooms, one of which is equipped with an assisted seat, one large sitting room with conservatory and a dining room. There is a conservatory, which adds further sitting room space for residents. Accommodation is on two floors and there is a chair lift to the first floor. The external grounds and gardens are extensive both to the front and the rear and at the side of the building. There is adequate space for car parking in the main driveway at the front of the building. The home charges rate of £340 to all people irrespective of whether they are commissioned through a PCT or a Local Authority, or are purchasing their care privately. Copies of CSCI reports are available to interested parties at the home or through the Commission for Social Care Inspection (CSCI) website. The inspection reports about the home for the previous registered providers have been removed fro the CSCI website. Langley Lodge Residential Care Home DS0000070645.V356427.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection of the service since the new registered providers were approved by the CSCI on 27th September 2007. The inspection was a key unannounced visit at 10:15 am on Tuesday 11th December 2007 and finished at 4:30 pm. The lead inspector was accompanied by an ‘expert by experience’ who had been asked to participate in this inspection so that the views of people using the service could be consulted and their views listened to and recorded. Almost all of the people living in the home were met and spoken to. The expert by experience spent 5 hours with people with the specific intention of consulting them for their views and to observe the quality of care and interaction with staff. Three visiting relatives were asked for their views and frequency of contact with the home. The registered providers are a partnership of two and both persons were present during the inspection. They informed me of their progress and provided an action plan for the jobs they had already undertaken since becoming the registered providers. Surveys were returned from eight people using the service. Although an Annual Quality Assurance Assessment (AQAA) was sent to the home, the new registered providers stated they had not received it and offered to complete an AQAA should the Commission request this. Feedback was given to both registered providers by both inspectors at the end of the inspection. What the service does well: Prior to the visit, contact was made with a member of the night staff with regard to car parking at the home. She took the opportunity to pay tribute to the new owners, who had already installed new central heating and decorated some of the empty rooms, since taking over a few weeks ago. She urged, “Do come and have a look, it’s really nice here. It’s the nicest home I’ve worked in,” without knowing she was speaking to a potential inspector. The above is a an endorsement of the homes good service in their attention to making people safe, the care staff’s attitude and the management of the service. Langley Lodge Residential Care Home DS0000070645.V356427.R01.S.doc Version 5.2 Page 6 The recently registered providers have informed all the people living in the home, their relatives or representatives and all the staff of their intentions and plans to improve the home. This has created a very inclusive atmosphere and has succeeded in making people living at the home and the staff confident in the future of the home. This approach has also shown that people are respected and are included in their plans and that the home is transparent and honest. Throughout the inspection it was clear that people living at the home and the staff were able to converse openly and equally with the owners and discuss the plans for improvement. Immediately upon entering the home there was an atmosphere of friendliness and openness when staff greeted us politely. It was observed that people living at the home were warm and comfortable and appeared happy. The home felt safe. There was an atmosphere of ease, relaxed contentedness and freedom of expression observed in people living at the home. It was evident, after talking to care assistants and to people living at the home, that they are part of the positive atmosphere where there is a desire to bring about essential changes of attitude based on respect. Staff were eager to converse with the inspectors and were natural in their conversations with people living at the home. Staff expressed confidence and an enthusiasm for their work. The environment is well lit and has sufficient natural light and was warm and clean on the day of inspection. The home had prepared for and ensured that activities were being implemented and there were staff and resident meetings and a few Christmas events had already taken place and more were planned. A Christmas dinner for people and their relatives and friends had been planned for Saturday 15th December 2007. Meals are excellent. They are nutritious, well presented and cooked using only fresh vegetables and quality meats. All of the twelve people eating lunch on the day of inspection endorsed this view. Langley Lodge Residential Care Home DS0000070645.V356427.