Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 25/10/07 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 25th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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. Dietary needs of residents are well catered for with a balanced and varied selection of good quality food and home cooked meals.

What has improved since the last inspection?

All of the requirements we made at the last inspection have been met. There has been a considerable effort made to ensure that the records of the medicines for residents are up to date and further training in the administration of medicines, for the staff, has occurred.

What the care home could do better:

In their AQAA the home recognised that they have improvements to make in several areas and have provided us with details on how they want to improve the home. The home must involve residents and relatives in drawing up and reviewing the day to day activities in the home. Within this process the interests and wishes of residents regarding daily activities would be identified and a suitable activities programme must be developed for each individual.

CARE HOMES FOR OLDER PEOPLE Langfield Nursing And Residential Home Wood Street Langley, Middleton Manchester Lancashire M24 5QH Lead Inspector Bernard Tracey Unannounced Inspection 25th October 2007 09:00 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.V351521.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.V351521.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 langfield@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Care Management Limited 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) Beverley Josephine Unsworth 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.V351521.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing: Code N, to service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia: Code MD (maximum number of places: 1 female). Old age, not falling within any other category: Code OP (maximum number of places: 50). Physical disability: Code PD (maximum number of places: 2 male). The maximum number of service users who can be accommodated is: 50. Date of last inspection 20th December 2006 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 £ 8.00 Hairdressing £ £5.75 - £17.50 Magazines and Newspapers as priced Fees charged by the home provided in October 2007are as follows: £367.00 to £455.00 per week. Langfield Nursing And Residential Home DS0000017327.V351521.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The manager was not made aware that this inspection was going 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 and their relatives. The questionnaires asked what people thought of the care and services provided by the home. The manager was also asked to fill in a questionnaire, called an Annual Quality Assurance Assessment (AQAA), telling us what they thought they did well, what they need to do better and what they have improved upon. Where appropriate, these comments have been included in the report. We spent over five hours at the home. During this time, we 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 tour of the building was undertaken and time was spent looking at records regarding safety in the home. We also examined files that contained information about how the staff were recruited for their jobs, as well as records about staff training. We spent time speaking to six residents, four relatives, as well as speaking to seven staff, including the manager and the Operations Director. We have received one complaint about the service and found that the manager was able to respond in detail to the concerns with a satisfactory outcome. The fees in this service range from £367. per00 to £455.00 week at the time of the visit. There are extra charges for Chiropody, hairdressing and newspapers/magazines. 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. 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. Langfield Nursing And Residential Home DS0000017327.V351521.R01.S.doc Version 5.2 Page 6 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. Dietary needs of residents are well catered for with a balanced and varied selection of good quality food and home cooked meals. 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 be made available in other formats on request. Langfield Nursing And Residential Home DS0000017327.V351521.R01.S.doc Version 5.2 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 Langfield Nursing And Residential Home DS0000017327.V351521.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. Standard 6 does not apply Quality of this outcome area is good. The assessment undertaken before admission provides residents and their relatives with an assurance that the home will be able to meet their needs. This judgement has been made using available evidence and a visit to the service. EVIDENCE: There had been no changes to the homes statement of purpose since the last inspection. The manager stated that residents admitted to the home are mainly referred through the local authority. 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. Langfield Nursing And Residential Home DS0000017327.V351521.R01.S.doc Version 5.2 Page 9 The manager also carries out an assessment, which includes visits to see the person in their own home or while in hospital. 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. Langfield Nursing And Residential Home DS0000017327.V351521.R01.S.doc Version 5.2 Page 10 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): 7 8 9 10 Quality in this outcome area is good 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 ensures that the residents receive their medicines safely and correctly This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans were generated from the care management or home’s preadmission assessment. The 5 care plans looked at on the residential and 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. In the plan is reviewed at least once a month. This includes forward planning, so that reviews can be co-ordinated with relatives. Langfield Nursing And Residential Home DS0000017327.V351521.R01.S.doc Version 5.2 Page 11 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. The manager demonstrated this as an improvement in the Annual Quality Assurance Assessment (AQAA) completed before our visit. 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. 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. 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. Following our last visit there is a notable improvement in the management of medicines in the home. There is a robust medications policy and inspection of the medications records provides evidence that the staff follow the procedure. All records relating to medications were found to be well maintained and up to date. The medications room and trolley were seen to be clean and organised. Appropriate arrangements are in place for the disposal of unwanted medications through a contract with a disposal company. Visitors confirmed that the residents were treated with respect and in a dignified manner at all times. Privacy is respected at all times. Residents are free to meet with their visitors in the privacy of their own bedroom or in one of the communal areas. Four visitors spoken with, confirmed that they were welcome to visit the home at any time and that the staff were approachable and available to speak with them whenever they wished. One visitor said that it was lovely that the staff were forthcoming with updates of their relatives care without having to ask. Visitors spoke highly of the manager, the care and ancillary staff and commented on how friendly and patient the care staff are in dealing with the residents. Langfield Nursing And Residential Home DS0000017327.V351521.R01.S.doc Version 5.2 Page 12 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): 12 13 14 15 Quality in this outcome area is adequate Social activities do not provide daily variation and interest for people living in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is currently recruiting an Activities Co-Coordinator following the resignation of the previous holder of this position some weeks ago. Residents’ social and leisure preferences are not always recorded in their care plans. In the care files, which we read, these documents had not been completed so it was not possible to fully assess the level of social stimulation on offer for individual residents. 