This inspection was carried out on 17th July 2009.
CQC found this care home to be providing an Poor service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Langdale Residential Home 6 Church Street Sapcote Leicestershire LE9 4FG zero star poor service 15/04/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Denise Clark Date: 1 7 0 7 2 0 0 9 Information about the care home
Name of care home: Address: Langdale Residential Home 6 Church Street Sapcote Leicestershire LE9 4FG 01455274544 F/P01455274544 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Miss Neemat Kassam,Mrs Yasmin Nazir Kassam care home 27 Number of places (if applicable): Under 65 Over 65 5 5 27 7 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 0 0 0 0 No person in category PD(E) to be admitted to the home when there are 7 persons of that category already accommodated within the home. No person to be admitted to the home in categories MD(E) or DE(E) when 5 persons in total of these categories/combined categories are already accommodated in the home. Date of last inspection 0 3 0 3 2 0 0 9 Care Homes for Older People Page 2 of 11 Brief description of the care home Langdale Residential Home offers accommodation for 27 Older Persons, and is situated close to the centre of Sapcote, which offers local shops including a Post Office and local supermarket. Views from part of the home overlook the local Church and countryside. Langdale Residential Home offers two lounges and one dining area to the ground floor, with bedrooms being sited on the ground and first floor. Access to the first floor is via stairs, which has a chair lift and a passenger lift. The majority of bedrooms have ensuite facilities, which consist of a wash hand basin and toilet. Bathroom and showering facilities are located on both floors. A copy of the last inspection report was available at the home. Care Homes for Older People Page 3 of 11 What we found:
During this inspection we looked at medicine records and case tracked three people. We issued a Code B notice to the assistant manager during the inspection under the Police And Criminal Evidence Act 1984 and took photocopies of medicine administration records. Following the inspection, a statutory requirement notice was issued for failure to comply with regulation 13(2) of the Care Standards Act 2000 and Care homes Regulations 2001. A healthcare management consultant was working in the home. A member of the consultancy team was supervising each medicine round, to help and train staff, and to ensure that people living in the home were safe. We watched the lunchtime medicine round, and saw that national guidance on administering medicines in care homes was followed. We found a significant number of gaps in records of the administration of peoples medicines. Staff had signed to say that they had given one person medicines that were not available in the home. When asked about this, one member of staff confirmed that she had signed the record of administration without giving the medicine, but could not explain why. The receipt of medicines was recorded on each persons medicine chart. We found that two medicines had been booked in when they had not been supplied by the pharmacy. Eye drops for one person were found in the medicine fridge. This medicine was not listed on the individuals medicine chart. Staff on duty did not know whether the eye drops had been prescribed for a short time only, or should be continued,or whether the drops should be used in one or both eyes. An injection for another person was found in the fridge. Two members of staff had signed the previous months medicine chart belonging to this person to say that the injection should be stopped. We were told that this was in response to a telephone call from the community nurse. There was no written record of the telephone call. A strong painkiller (for use when required) for the person prescribed this injection was found in the cupboard. This medicine was not listed on the persons medicine chart. The management consultant phoned the doctor, who then visited the person; the doctor said that both the injection and painkiller should be continued for another week. We found that staff did not follow directions in a persons care plan to contact the doctor when a screening test result was high or low. The information in the care plan was not dated. A member of staff called the doctor when shown these directions. The temperature of the medicine fridge was checked twice a day, but not continously over a twenty four period, by using a minimum/maximum thermometer. We found that a cream only available on prescription was being stored in an unlocked cupboard in a persons room. This person was not self-administering their own medication. What the care home does well:
Care Homes for Older People Page 4 of 11 We watched the lunchtime medicine round and saw that national guidance on administering medicines in care homes was followed. What they could do better: 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 set out on page 2. Care Homes for Older People Page 5 of 11 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 3 14 People moving into the home 29/05/2009 must have their needs assessed and this assessment must be kept under review and revised at any time that this is necessary This is to ensure that people living at Langdale House have their needs met. 2 4 18 Staff must individually and collectively have the skills and experience to meet the specialist needs of people living at the home. This is to ensure that people with dementia or mental health have their specialist needs met. 26/06/2009 3 7 14 People living at Langdale House must have a plan of care based on a comprehensive needs assessment. The care plan must set out in detail the action which needs to be taken by staff to meet all aspects of health, personal and social care needs. This will ensure that people living at Langdale House 30/05/2009 Care Homes for Older People Page 6 of 11 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action have their needs met. 4 7 15 Care records must be reflective of peoples changing needs. A record must be kept of the wellbeing or otherwise, events of the day and care provided for people living at the home. This is to keep people living at the home safe from harm. 5 12 12 Routines of daily living must be made flexible in order to meet individual needs and preferences. This is to ensure that are able to make decisions about the care they receive. 6 12 12 People must be given the opportunity for stimulation through recreational and social activities. Staff must receive the training they require to provide meaningful activity for people with dementia. This is to ensure people living at Langdale House have a fulfilled lifestyle. 7 12 12 People living at langdale House must be given opportunities to excersise choice. This is to ensure that choice and autonmy are promoted. 15/05/2009 05/06/2009 22/05/2009 20/03/2009 Care Homes for Older People Page 7 of 11 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 8 18 13 National and local 29/05/2009 safeguarding policies and procedures must be adhered to and staff must receive training in this area. This is to protect people living at Langdale House from harm. 9 18 13 Staff must receive training in 29/05/2009 caring for people with dementia and safe management of challenging behaviour. This is to ensure that people living at Langdale House are protected form harm. 10 18 13 Staff must respond 20/03/2009 appropriately to any incident of suspected abuse and must follow safeguarding adults policies and procedures. This is to protect people living at the home from harm. 11 22 13 Specialist equipment must be 22/05/2009 fit for use and properly risk assessed. This is to promote safety for people living at Langdale House 12 27 18 Staff must be trained and 31/03/2009 competent in order to meet peoples needs. In particular, caring for people with dementia and challenging behaviour. Moving and
Page 8 of 11 Care Homes for Older People Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action handling and safeguarding vulnerable adults. This is to ensure that people living at the home have their needs met and are kept safe from harm. 13 31 18 People working at the home 20/03/2009 must be appropriately supervised to ensure that care practice adheres to safe policies and procedures This is to ensure that people living at the home receive the care that meets their needs and are kept safe from harm. 14 31 8 A manager must be appointed to manage the home effectively. Langdale House must be managed in the best interests of people living there. 15 38 13 People living at the home 20/03/2009 must have their moving and handling needs risk assessed by a person trained to do so. Staff must use appropriate and safe moving and handling techniques. This is to keep people living at the home safe from harm. 26/06/2009 Care Homes for Older People Page 9 of 11 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 9 13 All medicines must be stored 11/09/2009 in locked facilities. For security reasons, to prevent misuse. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 9 The temperature of the medicine refrigerator should be monitored continously over a 24 hour period by using a maximum/minimum thermometer. Care Homes for Older People Page 10 of 11 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: 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. Care Homes for Older People Page 11 of 11 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
