Inspection on 24/06/05 for Langdale House Care Home

This inspection was carried out on 24th June 2005.

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.

Other inspections for this house

Langdale House Care Home 11/04/08

Langdale House Care Home 18/04/07

Langdale House Care Home 19/04/06

Langdale House Care Home 12/10/05

Langdale House Care Home 09/02/05

Langdale House Care Home 08/11/04

Langdale House Care Home 24/03/04

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Langdale House Care Home Grove Avenue Nottingham NG7 4BP Lead Inspector Meryl Bailey Rob Cooper Unannounced 24 June 2005 9:30 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 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. Langdale House Care Home C53 C03 S2296 Langdale House V235309 2406054 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Langdale House Care Home Address Grove Avenue Nottingham NG7 4BP Telephone number Fax number Email 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 978 3822 0115 978 3822 None Mrs Cordelia Nwafor Ogbakaeko Mr Bernard Okenwa Ogbakaeko Mr Bernard Okenwa Ogbakaeko Care home 12 Category(ies) of MD(E) Mental Disorder - over 65, x 1 registration, with number OP Old age, x 12 of places Langdale House Care Home C53 C03 S2296 Langdale House V235309 2406054 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Within the total number of residents accommodated, 1 may be within the registration MD(E) Date of last inspection 9 February 2005 Brief Description of the Service: Langdale House Care Home is an adapted detached house on a private road. There is a large garden and accommodation for service users is on two floors. Three bedrooms are on the ground floor with one shared bathroom. The remaining bedrooms and a shower room are on the first floor. The home is not fully accessible for fulltime wheelchair users, but a portable ramp is available on request to provide access to the main entrance, which has four steps. Langdale House is situated close to shops and other amenities in Hyson Green and is also near to the tram route to Nottingham city centre. Langdale House Care Home C53 C03 S2296 Langdale House V235309 2406054 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and conducted by two inspectors during one morning. All eight of the current service users are white males and were at home. Two staff were seen on duty and the manager was not on duty, but present at the home during the inspection. There have been no new service users since the last inspection and there are currently up to four vacancies. Some service users and staff gave their views about the care provided. The communal areas of the home were inspected and a sample of bedrooms was also seen. Most minimum standards are met at this service. All current service users are in the category of Older People (OP). What the service does well: What has improved since the last inspection? 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 House Care Home C53 C03 S2296 Langdale House V235309 2406054 Stage 4.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection Langdale House Care Home C53 C03 S2296 Langdale House V235309 2406054 Stage 4.doc Version 1.40 Page 7 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 6 Service users’ needs have been assessed prior to admission. Standard 6 is not applicable, as intermediate care is not provided. EVIDENCE: A sample of three files examined contained social work assessments received prior to admission. In addition to this the manager has completed a further admission assessment document, which contains all the required information. Pre-admission assessments have been used to produce comprehensive service user plans. Langdale House Care Home C53 C03 S2296 Langdale House V235309 2406054 Stage 4.doc Version 1.40 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10 Detailed care plans are in place and kept up to date. Health needs are addressed and met. Medication is well organised and administered by trained staff. Privacy is respected and promoted. Service users are mostly satisfied with their care, but some do not always feel respected. EVIDENCE: The three service users’ plans examined were found to contain details of the support needed as identified in the assessments. Generally, service users have signed these and those spoken with said they were aware of the written plans. Daily records are kept separately for each service user and have been used to update the plans. There was evidence in the daily notes of hospital appointments, opticians and contact with doctors and advice and instructions from them. Risk assessments have been completed for various risks including smoking, drinking and falls. All medication is stored securely. A monitored dosage system is used for tablets, with individual blister packs for each person. There is an identified area within the medication trolley for each service user’s blister pack and other medications held in a plastic tub. This storage system is clear and logical. Langdale House Care Home C53 C03 S2296 Langdale House V235309 2406054 Stage 4.doc Version 1.40 Page 9 Certificates were seen of staff training in medication issues, including the types of drugs, their uses and administration directions. Medication Administration Records were maintained and other records of stocks were clear with signatures and dates. Service users spoken with gave a mixed response when discussing respect from staff. Generally, the manager was described as kind and helpful and they reported other staff as helpful and supportive, but one felt they were sometimes told sharply what to do rather than asked. No specific complaint was made, but it was recommended that the manager discuss this further with the service user to identify any particular problems. During inspection staff were observed showing respect by knocking on doors before entering and interacting respectfully with service users . Langdale House Care Home C53 C03 S2296 Langdale House V235309 2406054 Stage 4.doc Version 1.40 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 15 Individual preferences for activities and lifestyles are respected. Meals are varied and highly appreciated by service users. EVIDENCE: Some service users said that they spend time during the day outside the home, shopping or having a drink at a local pub. Another service user said that he spends most of his time watching television and likes to rest. Service users’ social and leisure interests are recorded in their care plans. Staff play cards and dominoes with some individuals when there is time between tasks. Religious services are held within the home and people have the opportunity to attend Holy Communion on a monthly basis. One of the care staff for the morning was responsible for cooking. The lunch on the day of this inspection was seen and consisted of chicken, cauliflower and mashed potato. This was followed by peaches and cream. Alternatives had been offered. Service users confirmed they enjoyed their lunch. The days menu was displayed on a board in the dining room. There is a four weekly rotating menu and service users reported that they get a variety of food, always well cooked and on time. Langdale House Care Home C53 C03 S2296 Langdale House V235309 