Inspection on 22/02/06 for Langlea House

This inspection was carried out on 22nd February 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.

Other inspections for this house

Langlea House 03/05/07

Langlea House 07/11/05

Langlea House 01/12/04

Langlea House 06/05/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Langlea House Langlea Terrace Denholme Gate Road Hipperholme Halifax West Yorkshire HX3 8LG Lead Inspector Paula McCloy Unannounced Inspection 22nd February 2006 11:00 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 Langlea House DS0000039476.V284314.R01.S.doc Version 5.1 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. Langlea House DS0000039476.V284314.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Langlea House Address Langlea Terrace Denholme Gate Road Hipperholme Halifax West Yorkshire HX3 8LG 01422 205795 01422 200088 langleahouse@aol.com 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) Mr Bhye Hassen Koomar Mrs Jacqueline Lorraine Koomar Miss Bibi Nazima Koomar Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Langlea House DS0000039476.V284314.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th November 2005 Brief Description of the Service: Langlea House is situated in Hipperholme, behind the Jet garage on Denholmegate Road. The local shops, amenities and pubs are within walking distance. There are good public transport links to Halifax town centre. Langlea House is a care home for older people. It was a former private residence, which has been adapted and extended to provide accommodation for 14 older people. The building is well maintained, pleasantly decorated and comfortably furnished. There is one lounge, dining room and conservatory on the ground floor. The conservatory is the designated smoking area for residents. An extension to the home was completed in 2005. There is now a visitors/hairdressing room, office and laundry on the ground floor. There are eight single bedrooms and three double bedrooms all of which have en suite toilet facilities. Bedrooms are well decorated and furnished to a good standard. There is a shower room on the ground floor and an assisted bathroom on the first floor. The kitchen and laundry are appropriately equipped. Langlea House DS0000039476.V284314.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over an inspection year from April until March, care homes have a minimum of two inspections; these may be announced or unannounced. This was the second unannounced inspection of this home; the first inspection was also unannounced and took place in November 2005. There were no requirements or recommendations made following this visit. There have been no further visits to the home until this unannounced inspection. Two inspectors carried out the inspection and spent approximately two hours in the home. The purpose of this inspection was to assess the home against a predetermined selection of the National Minimum Standards for Older People. The methods used in this inspection included discussions with 4 residents’, 2 care staff and management, examination of care records, duty rotas, staff records and training records. Comment cards were left at the home for residents and relatives; these cards provide an opportunity for people to share their views of the service with the CSCI. Comments received in this way are shared with the provider without revealing the identity of those completing them. The home leaves some comment cards beside the visitors’ book so that they are easily available, none have been returned following this visit. What the service does well: Langlea House is a small, friendly, well managed, well resourced, comfortable and relaxed home. Residents have confidence in the staff and were very happy with the care and support they receive. The range and frequency of both group and individual activities that are provided in the home is commendable. Residents are kept both physically and mentally active and are generally well stimulated. Langlea House DS0000039476.V284314.R01.S.doc Version 5.1 Page 6 Residents’ like living at the home and speak well of staff. Residents also say that the food is very good. The cook is aware of individual residents preferences and a variety of meals and snacks are offered. The home is well maintained, comfortable, clean and tidy. Each resident has an individual care plan that sets out what care and support they require from staff. Staff are vigilant and care plans are updated as peoples needs change. Staff are also quick to involve Doctors and other specialists for advice. Residents are able to follow their own routines. Activities are on offer if residents want to join in. If residents want to go out shopping staff will arrange to take them. If residents and/or relatives are not happy about the service they are getting the home has a complaints procedure. Complaints that the manager has received have been dealt with and resolved. What has improved since the last inspection? What they could do better: The manager continues to develop the service they offer. The home is running well and residents are very happy with the service they receive. There is nothing from this inspection visit identified that the home could do better. Langlea House DS0000039476.V284314.R01.S.doc Version 5.1 Page 7 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. Langlea House DS0000039476.V284314.R01.S.doc Version 5.1 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 Langlea House DS0000039476.V284314.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 (Standard 6 does not apply) The homes Statement of Purpose and Service User Guide are good and provide and prospective residents with details of the services the home provides. This means people can make an informed decision about moving into to the home. The home’s admission procedures are good. Any prospective resident is fully assessed before they move into the home. This ensures that their care and support needs are planned for and can be met. Prospective residents or their relatives are encouraged to visit the home so they can assess the suitability of the facilities for themselves. Residents are given a written contract/ terms and conditions of residence document which details fees, room to be occupied etc. EVIDENCE: The homes Statement of Purpose and Service User Guide are readily available. Langlea House DS0000039476.V284314.R01.S.doc Version 5.1 Page 10 All prospective residents are assessed by one of the senior team, prior to admission. The assessment document covers all of the required areas. The home has its own assessment document and the registered manager also obtains a copy of the social workers assessment, if the resident is placed by the local authority. The service users individual care plan is developed from the assessment information. Staff confirmed that they encourage prospective residents to come and have a look around the home, although it is more usual that relatives do this. This gives people the opportunity to see the home for themselves and make and informed decision about its suitability. The terms and conditions of residence document clearly states what is and is not included in the fees, the room to be occupied, fees payable, notice periods and insurance cover. These documents have been signed by residents and or their representatives together with one of the registered persons. Langlea House DS0000039476.V284314.