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? This is the first inspection for the new and recently registered providers and they have already brought about a number of improvements to the service that include: • Installing central heating and radiators to seven rooms and corridors where these had not previously been fitted. • The dining room and several bedrooms that had been unoccupied had been redecorated and re-carpeted. The owners explained their plans to extend this redecorating to the entire home as soon as they can financially and practically arrange it. They have planned not to admit to their capacity, but to redecorate rooms so they have the space and capacity to offer a temporary alternative room, whilst the redecorating work is being carried out. • The excess stock of old medication reported by the owners had been returned to the pharmacist and all prescribed medication has been reviewed by the GP(s) and this has been completed as a matter of urgency after this had been requested by the new owners. • The arrangements to administer medication have been altered so that only key staff are allowed to administer medication. • Staff training is being planned and some arrangements have already been made, such as the better management of food. • New care staff have been recruited and existing care staff have been informed of the attitude and conduct expected by the new owners and of the improvements introduced by them for the proposed staffing arrangements. • Policies were in the process of being re-written. • Care Plans have been rewritten and in some cases re-assessment have been undertaken bun the home because of the lack of care plans and records that was found by the new providers after taking ownership. • Made significant improvements to the accessibility to daylight in the conservatory by cutting back overgrown trees and foliage in the rear garden. • Made arrangements to provide and initiating meaningful activities. • Ensuring that staff speak politely and informatively when answering the telephone. • New and additional choices for meals have been provided and the cook has been encouraged to be inventive and asked to prepare one new meal each month and to consult with all if they would like this food to feature on their menu. Langley Lodge Residential Care Home DS0000070645.V356427.R01.S.doc Version 5.2 Page 8 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Langley Lodge Residential Care Home DS0000070645.V356427.R01.S.doc Version 5.2 Page 9 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 Langley Lodge Residential Care Home DS0000070645.V356427.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,4,5, Quality in this outcome area is good. People are assured their needs are established and can be met prior to moving into the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose and the Service User Guide were well presented documents available at the home. The Service User Guide was not entitled as such, although all of the component parts that constitute a guide to the care home were available. A sample contract, the details of the fees and the accommodation were included. The records for two people who had started a short respite stay at the home included a PCT Care Management assessment. The providers explained how it has been necessary for them to re-assess and record each person needs because there were not any records from the previous management team to show the assessed needs and care plans for anybody living at the home. Langley Lodge Residential Care Home DS0000070645.V356427.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10, Quality in this outcome area is good. People are assured of and receive wellplanned care that is delivered in a respectful manner, despite the improvements that can be achieved when administering medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans have been re-written for all the people living at the home apart from two people who are staying at the home for a short respite period. The providers explained that there were not any written care plans available at the home when they took over the management and that they had written each person’s plan as a priority task. They have captured essential needs and how to meet these needs. They have completed risk assessments for the most serious and obvious risks concerning care. The providers stated that it is their intention to continue to improve these plans. Langley Lodge Residential Care Home DS0000070645.V356427.R01.S.doc Version 5.2 Page 12 The priority given to requesting the GP(s) to review every person’s prescribed medication is evidence that health needs are responded to. This is especially relevant as one result was that some people’s medication was no longer being prescribed or needed. A nominated care worker manages medication administration. The administrating of medication would be better managed by using a medication trolley to transport medication directly to the person. This system has been decided upon by the home that has already ordered the equipment from their pharmacist and is waiting for this item to be delivered. This equipment would facilitate quicker administering and eradicate an observed risk of leaving the medication storage cupboard unattended, an act that the care assistant was immediately aware of when this was discussed with her and the registered provider, Mr Ben Mauremootoo during a medication ‘round’. It was agreed that this was not a usual practice and the home were expecting to receive a medication storage trolley to transport medication to the person. The registered providers explained how they had to make safe the medication supply by returning excess medication and providing training to a dedicated care assistant to administer medication when they