This inspection was carried out on 23rd November 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.
CARE HOMES FOR OLDER PEOPLE
Langdale Residential Home 6 Church Street Sapcote Leicestershire LE9 4FG Lead Inspector
Keith Williamson Unannounced Inspection 23rd November 2005 09:15 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 Langdale Residential Home DS0000061086.V267760.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 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 Residential Home DS0000061086.V267760.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Langdale Residential Home Address 6 Church Street Sapcote Leicestershire LE9 4FG 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) 01455 274544 01455 274544 Mrs Yasmin Nazir Kassam Miss Neemat Kassam Vacant Care Home 25 Category(ies) of Dementia - over 65 years of age (5), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (5), Old age, not falling within any other category (25), Physical disability over 65 years of age (5) Langdale Residential Home DS0000061086.V267760.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Service user numbers No person in category PD(E) to be admitted to the home when there are 5 persons of that category already accommodated within the home. Service user numbers 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. Named Person To be able to admit a named person under the age of 65 named in the variation application No. V15474 dated 23 December 2004. 14/07/05. 2. 3. Date of last inspection Brief Description of the Service: Langdale Residential Home offers accommodation for 25 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 have two chair lifts and a passenger lift. The majority of bedrooms have en-suite facilities, which consist of a wash hand basin and toilet. Bathroom and showering facilities are located on both floors. A proposed extension is planned, with building work planned to take place shortly after the publication of this report. Langdale Residential Home DS0000061086.V267760.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involves selecting clients and tracking the care they received through looking at their records, talking with them where possible, and looking at their accommodation. The inspection took place over one day, commenced at 9.15 am and was completed in three and a quarter hours by one Inspector. An opportunity was taken to view the care plans and other records in detail. Five residents were spoken with on this visit; comments made are enclosed within this report. The registered person and acting manager assisted in the inspection process. What the service does well:
The registered person provides a homely and comfortable atmosphere for the residents. Clear guidance is given to staff members regarding keeping residents’ care records up to date. Residents spoken with indicated that they are happy residing in the home and that they are well taken care of. The registered providers are committed to raising and maintaining good standards of care for this service based on the outcome of the inspection. The fixtures and fittings are maintained to a very high standard creating a homely environment. All comments about personal care and meals were very positive. All residents and relatives spoken with indicated that they are satisfied with the overall care given in the home. Care plans are descriptive toward residents’ individual abilities, choices and are regularly reviewed and alterations made accordingly. Langdale Residential Home DS0000061086.V267760.R01.S.doc Version 5.0 Page 6 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 Residential Home DS0000061086.V267760.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Langdale Residential Home DS0000061086.V267760.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 3. The assessment process is detailed and effective. EVIDENCE: Most resident assessments are initially completed prior to residents’ admission, and then periodically throughout the residents stay in the home, care plans and risk assessments are then compiled from the information supplied. Langdale Residential Home DS0000061086.V267760.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 7, 9 & 11. Residents are looked after well in respect of their health and personal care needs. EVIDENCE: Residents’ care plans are mostly written in detail to give staff members clear instructions about the tasks they must carry out to meet residents’ care needs, which includes access to health care provisions. The medication process is well managed in the home. A number of residents’ files have been updated with information regarding their final wishes. Langdale Residential Home DS0000061086.V267760.R01.S.doc Version 5.0 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 the following standard(s): None. All key standards in this section were visited on the first inspection of this service earlier in 2005/06. EVIDENCE: Langdale Residential Home DS0000061086.V267760.R01.S.doc Version 5.0 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 the following standard(s): 16. A complaints policy is in place for the protection of residents in the home in the event of a complaint or suspicion of abuse. EVIDENCE: The complaints procedure is publicly displayed in the foyer of the home, as well as in the Statement of Purpose and Service User Guide, which makes clear the process of making a complaint. No new complaints have been received since the last inspection of this service in July 2005. Residents spoken with at the inspection showed an understanding of the complaints procedure. Langdale Residential Home DS0000061086.V267760.R01.S.doc Version 5.0 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 the following standard(s): None. All key standards in this section were visited on the first inspection of this service earlier in 2005/06. EVIDENCE: Langdale Residential Home DS0000061086.V267760.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27. Residents are supported by adequate numbers of staff. EVIDENCE: The staffing rota was examined and a physical count indicated that there was adequate numbers of staff on duty. A discussion held with the acting manager indicated that there is an appropriate skill mix of staff employed to work in the home. Langdale Residential Home DS0000061086.V267760.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 & 37. The management approach promotes effective financial practices and secure record keeping in the home, ensuring residents’ care and protection. EVIDENCE: The inspector discussed questionnaires and other initiatives that shall be forwarded to residents and their relatives for quality monitoring purposes, the results of which shall be placed in the Statement of Purpose and Service User Guide. A number of residents’ care and financial records were inspected, all records seen are kept up to date and in order in accordance with the Data Protection Act 1998 and the Care Homes Regulations 2001. Residents’ personal allowances are well managed by staff in the home.
Langdale Residential Home DS0000061086.V267760.R01.S.doc Version 5.0 Page 15 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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X 3 X Langdale Residential Home DS0000061086.V267760.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? No. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP3 OP33 Good Practice Recommendations It is recommended that all residents have their assessments of need updated periodically. It is recommended that individual receipts are made out for resident’s expenditure within the home, and copies kept on file. Langdale Residential Home DS0000061086.V267760.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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