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 Langfield Nursing And Residential Home DS0000017327.V351521.R01.S.doc Version 5.2 Page 13 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.V351521.R01.S.doc Version 5.2 Page 14 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): 16 18 Quality in this outcome area is good Residents and relatives have confidence that their concerns will be dealt with. Abuse policies and procedures are in place to protect the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In the AQAA the manager informed us that a new complaints policy and procedure had been introduced into the home in June 2007. This has shown that complaints are being dealt with effectively and on time and examination of the records confirmed this. The Manager has received training on how to investigate and manage complaints and there is monthly complaints monitoring and audit and these, together with a record in the Southern Cross Complaints Register, effectively monitors the process. The home’s complaint procedure is on display and residents and relatives interviewed were satisfied with all arrangements in the home and were aware of how to make a complaint if needed. The complaint log was seen and complaints recorded related mainly about lost clothing and other personal possessions. All of these complaints appeared to have been dealt with satisfactorily. One detailed complaint about the care and personal needs of a resident had resulted in a meeting with the resident’s family, the social worker and the Langfield Nursing And Residential Home DS0000017327.V351521.R01.S.doc Version 5.2 Page 15 home manager. We were informed that this complaint had now been resolved satisfactorily. The home has a copy of the Rochdale Guide for the Protection of Vulnerable Adults and staff have undertaken training in relation to the Protection of Vulnerable Adults. The home also has an abuse policy and whistle blowing procedure. The staff training record evidenced abuse awareness training for a number of staff and staff interviewed had an understanding of how to report an alleged incident. A staff member said, “If a resident wanted to make a complaint, I would go to the nurse in charge or the manager”. Langfield Nursing And Residential Home DS0000017327.V351521.R01.S.doc Version 5.2 Page 16 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): 19 26 Quality in this outcome area is good Residents live in pleasant, safe, comfortable and well-maintained surroundings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is purpose built and accommodation is provided on two levels. It is fully accessible to people who are physically disabled and is fitted with aids and adaptations to promote independence. The main entrance hall is spacious and there is ample information available regarding the home and the service it provides. The home is well maintained, decorated to a good standard and was clean and tidy during the site visit. There is a garden and car parking space to the front and the home has a central patio area with easy access on all sides of the home. Langfield Nursing And Residential Home DS0000017327.V351521.R01.S.doc Version 5.2 Page 17 A tour of the building was undertaken, two bathrooms, a shower room and six bedrooms were viewed. The bathrooms were clean and tidy and hot water temperatures are recorded each month to ensure the hot water is delivered to a safe temperature. Bedrooms viewed had individual items and were homely. A resident said, “I have everything I need, including some of my own furniture”. All rooms are single en suite and accessable to wheelchairs and hoists. A redecoration programme is in place and rooms are decorated when they are vacated. Residents are encouraged to get involved in choosing appropriate redecoration and soft furnishings.Large, well maintained grounds, with wheelchair access in all areas. Adaptations of Equipment: Aids, hoists, grab rails are all provided and access to further equipment is available from Home Stores, when needed. a hoist assisted bath is available. The aim is promote liviing, within limits of the residents individual disability. The home is clean and free from odours and a domestic cleaning schedule book is available for inspection. Home Manager audits the book monthly. Bedrooms have door locks and storage space for valuable items. Bedrooms have a call system with a hand held buzzer to call for assistance. The home is equipped with comfortable furniture, fittings and electrical equipment. The home has a well equipped laundry and there was evidence of gloves and aprons for staff use. Infection control training is given to staff and infection control policies are available. Fire risk assessments of the building are in place and emergency lighting is provided throughout. The grounds were tidy and accessible to residents. CCTV cameras are in operation at the entrance of the home to monitor security. Langfield Nursing And Residential Home DS0000017327.V351521.R01.S.doc Version 5.2 Page 18 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): 27 28 29 30 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 Langfield Nursing And Residential Home DS0000017327.V351521.R01.S.doc Version 5.2 Page 19 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. 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.V351521.R01.S.doc Version 5.2 Page 20 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): 31 33 35 38 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 successfully 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 Langfield Nursing And Residential Home DS0000017327.V351521.R01.S.doc Version 5.2 Page 21 from senior staff and had regular supervision to discuss their role and personal development. 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.V351521.R01.S.doc Version 5.2 Page 22 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 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 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 X X 3 Langfield Nursing And Residential Home DS0000017327.V351521.R01.S.doc Version 5.2 Page 23 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 OP12 Regulation 16 (n) Requirement To give people who use the service interest and stimulation they must be asked about the activities they would like to take part in and a suitable programme of activities must be provided. Timescale for action 30/12/07 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. Refer to Standard OP30 Good Practice Recommendations Staff should be given the opportunity to receive training in care of residents with Dementia so that residents may benefit from a skilled and trained approach to their care. Langfield Nursing And Residential Home DS0000017327.V351521.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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.V351521.R01.S.doc Version 5.2 Page 25 - 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!