Inspection on 29/09/05 for Langdale Court Care Home

This inspection was carried out on 29th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Langdale Court Care Home 27/04/09

Langdale Court Care Home 28/04/08

Langdale Court Care Home 03/05/07

Langdale Court Care Home 01/05/06

Langdale Court Care Home 27/01/05

Langdale Court Care Home 12/08/04

Langdale Court Care Home 31/03/04

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

CARE HOME ADULTS 18-65 Langdale Court Care Home 1 Colville Street Nottingham NG1 4HQ Lead Inspector Lee West Unannounced Inspection 29th September 2005 10:30 Langdale Court Care Home DS0000002295.V257879.R01.S.doc Version 5.0 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 Langdale Court Care Home DS0000002295.V257879.R01.S.doc Version 5.0 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 Adults 18-65. 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. Langdale Court Care Home DS0000002295.V257879.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Langdale Court Care Home Address 1 Colville Street Nottingham NG1 4HQ 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) 0115 947 2167 Mrs Cordelia Nwafor Ogbakaeko Mr Bernard Okenwa Ogbakaeko Mrs Cordelia Nwafor Ogbakaeko Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7) of places Langdale Court Care Home DS0000002295.V257879.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th May 2005 Brief Description of the Service: Langdale Court, opened in 1987, is a converted Victorian style three-storey house with a small front and side garden, registered to provide personal care and accommodation for up to seven people with mental health needs. It is situated near the city centre and is close to shops, pubs. Post office and other amenities. There are five single bedrooms and one double bedroom; none with ensuite facilities. There is no lift to provide independent access and consequently the home is not suitable for wheelchair users, or, people with mobility difficulties. The service users at present are all male. Langdale Court Care Home DS0000002295.V257879.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection on the 29th September, starting at 11.45am. The manager was present throughout and was busy cooking the lunch at the beginning of the inspection. Six of the service users were in the home and conversations with all of them provided information and also insights into their views on the care whether it meets their needs. Four service users’ records were case tracked. This method uses the service users’ experiences and expectations of living at the home, not only with talking to them, but also from analysis of the records and talking with both members of staff on duty to ensure that those living at the home have their needs met and their health and welfare maintained appropriately. Overall, the home has developed an environment that the service users feel comfortable in. Some areas of general maintenance require attention as this is a Victorian building. The stairs to the upper rooms are steep so the home is not suitable for anyone with a mobility problem. All the service users are male. Service users were observed carrying out routine chores around the home and one service user was drawing, others were in and out, around the local community What the service does well: What has improved since the last inspection? The handrail on the cellar stairs is repaired and the water outlets are all working at the time of inspection. Service users are responsible for assigned tasks in the day to day running of the home. A questionnaire asking for views on how the home is run was seen during the inspection and the Manager listened to one service user who felt an input from the service users would be useful when employing new staff. Up to date training records were seen at this inspection. Langdale Court Care Home DS0000002295.V257879.R01.S.doc Version 5.0 Page 6 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. Langdale Court Care Home DS0000002295.V257879.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Langdale Court Care Home DS0000002295.V257879.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not assessed during this inspection EVIDENCE: No new service users have been admitted since the last inspection. Langdale Court Care Home DS0000002295.V257879.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 Service users are aware their needs and goals are reflected in the care plans and that all information is kept confidential. Consultation with the service users is limited, but they do participate in some aspects of life in the home. They are encouraged to maintain an independent lifestyle. EVIDENCE: Service users were only too pleased to inform the inspector of the routines they carry out within the home. These were also observed during the inspection, for example setting the tables for lunch, putting used crockery into the kitchen and one service user “does the bins”. There was no evidence seen during the inspection of the service users being consulted on other aspects of life in the home, but service users said this does happen. Service users are encouraged in their independent lifestyle. One service user explained how he goes out and about and visits his family and friends, using the local bus service and facilities in the area. Service users also said they knew there was information about them stored but it was “private”. Service users said they felt they had control of what is happening. Staff escort service users to the bank to do their own transactions and to any other appointments “just to help me get things right.” Langdale Court Care Home DS0000002295.V257879.R01.S.doc Version 5.0 Page 10 Langdale Court Care Home DS0000002295.V257879.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 The home provides meals which the service users enjoy at times that suit them. They take part in leisure activities within the local area which are appropriate to their age,peer and culture. Service users who wish this have relationships with their families and friends and their rights are addressed. Sexual relations are not addressed and opportunities for personal development are limited. EVIDENCE: Service users spoken with said they felt their interests and needs were being met. Some have been to Skegness for a trip and come and go around the home as they please. One service user explained how he maintained contact with his family and friends around the area and that this is encouraged. There was no evidence in care plans case tracked, or speaking to staff and service users that their sexual relationships are discussed, as this is “an all male” home at the moment. The local pub, shops and other amenities are regularly used, “I enjoy the quiz night at the pub” Wells Road Day Centre is also attended. The plan of activities seen during the inspection cover trips, parties, indoor and outdoor activities; but regular, development focused activities are not identified. Langdale Court Care Home DS0000002295.V257879.R01.S.doc Version 5.0 Page 12 All the service users said the food was “really good” “you get lots” “I’m always asked what I want.” Lunch was observed to be of substantial amounts, looked appetising and nutritious and most of the service users ate all on their plates. The served in the dining area. Service users also said they had good breakfasts and that they had a cooked breakfast at the weekend and a choice of cereals and toast during the week. Langdale Court Care Home DS0000002295.V257879.