Inspecting for better lives Random inspection report
Care homes for adults (18-65 years)
Name: Address: Langley House 47 Collington Avenue Bexhill-on-Sea East Sussex TN39 3NB The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Michele Etherton Date: 2 2 1 2 2 0 0 8 Information about the care home
Name of care home: Address: Langley House 47 Collington Avenue Bexhill-on-Sea East Sussex TN39 3NB 01424212934 01424212934 devijeeawon@langleyhouse.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Rajeswaree Jeeawon care home 19 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia 19 Over 65 0 Conditions of registration: The maximum number of service users to be accommodated is nineteen (19) Service users with a past or present mental illness only to be accommodated Service users must be aged between eighteen (18) and sixty-five (65) years on admission Date of last inspection Brief description of the care home Langley House is a care home providing personal care and accommodation to nineteen (19) people with mental health needs. It is owned and managed by Mrs Rajeswaree Jeeawon. The home is located approximately one mile from the centre of Bexhill, with access to shops, pubs, churches and the post office. The accommodation comprises of three floors, and includes communal space, plus thirteen (13) single bedrooms, and three (3) shared bedrooms. Five (5) of the bedrooms provide en-suite facilities. The Care Homes for Adults (18-65 years) Page 2 of 9 fees charged in the serviced are #322.40 per week. The current e mail address is Devi@Langley.net. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
We undertook an unannounced random inspection of this service on 22nd December 2008 following receipt of some concerns regarding medication arrangements in the home and the overall standard of cleanliness. We undertook a tour of the premises, spoke with staff on duty, met three residents and looked at medication storage, spoke with the provider/manager and another staff member regarding medication administration to residents and looked at recording of medication and individual medication arrangements as specified in support plans. We found the home to be clean and tidy with no unpleasant odours, the staff we spoke with confirmed there is a regular cleaning routine for resident bedrooms, these are cleaned every morning. The home will benefit from investment in an upgrading programme particularly communal washing/toilet areas and communal hallways which are showing signs of wear and tear with bathrooms in particular in need of refurbishment. We looked at medication arrangements within the home and found that all administering staff are trained to a good standard and receive regular updates, only one resident self administers, although most other residents have medication administered to them but are not observed by staff always taking their medication and medication sheets record this activity although we noted staff routinely using the wrong code to denote this. We found that whilst generally recording of medication is satisfactory for the period 20th/21st a number of recording omissions were visible on Medication administration sheets. We checked medication stocks with staff to ensure medications had in fact been given and found this to be the case, We have issued a requirement to the home to maintain accurate medication records at all times. We noted that the home has established general PRN medication guidelines to staff and we would recommend these are individualized for each resident. The home has established details of medications and side effects within individual resident files. The facility exists for residents to confirm their consent to medication administration by staff but this is routinely not completed in support plans and should be. We found no mechanism for recording the medications received into the home for each resident other than the receipt that is signed for the pharmacy and we would recommend a system is developed. We noted that risk information makes clear those residents whose compliance may pose a risk but this is not reflected in the support provided to them around medication and we consider an element of complacency has developed in the general administration to residents without the service being able to justify its rationale for present practices. Care Homes for Adults (18-65 years) Page 4 of 9 We consider that the medication storage is not compliant with pharmaceutical society guidelines and the medicines Act 1968 we have discussed this with the provider and consideration should be given to the upgrading of storage facilities as part of a general upgrade of the premises. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 20 13 The provider must ensure 08/01/2009 that accurate medications records are maintained at all times and that where codes are used these are used correctly This is to ensure that medication is administered responsibly and residents are safeguarded Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 20 The service should ensure that: All prescribed medications received that are not contained within the MDS system are dated upon opening this includes, creams, drops, liquid medication and boxes of tablets. medication storage should be reviewed and upgraded to meet the storage expectations of the royal pharmaceutical Society guidance for care Homes and the medicines Act 1968. The Provider should establish a system for booking prescribed medication received for individual residents into Care Homes for Adults (18-65 years) Page 7 of 9 the home. The provider should ensure that individual resident guidance is established for PRN medications. The provider should ensure that resident consents to medication are in place The provider should ensure that resident preferences around medication administration are made clear within support plans and supported by appropriate risk assessments. 2 24 The Provider should establish a programme of works for the upgrading of communal washing/toilet facilities and communal hallways in addition to any other planned redecoration and maintenance Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 9 of 9 - 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!
