Inspection on 29/06/07 for Langley House

This inspection was carried out on 29th June 2007.

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

Langley House 22/12/08

Langley House 30/05/06

Langley House 10/02/06

Langley House 29/07/05

Langley House 30/11/04

Langley House 11/05/04

Langley House 04/04/03

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

CARE HOME ADULTS 18-65 Langley House 47 Collington Avenue Bexhill-on-Sea East Sussex TN39 3NB Lead Inspector Kathy Flynn Unannounced Inspection 29th May 2007 13:00 Langley House DS0000021152.V339598.R01.S.doc Version 5.2 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 Langley House DS0000021152.V339598.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 Adults 18-65. 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. Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Langley House Address 47 Collington Avenue Bexhill-on-Sea East Sussex TN39 3NB 01424 212934 01424 212934 devijeeawon@langleyhouse.net 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) Mrs Rajeswaree Jeeawon Mrs Rajeswaree Jeeawon Care Home 19 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (19) of places Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 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 10th November 2006 Date of last inspection Brief Description of the Service: 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 fees charged in the serviced are £322.40 per week. The current e mail address is Devi@Langley.net. Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 29th June 2007 over 6 hours. The inspection included a tour of the home with the deputy manager, and a review of the care plans, staff training, staff files, Medication Administration Records, the activity programme and menus. While others, such as quality assurance questionnaires, were discussed with the director and manager. There were 11 residents at the home during the inspection. Six of the residents were spoken with and there were no visitors to the home at this time. The manager, deputy and the staff on duty discussed the care and support they provide at the home. The Annual Quality Assurance Assessment (AQAA) was sent to the home and will be returned when completed following the meeting on the 12th July. When a representative of the Commission will be meeting providers in Hastings to advise on its completion. The reader should aware that the Care Standards Act 2000 and the Care Homes Regulations 2001 use the term service user to describe those living in care home settings. However for the purposes of this report those living at Langley House will be referred to as residents. What the service does well: The atmosphere at the home was relaxed and the residents chose how to spend their time, in the lounge, in their own rooms or going to the local shops or into town. Communication was friendly and reflected the comfortable relationship that exists between the residents and the staff. The residents spoken with were positive about the support provided, saying the staff are ‘very good’ and they can make choices about all aspects of their day to day living. Staff were equally positive, they regard Langley House as the residents home and encourage them to be involved in all the decisions taken about the services provided. Langley House DS0000021152.V339598.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Prospective residents are assessed prior to the offer of a room at Langley House, to ensure the home can meet their needs. EVIDENCE: Prospective service users are invited to visit the home, look around and meet existing service users and staff. They are assessed with their relatives or other representatives and supporting information, including a full psychiatric assessment, is used to ensure they can meet their needs. The importance of carrying out a written assessment for residents when they have spent time in hospital, in addition to the observations and discussion with hospital staff, was discussed. The manager confirmed that these assessments will be recorded in future. Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 9 During the inspection the importance of the compatibility of residents was discussed. All referrals and applications to the home are discussed with staff and existing residents, and they are only offered a permanent place if it is felt that they and the current residents are comfortable with this decision. Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The care planning system enables staff to provide appropriate support for residents, and residents are encouraged to make decisions about all aspects of their day to day lives. EVIDENCE: The deputy manager advised that the staff and residents work together to develop individual care plans with their personal details, social and professional contacts, current issues and needs, and relevant risk assessments. These are reviewed on a regular basis and when changes have been identified. A daily log is kept in a diary for each resident, some of the residents complete these themselves, during the inspection two were filling them in after supper. Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 11 Staff and residents confirmed that they can make decisions about their lives and choose how they spend their time. An independent lifestyle is encouraged, within the agreed limits and risk assessments recorded in the care plan. Residents spoken with said they were ‘happy in the home’, they said the ‘manager and staff are very good’ and that ‘we decide what we want’ to do each day. Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Independence is encouraged in the home and the daily routines are flexible. The food is good, choices are provided, and residents are involved in the preparation of meals. EVIDENCE: Residents are encouraged to participate in the local community, many go shopping themselves, three attend the local day centre, all are welcome at a local pub and are invited to the curry evenings. Residents are encouraged to maintain links with relatives and friends, who can visit when the residents wish and remain involved in the support offered to residents at the home if appropriate. Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 13 The routines of the home are flexible and encourage residents to be independent. A programme of activities has been developed by the residents and staff, and the residents are able to decide which ones they participate in. The food at the home is good, choices are available in addition to those listed in the menu, and residents are involved in the preparation of the meals and in clearing up afterwards. Residents spoken with said ‘the food is good’ and they can ‘choose what they want’. Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The health needs of service users are well met with access to other health professionals arranged as required. Medication training is provided for staff, and residents are protected by staff following the homes policies and procedures. EVIDENCE: Residents at Langley House are able to provide their own personal care. They are encouraged to be independent and decide what the will wear, and are able to wash their own clothes if they choose to do so. Health care professionals from the community psychiatric services maintain regular links with the home, and the care needs of residents are reviewed with them on a regular basis. The residents are registered with GP’s and they have access to allied health professionals including chiropodists if required. Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 15 Some residents are responsible for their own medication, they are given their medication weekly and risk assessments have been completed. Medication training is provided for all the staff at the home, and the manager confirmed that all staff are up to date. Appropriate policies and procedures are in place. Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Policies and procedures are in place to investigate complaints, and staff attend training to ensure residents at protected from abuse. EVIDENCE: There have been no complaints about the support and services provided at Langley House since the last inspection. The manager confirmed that policies and procedures are in place to investigate any concerns raised by residents, visitors or staff. Training in adult protection is provided for staff to ensure that the residents are safe from abuse and neglect. The manager and deputy manager have attended a train the trainers course and are planning to develop in house training for staff regarding the protection of vulnerable people. Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People who use this service experience good quality outcomes in the area. This judgement has been made using available evidence including a visit to this service. Langley House offers residents a homely and comfortable environment, training in the control of infection is provided for staff to protect residents. EVIDENCE: Langley House is a large detached property situated in a residential area on the outskirts of Bexhill, it is close to public transport, local shops including a post office, and there are parking facilities to the rear of the building. The communal rooms are appropriately furnished and there is a separate smoking rooms and dining room for residents to use if they wish. Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 18 The bedrooms, single and shared, are decorated according to the residents tastes. They are able to bring items of furniture and ornaments with them to personalise their rooms as they see fit, and each has a TV and DVD/video. The manager advised that improvements to the home, required as part of the Fire Risk Assessment, have been done. Training in the control of infection is provided for staff and systems are in place to protect residents. Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Robust recruitment procedures are in place, and opportunities are provided for staff to work towards National Vocational Qualifications. EVIDENCE: The manager confirmed that new staff are employed only after the required checks have been completed, including two references and Protection of Vulnerable Adults and Criminal Registration Bureau checks. Induction training is provided in line with Skill for Care and new staff are expected to complete this during their probationary period. A programme of staff training is in place at the home, the manager confirmed that staff are encouraged to attend training sessions that interest them in addition to the training required by legislation. Staff at the home have completed training moving and handling, first aid, infection control, medication training, food hygiene and fire training. Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 20 Opportunities have been provided for care staff to work towards National Vocational Qualifications (NVQ), and the manager confirmed that all staff at the home have completed or are about to complete NVQ level 2 or 3. Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The management of the home is open and inclusive, and the manager is supported by staff who are aware of their roles and responsibilities. Systems are in place to protect the health, welfare and safety of residents, staff and visitors. EVIDENCE: The manager has considerable experience in providing support for people with mental health problems and has been owner/manager at Langley House for Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 22 over seven years. The deputy manager has completed NVQ level 4 and has worked at the home for several years. The manager and deputy manager are working towards the Registered Managers Award (RMA) and will complete it in September. Quality assurance and monitoring systems are in place and are completed by the Director yearly. He confirmed that this was carried out in November 2006. This included assessments of all the services provided at the home, as well as questionnaires from residents and feedback from health professionals who visit the home. Door guards are used to keep fire doors in the home open safely at residents request. One was noted to be propped open using a picture frame and the manager confirmed that she will be discussing this with the residents concerned. She will also be looking at systems to keep residents doors open in line with advice from the fire service. Staff confirmed that systems are in place to ensure the safety, health and welfare of residents and staff. Appropriate training is provided for staff to protect residents, and checks are carried out on the environment, including electrical equipment and the shaft lift. Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 24 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 Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Langley House DS0000021152.V339598.R01.S.doc Version 5.2 Page 26 - 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. 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