CARE HOMES FOR OLDER PEOPLE
Langlea House Langlea Terrace Denholme Gate Road Hipperholme Halifax West Yorkshire HX3 8LG Lead Inspector
Paula McCloy Unannounced Inspection 7th November 2005 09.20 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.V263202.R01.S.doc Version 5.0 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.V263202.R01.S.doc Version 5.0 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.V263202.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 1 December 2004 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 has been completed recently. 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.V263202.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 3 hours. Five residents, three relatives and two members of staff were spoken to. A full inspection of the building was made and records relating to the management of the home were inspected. . What the service does well:
Langlea House is a small, friendly, well managed, well resourced, comfortable and relaxed home. Service users 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. Service users are kept both physically and mentally active and are generally well stimulated. There are lots of activities and entertainment planned for the lead up to Christmas. Residents can also go Christmas shopping if they want to, with a member of staff. The owners continue to make improvements to the building and facilities. Since the last inspection the kitchen has been totally refurbished and a new extension has been built. The new visitors/hairdressing room is very popular with residents. There are tea/coffee making facilities in this room and they can entertain their visitors in private. The registered manager is well organized and makes sure that residents are living in a safe and comfortable home. All of the checks and servicing of equipment are up to date and any necessary repairs are quickly sorted out. Residents are involved in the running of the home. There are regular residents meetings where people are able to talk about anything they think would make the home better and give their ideas for trips out, meals, entertainment etc. Langlea House DS0000039476.V263202.R01.S.doc Version 5.0 Page 6 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. Langlea House DS0000039476.V263202.R01.S.doc Version 5.0 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 Langlea House DS0000039476.V263202.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at this inspection. EVIDENCE: Langlea House DS0000039476.V263202.R01.S.doc Version 5.0 Page 9 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): These standards were not assessed at this inspection. EVIDENCE: Langlea House DS0000039476.V263202.R01.S.doc Version 5.0 Page 10 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): These standards were not assessed at this inspection. EVIDENCE: Langlea House DS0000039476.V263202.R01.S.doc Version 5.0 Page 11 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): These standards were not assessed at this inspection. EVIDENCE: Langlea House DS0000039476.V263202.R01.S.doc Version 5.0 Page 12 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): 19, 20, 21, 22, 23, 24, 25 & 26 Residents live in a clean, safe, comfortable, well maintained home. EVIDENCE: Langlea House is situated in Hipperholme, behind the Jet garage on Denholmegate Road. The shops and local facilities are on the main Halifax / Leeds Road which is approximately ½ mile away. There is a car park at the front of the building, which has recently been tarmaced. The gardens are attractive and the patio is well used by service users and their relatives in fine weather. There is ramped access to the side of the building. The home has a lounge, dining room and conservatory. The conservatory is the designated smoking area. These rooms are well furnished, comfortable and clean. There are two televisions, a music system and a video in these rooms for service users entertainment. There is ramped access from the lounge to the patio area outside. Langlea House DS0000039476.V263202.R01.S.doc Version 5.0 Page 13 There are eleven bedrooms all of which have en suite facilities. There is one toilet in close proximity to the lounge area. There is a shower room on the ground floor and an assisted bathroom on the first floor. There is ramped access to the side of the building. There is a stair lift, which serves the ground and first floor. All of the service users at Langlea are mobile and require little or no assistance from staff. There is an emergency call bell in service users bedrooms and in the bathrooms and toilets. All the bedrooms are carpeted and are well furnished. Service users have brought a variety of possessions, which have made the rooms very personal. All bedroom doors have locks fitted to which service users hold their own keys. There is also lockable drawer space in the bedrooms. The home was very clean and there were no unpleasant odours. The home has policies and procedures in place relating to infection control. The manager and deputy manager attend monthly infection control courses. The laundry has been moved from the garage into the new extension. It is equipped with a washing machine and tumble drier. Langlea House DS0000039476.V263202.R01.S.doc Version 5.0 Page 14 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): These standards were not assessed at this inspection. EVIDENCE: Langlea House DS0000039476.V263202.R01.S.doc Version 5.0 Page 15 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): 31, 32, 33, 35, 36, 37 & 38 The home is well managed and run in the best interests of residents. Residents are involved in the running of the home and consulted about their care and support. Practices in the home promote the health, safety and welfare of the residents. EVIDENCE: The registered manager has completed the registered managers award training. In addition to this she keeps herself up to date by attending additional training courses and seminars. Residents are consulted about the running of the home in residents meetings, through the annual quality assurance questionnaires and at the monthly reviews of their care plans. The owner also talks to residents to find out their views as part of their monthly report on the home. Residents and relatives all
Langlea House DS0000039476.V263202.R01.S.doc Version 5.0 Page 16 said that if they had any problems they would speak to the manager and wee confident that any issues would be resolved. The manager does hold money on behalf of residents. The records examined were well maintained and accurate. All of the staff receive regular supervision and are appraised every 6 months. If any training needs that are identified during this process a suitable training course is identified. The service users guide gives information about residents accessing the records that are held in the home. There is a policy in place regarding service users seeing the records that are held on them. Records at the home were readily available and well maintained. There is a written Health and Safety policy. Staff receive moving and handling, food hygiene, fire safety, first aid and infection control training. The fire alarms are tested weekly and fire drills/practices are held. Gas safety, electrical installation and portable electrical test records were all seen and were up to date, as were the service records for the bath hoist and starlift. Langlea House DS0000039476.V263202.R01.S.doc Version 5.0 Page 17 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 3 3 3 3 3 3 3
X STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 3 Langlea House DS0000039476.V263202.R01.S.doc Version 5.0 Page 18 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.V263202.R01.S.doc Version 5.0 Page 19 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
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