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Inspection on 20/12/06 for Langfield Nursing And Residential Home

Also see our care home review for Langfield Nursing And Residential Home for more information

This inspection was carried out on 20th December 2006.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Langfield Nursing and Residential Home provides a safe and comfortable environment and is well suited to the needs of people cared for. Residents benefit from an experienced and stable staff team. They are provided with a good amount of individual care and attention and supported to maintain control over their lives, and the decisions they make are respected. The management team are committed to maintaining the high standard of care provided in the home. Care staff receive a range of training to give them the skills and knowledge to meet residents` needs. The home had some care staff that had worked at the home for a long time and the residents said that they liked the staff and felt safe in the home. Comments such as "the girls are good to me, I wouldn`t go anywhere else," "I`m very happy here" were made to the Inspector. Comments from a relative were "the staff are superb", "I have every confidence in them", "they keep me informed of any changes". Dietary needs of residents are well catered for with a balanced and varied selection of good quality food and home cooked meals. The home`s systems and checks for ensuring that it is safe and well-run are particularly good.

What has improved since the last inspection?

The manager and staff have worked hard to ensure that the previous requirements and recommendations from the last inspection have been complied with. Staff have attended training and more is planned so that staff will be better able to provide care for the residents and develop themselves within their job More activities are being provided and these are activities that residents have said they would like to do. A programme of improvements and maintenance ensures that the accommodation is kept to safe and comfortable standards. Recent improvements have included re-decoration and refurbishment of some bedrooms and the hairdressing salon.

What the care home could do better:

The home does not always keep good records of medicines received into the home and at times records are not kept when medication is administered to residents. The home needs to provide training in this area after writing a new updated policy regarding the management of medication. The planned training is to include the care of people with dementia.,