first became the new owners. Training has been provided from a pharmacist to some of the care assistants. Further training in this topic from Cambridgeshire PCT was being planned for all care staff. A medication policy was being written at the time of the inspection but had not been completed. One concern was observed about the method of transfer from a person’s wheelchair. This was discussed with the owners at the end of the visit and it was established that, because this resident was so tiny and light, it was feasible for two carers to transfer her aided by her ‘blue belt’, but that a heavier person would need more robust equipment, such as a ‘stand-aid’ or hoist. There was a drink beside her but it was uncertain if she would, or could, help herself to it. One dependent resident was assisted throughout her meal with care and dignity, her food being cut up very small, as she has difficulty swallowing. Observing conversations and interaction between staff and people living at the home it was evident that people were treated with politeness and with attention and their views have been sought on many topics such as where the furniture should be positioned. When the owners became the new registered providers in late September 2007, they informed everybody including relatives and staff of their aims and plans. They stated they were very surprised to find out that nobody living at the home, or their relatives, or staff, knew of the sale. Langley Lodge Residential Care Home DS0000070645.V356427.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15, Quality in this outcome area is good. People are assured of good food, an open door policy to visitors and of being consulted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were various organised activities introduced by the new providers: these included a recent carol singing session by a visiting choir and a Christmas party organised for Saturday the 15th December 2007; ‘sitting sports’, such as bowls, skittles and golf; a regular visiting hairdresser has been commissioned to attend the home each week and was present on the day of inspection; a priest has been requested to attend and musical evenings and bingo have also been organised. Before lunch the ‘expert by experience’ spent some time with a visiting daughter-in-law in order to gauge her opinions. The daughter-in-law was extremely satisfied with the level of care and all aspects of the home. She stated that her mother-in-law now received greater stimulation now, than before the current owners. She added that the staff were more friendly and Langley Lodge Residential Care Home DS0000070645.V356427.R01.S.doc Version 5.2 Page 14 flexible than previously and she could take her mother-in-law out whenever she wanted to. She is always offered tea or coffee on arrival. The reasons she and her mother-in-law chose this home was its proximity to town for outings and the big room with en-suite facilities. Two visiting daughters informed one of the inspectors that they were very pleased with the care. The daughters’ comments reflect the opinions of all those spoken to during the visit: ‘Brilliant! Absolutely brilliant! Lovely; they couldn’t be kinder or nicer. They treat us as family and Mum as a friend.’ Evidence of further good outcomes for people living at the home were seen in the excellent meal that was served and eaten by the inspectors and that 10 people who said it was the usual and normally good standard. The two inspectors sat and ate with people during this lunchtime meal and asked everybody for the their views about the meal and other topics. This meal was enjoyed by everybody who ate it and afterwards when asked they all stated they are pleased with this high quality food of fresh vegetables and quality meats. People were relaxed and chatty, praising the food, home, staff and freedom of choice they enjoyed. Most were asked if they would like a small helping and, of those, all said they would. The food was freshly prepared, the vegetables cooked perfectly and all was plated at the trolley, being cut up as needed at table. Clean linen table napkins were presented in pretty wooden rings. Water or squash was served with the meal. The cook came into the dining room to ask people if they had liked their food. She prepares a new and different meal each month for people to give a verdict whether they like it, but only if they choose to try it. All the people spoken to expressed a wish to request a particular food preference for a special meal and showed their high level of interest and stimulation by the food and the way mealtimes are managed. Favourite choices included red salmon, omelette, prawns and home-cooked ham. They all commended the food they received, the choices and the level of cooking. A chunky-handled cutlery set was noticed as the tables were being cleared, a helpful aid to person with hands affected by arthritis. One dependent person was assisted with feeding throughout the mealtime when her food was cut up very small, as she had difficulty swallowing. The care assistant showed appropriate and thoughtful care, which showed she treated this person with respect and dignity. Langley Lodge Residential Care Home DS0000070645.V356427.