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20, Service users receive personal care in the way they prefer and their physical needs are met. Service users do not administer their own medication. Medication was not fully assessed during this inspection. EVIDENCE: Due to the category of service users at present it is more appropriate for the medication to be administered and recorded by the staff to monitor compliance with any medication regimes. The service users said they were happy with the personal support they receive. “Staff don’t interfere too much and let me do things myself and help me to shave.” Service users said they feel their emotional needs are not always met, but due to the complexity of the mental health needs of the service users, this is an area that frequently changes. Langdale Court Care Home DS0000002295.V257879.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22.23 Service users feel their views are listened to. Staff have been trained in the Protection of Vulnerable Adults and are aware of the procedures to protect service users from abuse. EVIDENCE: All the service users are aware of how to make a complaint and said that they are listened to. There were no complaints recorded in the complaints book since the last inspection, but discussion with service users showed complaints were being dealt with “on the spot” but not being identified in the complaints book. Staff interviewed explained the procedures for protection of service users from abuse and service users said they felt they were protected. Langdale Court Care Home DS0000002295.V257879.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,28,30 There remain areas to be improved and decorated and repairs to be carried out. The communal areas are suitable for the service users and their own rooms have personal possessions in them. EVIDENCE: The home has steep stairs up to the bedrooms as well as to the cellar. Handrails are secure at the time of inspection. The service users said they have their own possessions in their rooms, but they did not give permission for access during this inspection. Service users said that they like the lounge area, which is a smokers’ lounge, as the majority of the service users smoke. The home have made some improvements to décor and furnishings, but there are still areas needing attention. The cooker still has not been repaired, the front door lock is faulty and jammed during the inspection. The outdoor area is in need of some attention, but this is a project that the service users work on with the staff. The home was clean, especially the kitchen, on the day of the inspection. Langdale Court Care Home DS0000002295.V257879.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36 The staff in the home have received training to competently meet the service users’ needs, they have a clarity of their roles and responsibility and the core staff team support the service users. The staff recruited have Criminal Records Bureau checks and two references and are supervised regularly. EVIDENCE: The proprietor/manager was on duty during the inspection, together with one other carer. Staff said they had been trained in fire procedures, manual handling, food hygiene, medicines, alcohol awareness and records were seen that confirmed this. Service users said that they felt the staff do meet their needs and felt safe in the home. Staff they had regular supervision and there were records seen during the inspection to this effect. Staff recruited are Criminal Records Bureau and Protection of Vulnerable Adults checked and two references are requested, but the reference requests do not clearly show the status of the referee. Langdale Court Care Home DS0000002295.V257879.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42,43 The home is run with the best interest of the service users at the centre of its approach. The staff protect the service users’ health, safety and welfare, but there are some omissions highlighted in this area during the inspection. These omissions in the management areas, highlight some management improvement needs. EVIDENCE: The proprietor is the manager of this home. The service users spoken with feel they are benefited by the way the home is run, that their interests are catered for and there was a positive rapport observed between the staff on duty and all the service users. Due to the varying levels of understanding it is not practicable to involve the service users in review and development. However, evidence was seen at this inspection that attempts to address this with a completed questionnaire in one of the case tracked service user records. The lighting tests had not been recorded since August 2005. Fire testing had not been recorded since 2nd September 2005. Langdale Court Care Home DS0000002295.V257879.R01.S.doc Version 5.0 Page 18 No water temperatures had been recorded. The hot water system is direct through the boiler, with no tank, and no legionnella testing has been completed due to this. The accident book does not comply with the Data Protection policies and had not been filled in for some time. Although there is a complaints book and also a maintenance book, these are not regularly used. Langdale Court Care Home DS0000002295.V257879.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 2 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 X 3 X 3 LIFESTYLES Standard No Score 11 2 12 3 13 3 14 2 15 2 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Langdale Court Care Home Score 3 2 x x Standard No 37 38 39 40 41 42 43 Score 2 3 2 3 2 2 2 DS0000002295.V257879.R01.S.doc Version 5.0 Page 20 No. Are there any outstanding requirements from the last inspection? 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 YA24 Regulation Requirement Timescale for action 22/11/05 2 YA42 23(2)(b)(d) Ensure the premises are of sound construction and kept in a good state of repair internally and externally by repairing the cooker and front door lock and recording and dealing with repairs promptly. Prepare and record a schedule for planned maintenance and renewal for the fabric and decoration of the premises 17(2) Ensure fire alarm testing and drills are carried out and recorded and ensure all other legislation is complied with and records kept and brought up to date including water temperature and legionnella testing as well as lighting and electrical testing 30/09/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000002295.V257879.R01.S.doc Version 5.0 Page 21 Langdale Court Care Home 1 2 Standard YA24 YA34 The home’s Accident Recording documentation to be updated in line with Data Protection requirements Written references to clearly show the status of the referee. Langdale Court Care Home DS0000002295.V257879.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 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 Langdale Court Care Home DS0000002295.V257879.R01.S.doc Version 5.0 Page 23 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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