This inspection was carried out on 3rd March 2009.
CSCI found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Langdale Residential Home 6 Church Street Sapcote Leicestershire LE9 4FG two star good service 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Debbie Williams Date: 0 3 0 3 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 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 Care Homes for Older People
Page 2 of 10 Brief description of the care home 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. An extension has nearly been complete so as to increase numbers by two residents, with a change of lounge set up, to make the lounge by the office much bigger. A copy of the last inspection report was available at the home. Care Homes for Older People Page 3 of 10 What we found:
We visited the home in response to some concerns we received, the concerns were in relation to medication procedures, infection control, the provision of equipment, record keeping and day to day care practice at the service. The local Social Services team were also given this information and carried out their own investigation. We case tracked four people living at the home and looked at their care records and observed care practice at the home at the time of this inspection. We also spoke with staff and to the management team. Care records were not reflective of peoples current needs and did not set out the action staff should take to meet peoples needs and to keep them safe. Care records were not user friendly and did not provide a good account of day to day practices or of the wellbeing or otherwise of individual residents. Moving and handling procedures used by staff were not safe and put people at risk of injury. Staff did not respond appropriately to verbal and aggressive behaviour or follow appropriate safeguarding vulnerable adults procedures. Medication procedures were not robust, discrepancies were found within the dates recorded on medication administration records and staff training regarding the administration of insulin was not up to date for two staff members. The fridge used to store medication was not fit for purpose as the thermometer was recording temperatures higher than those recommended for the storage of medicines. While there were records in place for staff training in moving and handling, dementia care and safeguarding procedures, it was evident that staff were not putting this training into practice and this was indicative of a lack of leadership and management at the home. The acting manager had recently left her post and at the time of this inspection the provider was taking on the management responsibility while actively recruiting for a new manager. What the care home does well: What they could do better:
Staff must receive the training they require and put this training into practice regarding the care of people with dementia, infection control, moving and handling, safeguarding adults procedures and the safe management of medication. This would ensure that people living at the home have their needs met and are protected from harm. Care Homes for Older People
Page 4 of 10 Care records must address all assessed needs and set out in detail the action staff must take to meet these needs. A record must be maintained which reflects the wellbeing or otherwise of people living in the home, events of the day and the care provided. This will ensure that changing needs are communicated to staff members. More attention must be paid to infection control and the providers must ensure that all areas of the home are clean and hygienic and that staff have the resources they require to minimize any cross infection. Procedures for the management of medication must follow safe practice policies and medication must be stored correctly and in line with manufacturers recommendations. Staff must be managed and supervised to ensure that policies and procedures are adhered to and staff training is put into practice, care practice must be based on best practice recommendations and must protect people from harm. People living at the home must have their individual moving and handling needs risk assessed and staff must follow the actions set out in the risk assessments in order to protect people from harm. Staff must follow the correct safeguarding vulnerable adults procedures and take appropriate action when any incident of suspected abuse occurs. 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 10 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 6 of 10 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 1 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. 2 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. 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 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. 20/03/2009 Care Homes for Older People Page 7 of 10 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 2 9 13 Staff must follow safe policies and procedures for the management of medicines. This is to ensure people living at the home receive the treatment prescribed to them by healthcare professionals and are kept safe from harm 30/03/2009 3 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 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. 4 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. Care Homes for Older People Page 8 of 10 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 26 It is recommended that the providers ensure that all parts of the home are clean and hygienic at all times and that staff are provided with the resources they require to minimise cross infection. Care Homes for Older People Page 9 of 10 Reader Information
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