2406054 Stage 4.doc Version 1.40 Page 11 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Service users and relatives have appropriate information regarding making complaints and relevant policies and procedures are in place to protect service users from abuse. EVIDENCE: The complaints procedure is displayed in the entrance hall. It is clear and contains all relevant points. Copies of the procedure are also contained within service users files with signatures to show they have either read it or had it explained to them. Complaints are recorded with outcomes in a record file. None have been recorded since the last inspection, but the Commission received a call and a visit was made on 15th April 2005 to investigate a claim of ants in the dining room. There had been a problem with ants, but this had been quickly eradicated. There is a copy of the Nottinghamshire Committee for the Protection of Vulnerable Adults policy and procedure. In response to a recommendation made at the last inspection the manager has booked places for himself and the senior carer to attend specific training regarding use of the amended procedures in July 2005. Previous awareness training has been given to all staff. Langdale House Care Home C53 C03 S2296 Langdale House V235309 2406054 Stage 4.doc Version 1.40 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 22, 24 and 26 The premises are generally suited to the purposes of a care home, but some minor maintenance is needed. Specialist equipment is in place and service user’s own rooms meet their needs. Staff make good efforts to keep the home clean and hygienic, but the laundry flooring poses some risk. EVIDENCE: Service users views are that the premises are generally homely and comfortable. The location and layout suit the current service users and the grounds provide a safe and accessible sitting area for service users. There are plans for redecorating the lounge and one vacant bedroom during 2005. Other areas in need of redecoration are planned for 2006. Some light bulbs were not working in the lounge and on the stair landing and also the outer porch light was not in working order. Langdale House Care Home C53 C03 S2296 Langdale House V235309 2406054 Stage 4.doc Version 1.40 Page 13 There is a small passenger lift, equipment for assisting bathing and a level access shower. Some individuals have been assessed by occupational therapists and there is evidence of this on their files. A care call system is in place and available in all rooms. The alarm sounds on the top floor and in the dining room for day and night use. The four bedrooms seen appear adequately furnished and service users spoken with are satisfied with their individual rooms. Several service users have their own televisions and all have a lockable space, either wardrobe or drawer. The premises were generally found clean on this unannounced inspection, though not totally odour free. Cleaning was taking place. Liquid soap and paper towels are available in all communal hand wash facilities. The laundry is situated in the cellar and has appropriate machines, but the flooring needs replacing. The existing linoleum is damaged and does not cover the whole of the concrete floor. This needs to be replaced with a non-permeable floor covering. Langdale House Care Home C53 C03 S2296 Langdale House V235309 2406054 Stage 4.doc Version 1.40 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 Daytime staffing is sufficient to care for the current eight service users, but the lack of staff awake during the night could potentially put service users at risk. There are appropriate recruitment practices in place to protect service users and appropriate training is provided for staff to carry out their care tasks. EVIDENCE: The current staffing rota reflects staff on duty and all hours are covered showing that there are always two care staff on duty during the day. Seven carers including the manager cover all shifts. Duties included cooking and cleaning aswell as care. A separate task sheet was available to clarify roles and responsibilities. The rota for the week of this inspection showed that the manager was sleeping in being on call for all seven nights together with another care staff member. No waking staff are provided. The care plans sampled did not refer to any current needs during the night, but sufficient staffing must be provided to meet the needs of all service users. The service must be able to respond to changing needs and the owner/manager has been asked to justify not providing waking staff. Staffing records sampled at random contained two references on each of the staff and there were separate records of Criminal Records Bureau checks for all staff. Training records and certificates were available. All care staff have been enrolled on the level 2 National Vocational Qualification course in care and the Senior carer has recently completed the BTEC Intermediate certificate in Care Practice at People’s College, Nottingham. Langdale House Care Home C53 C03 S2296 Langdale House V235309 2406054 Stage 4.doc Version 1.40 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 and 38 The home is run by the owner who is an experienced manager. Health and safety in the environment is protected by trained staff and safety checks. EVIDENCE: The proprietor / manager is registered with the Commission and has demonstrated appropriate experience and competency in the management of a care home is present in the home each day. There are records of training in safe working practices undertaken by staff. The manager now holds the Intermediate Certificate in Infection Control and the Senior Carer has achieved Level 2 in Infection Control. Records are kept of temperatures and checks on the water system. An electrician checked the fire alarms and emergency lighting on 15th April 2005. The fire officer visited the day before this inspection and was satisfied that no action needed to be taken. Langdale House Care Home C53 C03 S2296 Langdale House V235309 2406054 Stage 4.doc Version 1.40 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x 3 x 3 x 2 STAFFING Standard No Score 27 2 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x x x x x x 3 Langdale House Care Home C53 C03 S2296 Langdale House V235309 2406054 Stage 4.doc Version 1.40 Page 17 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. 2. 3. Standard OP 19 OP 27 Regulation 23(2)(p) 18(1)(a) Requirement Ensure all light fittings are in working order. Ensure appropriate staffing is provided at night to meet the needs of all service users. Timescale for action 31st August 2005 24th June 2005 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 OP 10 OP 26 Good Practice Recommendations It is recommended that the manager discuss with service users how they feel with regard to respect from staff. Provide a non-permeable floor covering in the laundry. Langdale House Care Home C53 C03 S2296 Langdale House V235309 2406054 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 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 House Care Home C53 C03 S2296 Langdale House V235309 2406054 Stage 4.doc Version 1.40 Page 19 - 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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