Inspection on 01/04/09 for Langdale View

This inspection was carried out on 1st April 2009.

CSCI found this care home to be providing an Good 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.

Other inspections for this house

Langdale View 30/12/09

Langdale View 10/12/09

Langdale View 10/07/09

Langdale View 28/10/08

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 09/07/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Langdale View 590 Gypsy Lane Leicester Leicestershire LE5 0TB     The quality rating for this care home is:   two star good service 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. Lead inspector: Debbie Williams     Date: 0 1 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Langdale View 590 Gypsy Lane Leicester Leicestershire LE5 0TB 01162762186 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Yasmin Kassam,Neemat Kassam care home 34 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of service users who can be accommodated is: 34 The registered person may provide the following categories of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home fall within the following categories: Old Age, not falling within any other category - Code OP Dementia - Code DE Date of last inspection Brief description of the care home Langdale View is registered to accomodate 34 older people and is also registered to accomodate people with dementia. The home is a converted older building on the outskirts of Leicester City. Accomodation is on three floors which can be accessed by a passenger lift. There are two lounges and a seperate dining room on the ground floor. 3 0 1 0 2 0 0 8 34 0 Over 65 0 34 Care Homes for Older People Page 4 of 24 Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This key inspection included a visit to the service. We visited the home on the 1st of April 2009. The main method of inspection was called case tracking which meant selecting four residents and tracking the quality of their care by checking records, discussion with them and with staff and observation of care practices. We also looked at the providers own assessment of the services they provide, which they sent to us, this is called the annual quality assurance assessment or AQAA. We checked all the standards which the Commission for Social Care Inspection have decided are key standards during this inspection. In some sections we have also checked additional standards, these will be detailed in the main report. Care Homes for Older People Page 6 of 24 What the care home does well: What has improved since the last inspection? What they could do better: The arrangements for storage of controlled medicines must meet the requirements of the Misuse of Drugs Act (1971) and Safe Custody amendment (2007). This requirement was unmet from the previous key inspection. The acting manager was in the process of improving care records and care plans but not all care plans were being reviewed at least once a month, this is required in order to meet peoples changing needs. A staff training and development programme was in place but staff required training in dementia care and safeguarding vulnerable adults. This is required for staff to meet the needs and promote safety for people living at Langdale View. More staff training is needed regarding nutrition, this is to promote a nutritious diet for people living at Langdale View and to minimize the risk of malnutrition. Care Homes for Older People Page 7 of 24 Staff trained to manage medication should be on duty at all times in order to meet peoples needs at all times. Consideration should be given to making the communal bathrooms more homely and less institutional in appearance. 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 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People moving into the home are provided with the information they required to make an informed choice. People have their needs assessed before moving in. Evidence: People moving into the home are given the information they require to make an informed choice. The acting manager said they would carry out an assessment of needs before people moved in and this was to ensure the service could meet peoples needs. We looked at assessment records for four people living at the home that we case tracked. Assessment records were detailed and provided staff with the information they needed about peoples individual needs. This also included details about peoples social history and preferences and an assessment of risk. Staff did collectively have the skills and experience they required to meet the needs Care Homes for Older People Page 10 of 24 Evidence: and specialist needs of people living at Langdale View but it was recommended that more training was provided to staff regarding the care of people with dementia, safeguarding vulnerable adults and nutrition. Care Homes for Older People Page 11 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Langdale View have their health personal and social care needs met. Evidence: People spoken with said that staff were very good and treated them with respect and dignity. Interactions observed between residents and staff during this inspection were very positive, we heard staff speaking with residents in a kind and respectful way. Staff appeared to have developed a good rapport, one person said they enjoyed having a joke with the staff. People spoken with also said they could see their GP whenever they needed to and that staff managed their medication well. Evidence was seen within care records of staff consulting with community nurses and GPs as required. We looked at care plans for four people that we case tracked. Care plans were developed from an assessment of needs and included an assessment of risk. Care plans were comprehensive and set out the action staff needed to take to meet peoples needs, they also included individual preferences regarding routines of daily living. Care Homes for Older People Page 12 of 24 Evidence: Evidence was seen of people being involved in their care planning process. The acting manager had recently introduced new care planning documentation. Not all care plans seen had been reviewed on at least a monthly basis, this is necessary if staff are to meet the changing needs of people living at the home. The acting manager was aware of this shortfall and had introduced a monthly audit of care plans and was working towards increasing quality in this area. We looked at procedures for the management of medication. Medication administration records seen appeared accurate and up to date. Staff responsible for administering medication had received training in this area. At the time of this inspection night staff had not been trained to manage medication and medication was not administered after 21:00 hrs. A recommendation was made that night staff also receive medication training in order to ensure that people living at Landale View have their health care needs met at all times. A requirement was made that the storage of controlled medicines must comply with the Misuse of drugs regulation (1971) and Safe Custody amendment (2007). This requirement is unmet form the previous key inspection. Care Homes for Older People Page 13 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Langdale View are helped to exercise choice and control over their lives. Routines of daily living are made flexible to meet peoples individual needs and preferences. Evidence: People spoken with felt they could choose how to spend their day and that staff were flexible in order to meet their individual needs. Evidence was seen of care practice that promoted peoples