CARE HOMES FOR OLDER PEOPLE Langfield Nursing And Residential Home Wood Street Langley, Middleton Manchester Lancashire M24 5QH Lead Inspector 3Bernard Tracey Unannounced Inspection 20th December 2006 09:30 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 Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 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. Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Langfield Nursing And Residential Home Address Wood Street Langley, Middleton Manchester Lancashire M24 5QH 0161 653 5319 0161 653 5393 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) Southern Cross Care Management Limited ** Post Vacant *** Care Home 50 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (1), Old age, not falling within any of places other category (50), Physical disability (2) Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 50 service users to include: up to 50 service users in the category of (OP) Older People; up to 1 female service user in the category of (MD) Mental Disorder under 65 years of age; up to 2 male service users in the category of (PD) Physical Disabilities under 65 years of age. The service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. 9th August 2006 2. Date of last inspection Brief Description of the Service: Langfield Care Home is a purpose built home with 2 units, which caters for 50 residents with a variety of needs. There is a residential unit on the first floor and nursing unit on the ground floor. The home is situated in a residential area in Middleton and is on the main bus route. A local shop, post office and public house are close to the home. It is situated in its own grounds and has gardens to the side and rear with ample parking at the front of the home. Accommodation is provided on two floors in 50 single bedrooms. All but one has en-suite facilities. Level access to the home is provided and a passenger lift ensures access is provided to both floors. Five lounges and three dining rooms are available and the communal rooms on the ground floor allow access to the garden and patio area. The home makes the following charges over and above the weekly care and accommodation fees that are listed after this section: Chiropody £7.50 Hairdressing £ £5.75 - £17.50 Magazines and Newspapers Fees charged by the home provided in November 2006 are as follows: £425.00 per week Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second key inspection of the home. Since the last inspection the home has met with the Commission for Social Care Inspection and provided evidence of improvement in line with the Action Plan provided following the last inspection. Significant progress has been made in meeting the requirements of the last inspection. The home was not made aware that this inspection was to take place. Several weeks before the inspection questionnaires were sent out to doctors, social workers and district nurses, as well as to the residents of the home and their relatives. The questionnaires asked what people thought of the care and services provided by the home. One reply was received from a relative and no concerns were expressed. The questionnaires sent to visiting professionals asked questions relating to communication, availability of senior staff when visiting, staff having a clear understanding of service users needs, management taking appropriate decisions, management of medication, complaints from service users they may be aware of, and if they are satisfied with the overall care provided by the home. Two replies were received; one social worker was mostly satisfied with the home, though did express concern about the availability of senior staff when she visited the home. One, from a manager of the purchasing side of social services, expressed concerns about the home, but felt it not appropriate to give examples, the inspector has written to the individual asking for further details. The Inspector spent 5.5 hours at the home. During this time he looked at care and medicine records to ensure that health and care needs were met and also studied how information was given to people before they decided to move into the home. A full tour of the building was undertaken and time was spent looking at records regarding safety in the home. He also examined files that contained information about how the staff were recruited for their jobs, as well having a discussion about staff training. The Inspector spent time speaking to 5 residents as well as speaking to 2 relatives, 4 staff, and the manager. What the service does well: Langfield Nursing and Residential Home provides a safe and comfortable environment and is well suited to the needs of people cared for. Residents benefit from an experienced and stable staff team. They are provided with a good amount of individual care and attention and supported to maintain control over their lives, and the decisions they make are respected. Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 6 The management team are committed to maintaining the high standard of care provided in the home. Care staff receive a range of training to give them the skills and knowledge to meet residents’ needs. The home had some care staff that had worked at the home for a long time and the residents said that they liked the staff and felt safe in the home. Comments such as “the girls are good to me, I wouldnt go anywhere else,” “Im very happy here” were made to the Inspector. Comments from a relative were “the staff are superb”, “I have every confidence in them”, “they keep me informed of any changes”. Dietary needs of residents are well catered for with a balanced and varied selection of good quality food and home cooked meals. The home’s systems and checks for ensuring that it is safe and well-run are particularly good. 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. The summary of this inspection report can Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 8 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 Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Admissions are not made to the home until a full needs assessment has been undertaken. The home are then able to confirm that they can meet the needs of the individual through the service they deliver as detailed in the Statement of Purpose. The individual or their representative is given the opportunity to vet the home and make an informed choice of where to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Admissions are not made to the home until full needs assessment has been undertaken. Files contain relevant paperwork, including social work assessments and reports from health care professionals prior to a person choosing to stay at the home. The manager also carries out an assessment, which includes visits to see the person in their own home or while in hospital. One relative described the introduction to the home, which included a series of visits by himself and his sister, and he was able to describe in detail the support the home had given his family in agreeing a place for his mother. Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 10 Each resident is provided with a statement of terms and conditions prior to moving to the home. This sets out in detail what is included in the fee, the role and responsibility of the provider, and the rights and obligations of the resident. These measures ensure that admissions to the home only take place if the service is confident staff have the skills and ability and qualifications to meet the assessed needs of the prospective resident. This results in successful placements. The home has a new Statement of Purpose and Service Users Guide. A copy of these new documents has been submitted to the Commission for Social Care Inspection. Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate The care plans reflected the assessed needs of the residents. Care practices ensured that the residents health care needs were met, that they were treated with respect and their dignity was upheld. The medication system in place does not ensure that the residents receive their medicines safely and correctly This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plan is used as a working tool and is understood by all staff. Management of risk takes into account the needs of residents and demonstrates a balanced view in maintaining safety while also offering choice. The rights of others living in the home are also considered when drawing up an assessment of risk. Appointing key workers helps to build-up supportive relationships with residents and encourages work on a one-to-one basis. Care plans were generated from the care management or home’s preadmission assessment. The 6 care plans looked at on the residential and Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 12 nursing units were detailed, clearly setting out action to be taken to address all aspects of the health and personal care of residents. Such detailed plans ensured the staff received the information they needed to satisfactorily meet the needs of the residents. Relatives interviewed said they were aware of the care the person they visited needed. Management of risk takes into account the needs of residents and demonstrates a balanced view in maintaining safety while also offering choice. The rights of others living in the home are also considered when drawing up an assessment of risk. The reviewing system was good with staff undertaking reviews of care plans and risk assessments on a monthly basis, this was particularly well organised on the Residential Unit. In addition, the manager had introduced a review meeting, whereby the resident, their relative, key worker and herself would meet to discuss the resident’s satisfaction with the service and give them an opportunity to say what changes, if any, they wanted with their care. Care plans contained details of all nursing needs and the identified needs were being well met either by the nursing staff employed at the home or by visiting district nurses for the residential unit. Care plans on the nursing unit had improved, especially in relation to wound care with recordings showing care and progress made. A body map, initial assessment and a progress record were included in the care plan. Good daily recordings were seen on both units where staff had identified any areas of concern together with what action was needed to address the problem. Where risk areas had been identified in relation to skin or weight, staff were implementing the care plans i.e. weighing residents weekly and recording gains/losses, using charts to record when pressure relief had been given. Adequate equipment was available for the treatment and prevention of pressure sores. Medicines were administered directly from the medicines trolleys on both units. Examination of the medicine trolleys indicated a safe system of storage but a record of medicines received into the home was not being maintained. A random check of controlled drugs, on the Nursing Unit, was undertaken and records were found to be inaccurate with evidence that the total that should have been held was 1 tablet short. The records of medication administered on the Nursing Unit were poor with several blanks noted on the medicine administration sheet, therefore staff would be unable to determine whether the medicine had been administered or omitted. The clinical room on the Nursing Unit was untidy and generally cluttered with evidence of out of date information regarding medicines still attached to the storage cupboards. There was also a tendency to overstock some items including pain relief tablets, which suggests that more care should be taken when re-ordering monthly prescriptions. The Drugs Administration Policy was dated 1998 and this should be reviewed and a new policy put in place. Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 13 Records showed that residents had good access to health care professionals, for example, chiropodists, opticians, district nurse (for residential unit), as well as to specialist health care i.e. stoma care, dietician and speech therapy. Residents interviewed were very positive about the care they received and said they felt safe and cared for. The staff had a good understanding of the residents’ support needs and this was evident from the positive relationships that had been formed between the staff and residents. Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Resident’s choice and control over their lives has a high profile in the home and staff are skilled at encouraging residents to make decisions. Dietary needs of residents are well catered for with a balanced and varied selection of good quality food and home cooked meals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The routines of the home are planned around the residents needs and wishes. The home have recently appointed a replacement Activity Co-ordinator. During the course of the inspection this member of staff was interviewed and she informed the Inspector that she had already attended a course concerning provision of activities within a care home and was beginning to ascertain each resident’s preferences and following this was planning a programme to meet these expressed preferences. There are a number of organised group activities across a normal week, including dominos, armchair exercises and sing-a-longs. Also individual staff are often involved in one-to-one or group discussions with residents and sufficient staffing levels are provided to allow time for this type of stimulation. Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 15 Family and friends reported that they always feel welcome and know they can visit the home at any time. One relative sums up the views “I visit my wife regularly and feel she is very well cared for in every way. Each person is attended to with tender loving care. I receive similar kindness” Religious and spiritual needs are recorded and arrangements are made to allow each person to practice their religion. Observation and discussion with residents and staff showed that residents were able to make day to day decisions regarding rising/retiring times, what clothing to wear, where to sit, what to eat, whether or not to be involved in activities. Residents’ wishes regarding involvement in their financial affairs were established on admission. None had chosen to control their own monies. The majority had asked relatives or friends to be responsible for finances. Advice regarding financial advocacy was held at the home if needed. Residents were able to bring personal possessions, including furniture with them, and evidence of this practice was seen in bedrooms. Food and mealtimes are treated as an occasion and something to look forward to. Experienced cooks are responsible for providing nutritional meals that meet the cultural and dietary needs of residents. The cook has regular contact with residents to listen to their choices and suggestions for the menu. When interviewed, the cook had good knowledge of the needs she is catering for, and is skilled in providing meals that need to be specially prepared. Care staff are sensitive to the needs of residents, for example the need for encouragement and careful monitoring of amounts consumed. Tables are set attractively with table clothes and napkins and appropriate cutlery and aids to help individuals during their meal. Birthdays and celebrations are made special for individual residents. Meal times observed, were relaxed and unhurried. Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good The home has a clear complaints procedure and residents and their families know action will be taken to resolve their concerns. Staff have a good knowledge and understanding of Adult Protection issues which safeguards residents from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a clear complaints procedure, which is given to new residents when they move in to the home. A copy of the complaints procedure is displayed in the home and is given to residents’ families. The manager carries out a pre-admission discussion with relatives stressing the importance of having an open dialogue and speaking up to sort things out before they become larger issues. A relative said that he had been told that he must feel free to speak about even the smallest of issues and not to let them build-up. This has led to an open and transparent atmosphere in the home. Residents and relatives are confident they can raise any complaints and appropriate action will be taken to resolve their concerns. The policies and procedures regarding protection of residents are satisfactory and are regularly reviewed and updated in line with regulations and other external guidance. The home had the latest guidance on the local multidisciplinary procedures for reporting abuse. Staff have received Adult protection training and demonstrate an awareness of the content of the policy and know the immediate action to take, and who to refer to. Feedback from relatives and others associated with the home state Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 17 that they are satisfied with the service provision, feel safe and well supported by the home. Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good The home was well decorated and furnished, providing residents with a safe, clean, pleasant and comfortable environment. Good hygienic care practices ensured that as far as possible, residents were safeguarded from infection This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a variety of communal spaces – lounges, small sitting area on the first floor, and two dining rooms, including one that has additional sitting space. Furnishings in communal areas were domestic in character, generally of good quality and suitable for their purpose. The home is clean and well maintained and provides safe and comfortable accommodation for residents. The home is suitable to meet the needs of residents. Specialist equipment is provided including grab rails, a call bell system and assisted bathing and toilet facilities. The home is well laid out and accommodation is clearly signed so that residents can identify their own rooms. Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 19 Policies and procedures were in place with regard to control of infection and handling of laundry and, throughout the inspection, staff were seen adhering to good hygienic practices. Laundry staff and care assistants were provided with protective clothing. Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good The recruitment practices of the home ensure that residents are safeguarded and that staff have the qualities and aptitudes to work in social care. The home has a competent and well-trained workforce with a good mix of skill, experience and age. This leads to good levels of confidence and satisfaction from residents, relatives and professionals with the care that is delivered. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staffing levels within the home are sufficient to meet the needs of residents. A typical shift consists of nine care staff, one nurse and the manager, who generally works weekday office hours. The home has four waking night staff, and an on-call back up for emergencies. The manager can access additional staffing hours through her operations manager, and this has proved particularly important when settling new residents or when caring for a person at the end of their life. The selection procedure includes obtaining two written references, a formal interview and an informal interview, wherever possible. All staff had enhanced CRB disclosure checks. Upon appointment staff are issued with a handbook, which includes job descriptions and terms and conditions. Appointments are subject to a six-month probationary period. A sample of staff files were examined and these contained all the relevant documentation and were clearly sectioned and well-organised. Further development of the staff files was ongoing at the time of the inspection. Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 21 These are all good practices and ensure that a carefully selected and vetted staff team supports residents. The service ensures that all staff within its organisation receives relevant training that is targeted and focused on improving outcomes for residents. The Home has more than 50 of staff qualified in NVQ level 2 in Care, and staff have recently completed a number of short courses on the Safe Handling of Medication and health related issues. The home should consider accessing further training in relation to providing more specialist support in dementia care, for residents who may develop early signs of this illness during their stay at the home. Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good The home is well managed and residents’ interests, safety and welfare are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has the required qualifications and experience and is competent to run the home, and has applied to the Commission for Social Care Inspection for registration.. She works to improve services and provide an increased quality of life for residents. There is a strong emphasis of being open and transparent in all areas of running of the home. The manager is supported well by a competent senior staff team, and the home generally has a low staff turnover rate. Care staff reported that they received good support from senior staff and had regular supervision to discuss their role and personal development. Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 23 Quality assurance and monitoring systems were in place such as regular staff meetings, residents questionnaires and meetings, weekly evening “surgeries” giving relatives the opportunity of seeing the manager and the home’s internal quality audit which was undertaken on a regular basis. The administrative systems within the home were found to be up-to-date and in good order, an administration assistant, ensuring the home is run in an efficient and effective manner, supports the manager. Health and safety issues were satisfactory with regular maintenance checks of equipment being undertaken. All essential equipment had been appropriately maintained with records kept. Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 24 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 25 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. 1. Standard OP9 Regulation 13 (2) Requirement The Registered Person shall make arrangements for the recording, handling, safe keeping, safe administration and disposal of medicines received into the home. Records are kept of all medicines received and administered to ensure there is no mishandling. Timescale for action 12/02/07 2. OP9 17 (1) (a) 12/02/07 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 OP9 OP30 Good Practice Recommendations The policy for medicines, receipt, administration and disposal, should be reviewed and updated Staff should be given the opportunity to receive training in care of residents with Dementia. Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © 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 Langfield Nursing And Residential Home DS0000017327.V314743.R01.S.doc Version 5.2 Page 27 - 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!