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: Debbie Williams Date: 0 4 0 8 2 0 0 8 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 8 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 8 What we found:
We visited the service on the 30th of July and the 4th of July to assess risk to people living the home. On the second visit on the 4th of July a pharmacy inspector also undertook an inspection for which a separate report was written. We spoke with the management consultant who was in charge of the home at the time of this inspection and to staff members regarding peoples needs and the care they received, we also looked at staff employment records. Staff spoken with were able to demonstrate a good awareness of peoples needs and the actions they needed to take to meet these needs and to promote peoples safety. Staff spoken with had recently received updated training in moving and handling, care of people with dementia and safeguarding people from abuse. Staff members spoken with told us they had found this training useful for them and for the people living at the home. We looked at staff employment records and found that the relevant checks had been carried out such as Criminal Records Bureau checks, this is to ensure that people working at the home were suitable to do so. At least two written references had been obtained for all staff that we checked. We looked at staffing rosters and spoke with the management consultant about staffing numbers. Staffing levels were only just sufficient to meet peoples needs, the providers were having to use staff from their other homes to cover shifts. What the care home does well: What they could do better:
Care plans had not been formulated for each individual person living at the home, therefore staff did not have the information they required to meet peoples needs or to keep them safe and had to rely on the verbal instruction of the management team. Where there are gaps in employment history, the providers must explore this with the employee and obtain a satisfactory explanation. Where possible, references should be obtained from the person or organization that last employed the staff member rather than from a less senior person that they worked with. References should contain an official stamp or be verified for authenticity, this is to ensure that up to date information is provided about the employee to enable the provider to assess their suitability. Staffing rosters were formulated in the short term, this meant that staff at the home were given very short notice about who would be covering shifts and staff were brought in from the providers other homes, this was not ideal considering the complex needs of many of the people living at Langdale house. There was also only a limited number of
Care Homes for Older People Page 4 of 8 staff who had been assessed as competent to manage peoples medication, this also had implications for staffing each shift to ensure that there was at least one person on each shift who was competent to manage medication safely. 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 8 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 8 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 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 27 Staffing numbers and skill mix should at all times be sufficient to meet the needs of people living at the home. Staffing rosters should be planned well in advance to ensure that this is always the case. Where there are gaps in employment history, the providers must explore this with the employee and obtain a satisfactory explanation. Where possible, references should be obtained from the person or organization that last employed the staff member rather than from a less senior person that they worked with. References should contain an official stamp or be verified for authenticity, this is to ensure that up to date information is provided about the employee to enable the provider to assess their suitability. 2 29 Care Homes for Older People Page 7 of 8 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 8 of 8 - 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!