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18, Quality in this outcome area is good. The home has yet to formally declare their intentions to protect people from abuse and to put their good intentions into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was no written policy about safeguarding people although the registered provider explained the policy verbally and stated that this policy was in the process of being written and will be written soon. The Statement of Purpose did not include a reference to safeguarding people. Training in the protection of vulnerable adults has been provided to some of the staff. There was a scheduled plan to provide this training all staff in the near future. Arrangements have been made to train staff in ‘preventing abuse’ through the Cambridgeshire County Council trainers. The provider has the appropriate information and guidelines from Cambridgeshire County Council about reporting abuse and the procedures to adopt should abuse be suspected or alleged. The home has a complaints process that is included in the information given in the user’s contract. Langley Lodge Residential Care Home DS0000070645.V356427.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,21,25,26, Quality in this outcome area is good. People are assured their environment is safe, clean and pleasantly maintained and that the home has plans to improve the environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The environment of the home was spacious, warm, comfortable and welcoming. Staff were welcoming. The furnishings and decoration were comfortable and of good quality. There was a faint trace of odour in one bedroom only. All areas were clean and tidy in spite of a major refurbishment programme in place, encompassing all bedrooms and the two bathrooms, the living areas and installing new double-glazing. The providers explained and described their intentions to bring about as much modernisation as possible whilst considering the potential disruption to people living at the home. The Langley Lodge Residential Care Home DS0000070645.V356427.R01.S.doc Version 5.2 Page 17 work completed to date included repainting the dining room, the lounge and some of the bedrooms on both floors and laying new carpets in these bedrooms. The new providers had also fitted each of the eight bedrooms on the ground floor with central heating radiators and had ensured these were covered. One area of concern was the stair-lift arrangement, taking in two flights of stairs and a landing, and involving a transfer on the landing from one chair to the other. The landing was a small area in which to manoeuvre. The large, long lounge had a pleasant conservatory area at one end, semiseparated by the arrangement of chairs across the room. The fish tank was visually appealing and stimulating and was immaculately clean on the day of the visit. People could watch the large-screen television in this lounge. The armchairs were arranged around the edges of the room and this was the preferred option and efforts had been made to group chairs in a less formal setting, but residents did not approve. Their preference was respected and the old arrangement restored. The registered providers explained their intentions to restore the extensive gardens and outside area that has become neglected and unsafe. A large and deep swimming pool located in the middle of the rear garden is in a state of disrepair and represents a risk that both providers wish to make safe. They have responded to this risk by ensuring this part of the garden is not used. Langley Lodge Residential Care Home DS0000070645.V356427.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30, Quality in this outcome area is adequate. People living at the home are in safe hands and the training arrangements that have been planned by the recently registered providers will ensure even more safety for people using the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were 12 people living at the home on the day of inspection being cared for by two care staff, a cook, an administrator, plus the manager. The manager is one of the two partners who are the registered providers. When people at the home were asked, as a group, if they thought there were enough staff, the consensus was ‘no’. One person said she would love to have a hand and foot massage, and for someone to do a crossword with her, but now arthritis in her hands prevented her from holding a pen, or even reading a book. The same resident, when questioned if the carers treated her with respect and dignity, said, ‘No one talks very much.’ This could have been the impression from somebody who had only been at the home a few days and was still settling in and getting to know people. She needed her food cut up for her and confirmed that this was always done. Carers felt staffing levels suited the current number of people at the home and they reported that it was the owners plan to take on more staff as more people moved into the home. Langley Lodge Residential Care Home DS0000070645.V356427.R01.S.doc Version 5.2 Page 19 The registered providers stated that the induction training being planned by the home will include safeguarding people. There were arrangements in place to train staff in a range of appropriate care skills. The training had not yet been provided for all staff in all of these topics as the new providers intended to ensure that all staff are adequately trained. Some training has already been provided since October 2007 in protecting vulnerable adults from abuse. Training in the safe administering of medication has been provided by the pharmacist and further arrangement for staff to be trained by Cambridgeshire PCT were being planned. The current