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 & 11 Care plans are detailed and give staff the information they require to meet residents needs. The health care needs of residents are being met with health care professionals being involved as necessary. Residents’ medication is well managed which promotes good health. Care plans contain information about how residents wish to be cared for during illness and following death. This ensures that when the time comes staff can offer the right care and support. EVIDENCE: Care plans are well organised and it is easy to find the relevant information quickly. The care plans set out in detail what action needs to be taken by staff to ensure residents’ needs are met. Staff are vigilant and new care plans are developed as peoples needs change. Details of residents’ interests and preferred routines are also noted in detail. There is also information recorded about service users likes and dislikes in relation to meals and where they like to eat. Staff also document information about residents preferences for wearing, jewellery, make up, nail polish and clothing. Care plans are being reviewed on a monthly basis and there was evidence of residents being involved in these. Langlea House DS0000039476.V284314.R01.S.doc Version 5.1 Page 12 Residents’ health care needs are being identified and met. Staff are vigilant and GPs and other health care professionals are being involved as necessary. Care plans clearly document each visit by a health care professional and advice that has been given. The personal hygiene and oral hygiene needs of residents are clearly documented in the care plans. Medication records are well maintained and show that residents are getting their medication at the prescribed times. Residents living at Langlea House looked smart and well cared for. From observation any personal care that was offered by staff was completed in a respectful and dignified way. Residents said that staff are respectful, kind, helpful and caring. Visitors can use the lounges, visitors room, dining room or the residents bedroom when they visit. Care plans contain details of how residents want to be looked after during illness and following death. Staff were able to give a good account of the care given to residents that are dying. Their accounts confirm that residents are treated with dignity and respect. Staff from the home always attend residents funerals, with the permission of the family and any service users who wish to attend are supported by staff. Langlea House DS0000039476.V284314.R01.S.doc Version 5.1 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Social activities at the home are being provided consistently to keep residents stimulated. Relatives are welcome to visit at any time. Residents are able to bring personal possessions with them on admission. Residents are consulted about their preferred routines and these are documented in the care plans, so staff can make sure peoples choices are maintained. The meals at the home are very good offering choice and variety. EVIDENCE: Langlea House DS0000039476.V284314.R01.S.doc Version 5.1 Page 14 Residents preferred routines are documented. Residents confirmed that they were able to get up and go to bed when they want. Residents can have their meals in the dining room or in their bedroom if they prefer. Drinks and snacks are always available and service users often go to the kitchen to request these. Visitors are welcome at any time. Residents interests are recorded in their care plan and activities are arranged on a three times daily basis in the home. An activities programme is on display in the dining room. Care staff will also support people to go out to the local shop / garage or to Halifax or Huddersfield to shop if they wish. Service users are able to go out for pub lunches. The visitors book shows that there are frequent visitors to the home at various times during the day and evening. Residents wishes regarding the management of their finances are detailed in their care plan. Service users are able to bring furniture and personal effects with them on admission in agreement with the acting manager. The service users guide gives information about how service users can access their records. The menus have been drawn up in consultation with service users, taking account of everyone’s requests and preferences. Menus are on display and there is a choice available for breakfast, lunch tea and supper. Drinks are served at regular intervals and upon request. There is always food available and service users are able to request snacks between meals or during the evening or night. Service users all stated that they were happy with the meals provided. Diabetic diets are catered for. Langlea House DS0000039476.V284314.R01.S.doc Version 5.1 Page 15 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 & 18 The home has a good complaints system. Residents views are listened to, taken seriously and acted upon. Residents rights to participate in the political process are upheld. Staff have a good understanding of adult protection issues which protect service users from abuse. EVIDENCE: Residents all stated that if they had any concerns that they would feel able to talk to the manager or another member of staff. They were also confident that any issues raised would be resolved. The records showed that any concerns or complaints that have been made have been sorted out to people’s satisfaction. There are also complaints forms in thee foyer that people can complete anonymously if they wish to bring something to the managers attention. The service user guide gives details of how service users can access their records. The care plans contain information about residents wishes in relation to voting, management of their finances, arrangements for their mail etc.. Staff have attended adult protection training and the local adult protection procedures are available. Langlea House DS0000039476.V284314.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. Please see the inspection report from November 2005 for details. EVIDENCE: Langlea House DS0000039476.V284314.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Staff moral is good resulting in an enthusiastic workforce that work positively to improve service users quality of life. Staff are receiving appropriate training to meet residents’ needs. Any new staff are thoroughly checked to ensure that they are suitable to work with older people. EVIDENCE: The duty rotas are arranged to provide 3 care staff on duty in the mornings and two care staff on duty in the afternoons and evenings. The manager works in addition to these staffing levels. At night there is one waking night staff and a member of staff sleeping in. The care team are well supported by the domestic and catering staff. There are 75 of the care staff qualified to NVQ level 2 or 3. All new staff follow a comprehensive induction programme. Langlea House DS0000039476.V284314.R01.S.doc Version 5.1 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion. Please see the inspection report from November 2005 for details. EVIDENCE: Langlea House DS0000039476.V284314.R01.S.doc Version 5.1 Page 19 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 4 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Langlea House DS0000039476.V284314.R01.S.doc Version 5.1 Page 20 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Langlea House DS0000039476.V284314.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 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. 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