independence. The acting manager was in the process of consulting with people living in the home regarding menu choices and recreational activities, this was to ensure that the service provided could meet peoples individual needs and preferences. Evidence was seen of people participating in meaningful activity. A range of activities were on offer. A recommendation was made regarding staff training in caring for people with dementia and this includes the provision of meaningful activity for people who have dementia. People spoken with said they were happy with the range of activities on offer. Care Homes for Older People Page 14 of 24 Evidence: There were no restrictions on visitors coming to the home and people spoken with said they could receive their visitors in private and staff made them feel welcome. The lunch time meal was observed during this inspection. A choice was available and the meal served appeared appetizing. The acting manager was in the process of putting a new menu together that offered choices that met individual needs and preferences. A recommendation was made that further training is provided regarding nutrition and the nutritional needs of people with dementia. Care Homes for Older People Page 15 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The risk of abuse for people living at Langdale View is minimized by policies and procedures in place. People can feel confident their complaints would be listened to and taken seriously. Evidence: Staff spoken with were aware of the correct procedures to follow in the event of suspected abuse. The acting manager said that training for all staff in this area was planned into the staff training and development programme. People living at the home and staff spoken with said they had confidence that the management team would listen to any complaints or concerns, take them seriously and take appropriate action. The providers recruitment procedures ensure that all staff have the required checks and references before commencing employment and this ensures that staff are suitable to work with vulnerable adults. Procedures for managing peoples personal money where this was required were robust and this minimizes the risk of financial abuse for people loving at the home. Care Homes for Older People Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at Langdale View have a safe, comfortable and accessible environment. Evidence: Landale View is a converted older building. Accomodation is over three floors which are accessible from a passenger lift. There are two lounges and a separate dining room on the ground floor. A partial tour of the premises was undertaken, communal areas and private accommodation seen were clean and appeared comfortable and homely. Consideration should be given to making the communal bathrooms and toilets more homely in appearance. One person spoken with said they were happy with their room and that it was always kept clean and fresh. Individual accommodation seen was personalized and met individual need. Staff had received training in infection control and this minimized the risk of cross infection for people living at Langdale View. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The numbers and skill mix of staff were sufficient to meet the needs of people living at Langdale View. Evidence: Staffing levels were sufficient to meet the needs of people living at the home. The providers had not achieved a minimum ratio of 50 of care staff achieving a National Vocational Qualification in care but they were working towards this with eight care staff having enrolled for this training and two care staff having achieved this qualification. A staff training and development programme was in place and this included induction training which all new staff have to undertake when they begin working at the home. Staff had received all mandatory health and safety training but more training was required regarding caring for people with dementia and safeguarding vulnerable adults. The providers said this was being planned. It was also recommended that catering staff receive training regarding nutrition and menu planing and the nutritional needs of people with dementia and mental health needs. Recruitment procedures were robust and people working at the home had undergone all relevant checks and references had been obtained. Care Homes for Older People Page 18 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service was run in the best interests of people living at Langdale View and their health, safety and welfare was promoted. Evidence: At the time of this inspection the home was being managed by an acting manager who intended to apply for registration with the Care Quality Commission as registered manager at Langdale View. The acting manager had relevant experience and was working towards a management in care qualification. People living at Langdale View and staff spoken with felt the management approach at Langdale View was open and inclusive. The acting manager was in the process of consulting with people living at the home about the way in which the service was delivered and this was to ensure that peoples individual needs and preferences could be met. A programme of quality assurance and audit was in place, the providers said they Care Homes for Older People Page 19 of 24 Evidence: would shortly be sending out surveys to peoples relatives regarding their satisfaction or otherwise of the service provided. Procedures for managing peoples personal money where this was required were robust and this minimizes the risk of financial abuse for people living at the home. Staff had received all necessary health and safety training and policies and procedures in place promoted safety for people living and working at Langdale View. Information provided confirmed that all necessary routine maintenance and safety checks had been carried out. Care Homes for Older People Page 20 of 24 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 9 13 The storage of controlled medicines must comply with the Misuse of drugs regulation (1971) and Safe Custody amendment (2007) This is to protect people who live in the home from harm. 30/04/2009 Care Homes for Older People Page 21 of 24 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, Care Homes 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 The storage of controlled medicines must comply with the Misuse of drugs regulation (1971) and Safe Custody amendment (2007) This is to ensure the safe storage of medication. 29/05/2009 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 7 Care plans should be reviewed on at least a monthly basis. This is to ensure that care plans reflect the current and changing needs of people living at Langdale view. Staff who are trained to manage medication should be on duty at all times. This is to ensure that people living at Langdale View have their needs met at all times. Consideration should be given to making communal bathrooms more homely in appearance. It is recommended that staff receive training in caring for people with dementia and safeguarding vulnerable adults, this should also include the safe management of challenging behaviour and the provision of activities for people with dementia. Staff responsible for catering should Page 22 of 24 2 9 3 4 20 30 Care Homes for Older People 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 receive training in nutrition and menu planning and the nutritional needs of people with dementia. Care Homes for Older People Page 23 of 24 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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