recruitment arrangements for new staff are made via a nearby care home that is owned and managed by one of the registered providers. The recruitment details for new staff were checked and found to be satisfactory. The registered providers both stated that home’s recruitment policy is the similar to that used at the providers other care home but dedicated policy will be written for Langley Lodge. The staff who spoke to the expert by experience said they enjoyed working at Langley Lodge and were very pleased with the turnaround in the levels of care and commitment since the new owners came. On two occasion when telephone contact was made with the home, staff answered politely and promptly and were helpful and positive in their responses. There is a clear sense of reciprocated responsibility and loyalty by the care team. Langley Lodge Residential Care Home DS0000070645.V356427.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38, Quality in this outcome area is good. People living at the home benefit from the transparent and open management style set by the recently registered providers. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One of the registered providers who had intended to be in daily control of the home had intended to apply to become the registered manager. There is already evidence and comments in this report to show that the home is run in the best interest of people receiving the service. Discussion with the two partner providers enforced this evidence when they showed me the list of Langley Lodge Residential Care Home DS0000070645.V356427.R01.S.doc Version 5.2 Page 21 topics they had attended to as a priority after taking ownership of the home. These included: making contacts with community health nurses and GPs and informing then of the homes intention; purchasing pressure mats and turning frames; ensuring all personal TVs were working fitted new satellite dish and receiver so that all rooms receive TV; purchase of new spin dryer purchase of new kitchen utensils; uniforms provided for staff; provided new central heating system and providing this to eight bedrooms two corridors and ensuring radiators were either fitted or replaced throughout the home and ensuring the central heating was replaced or working efficiently after it was found to be defective; new medication trolley ordered and better and safer management of medication. These are in addition to staff training being arranged. These improvements were seen during the inspection. The new providers have accomplished significant changes and committed to financial investment that has demonstrated their commitment to the needs of people living at the home. People’s financial interests are not managed by the home, apart from the “residents fund” and this was managed in a very transparent and open manner when a large notice board was used to announce the payment of money into the account and was written in very large words. Fire safety checks were made and the fire drill had been recorded. On the day of the inspection the fire testing certificate could not be located and the providers offered to send a copy to the Commission. Various policies including those to ensure health and safety had not yet been written for the home. There were not any policies available at the home when the current registered providers took over the home at the end of September 2007. Langley Lodge Residential Care Home DS0000070645.V356427.R01.S.doc Version 5.2 Page 22 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 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X 2 X X X 3 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Langley Lodge Residential Care Home DS0000070645.V356427.R01.S.doc Version 5.2 Page 23 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. 1 Standard OP9 Regulation 12(1) Requirement A medication policy must be written so that people living at the home are assured of being protected. A safe system of administering medication must be assured so that the medication storage cupboard is never left unattended and unlocked. Training arrangements to protect vulnerable people from abuse must be made for all staff, so that people are assured they are safe and are protected. Timescale for action 02/02/08 2 OP9 13(2) 18/12/07 3 OP18 13(6) 02/02/08 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 Refer to Standard OP18 OP21 Good Practice Recommendations The home should write a policy relating to safeguarding vulnerable adults from abuse. Any redesigning and refurbishment of the bathrooms should be considered for the needs of people living at the DS0000070645.V356427.R01.S.doc Version 5.2 Page 24 Langley Lodge Residential Care Home 3 OP36 home and addition grab handles, support rails or raised seats as well as assisted bathing seats and other suitable aids for assistance should be considered where necessary and guidance from an occupational therapist should be considered. The en-suite facilities should also be considered for any of these fittings, where people may need such equipment. All of the homes policies relating to staff recruitment, staff induction and staff training should be written. Langley Lodge Residential Care Home DS0000070645.V356427.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Inspection Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Langley Lodge Residential Care Home DS0000070645.V356427.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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