Inspection on 26/10/07 for Langley Lodge

This inspection was carried out on 26th October 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

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Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Langley Lodge 136 Deighton Road Deighton Huddersfield HD2 1JS Lead Inspector Cathy Howarth Key Unannounced Inspection 26th October 2007 10:00 Langley Lodge DS0000070087.V352750.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 Lodge DS0000070087.V352750.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 Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Langley Lodge Address 136 Deighton Road Deighton Huddersfield HD2 1JS 01484 430320 01484 423620 louisepreston@horizoncareservices.co.uk 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) Horizon Healthcare Partnership Limited Miss Louise Preston Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Langley Lodge DS0000070087.V352750.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 only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD; Physical Disability - Code PD The maximum number of service users who can be accommodated is: 6 N/A 2. Date of last inspection Brief Description of the Service: Langley Lodge is a new service for up to six young adults with a physical and/or learning disability. It is found in the Deighton area of Huddersfield. It is situated on the Deighton Road, 2 miles from the centre of Huddersfield and 1.5 miles from the Huddersfield junction of the M62. The home is close to bus routes into the centre of Huddersfield and the local railway station is five minutes away giving access to Leeds, Wakefield and beyond. The building is purpose built and fully accessible for wheelchair users. Each person living there has their own bedroom with ensuite shower room. There is also a bathroom with a height adjustable bath. There are spacious communal areas, including a multi-sensory room and a garden. The kitchen is fitted with adjustable height surfaces so that people living there who use wheelchairs can prepare food for themselves. The people living at Langley Lodge have use of a vehicle provided by Horizon Health Care who runs the service. The charge for this is included in the weekly fees. The service aims to support people to live as independently as possible and to fulfil their personal goals and aspirations as far as they are able to. At the time of this visit the fees for a person staying at Langley Lodge were £1500 per week per person. Information about the service is available from Langley Lodge and Horizon Health Care offices nearby. Langley Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 5 No CSCI inspection reports were available before this visit as this is the first inspection of this home. The manager said that future reports would be made available at the home for people living there, their relatives and any other interested parties. Langley Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was the first key inspection of Langley Lodge since it was registered in May 2007. The inspector used information gained from a self assessment returned by the manager, responses from surveys sent to people living at the home, their relatives/advocates and from professionals associated with them. The inspector received a good level of response from these surveys. A visit to the home was made and the inspector had the opportunity to meet the people living at Langley Lodge and the staff that work there as well as look around the home. Overall this visit was very positive. The people that live there indicated either by word or by actions that they were contented in their environment. Staff seem to being working well together as a team and relationships with families and professionals are good. The inspector would like to thank all involved for their assistance with this inspection and for their welcome. What the service does well: Admission to the home is well planned and puts the person’s needs and wishes at the heart of the process. The service is striving to ensure that individual needs are met in a safe way, and that individuals can be involved in decisions about their lives. People who use services are able to make choices about their life style, and supported to develop their life skills and maintain relationships with friends and family. Health and personal care is managed well at the home. People living at Langley Lodge are protected by the service and listened to. The environment at Langley Lodge offers a good homely place for people to live. People living at Langley Lodge are supported by a skilled and dedicated staff team who are themselves well supported by the management team. The home is well run in the interests of the people who live at Langley Lodge. Langley Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 7 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 Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 8 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 Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 9 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 using the service experience excellent quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. Admission to the home is well planned and puts the person’s needs and wishes at the heart of the process. EVIDENCE: Each person admitted to Langley Lodge was assessed fully beforehand and had an individual transition plan developed to enable a smooth process of admission that suited that individual. Relatives who responded to the surveys said that they found the process of admission to Langley Lodge very positive and focused on the person. Information was good and staff spent considerable time making sure things were right and that they understood the person’s needs before they went to live there. One said: “We have only had minor teething issues during X’s transition to Langley Lodge, these issues were resolved immediately.” Staff visited people in their previous placements or at home to get to know them and invited them to Langley Lodge for visits and overnight stays before moving in to give them time to express their feelings about living there. Langley Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 10 One person living at the home told the inspector that she had felt well supported during the move and given plenty of time and opportunity to see if she liked it. Langley Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 11 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 using the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. The service is striving to ensure that individual needs are met in a safe way, and that individuals can be involved in decisions about their lives. EVIDENCE: As part of this inspection the records relating to two people and the outcomes for those people were looked at in detail. Both had good assessments and their individual plans showed that staff have translated the assessments into good working plans for daily life. People’s preferences for ways to be supported were clear and their usual routines and patterns were seen to be incorporated into individual plans. Risk assessments for individuals showed that consideration is given to ensuring people have opportunities to be active and experience new things, while full consideration is given as to how this may be done safely. It was evident that these documents are regularly reviewed. Langley Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 12 The manager said that they plan to develop a Person Centred Planning process to ensure that people are fully engaged as far as they can in decision-making about their lives. This process has begun with staff taking time to talk and do activities with people to establish their wishes and preferences. Families have also been consulted about what they know of people’s wishes. No plans have yet been put in place however and the computer software being used to aid this was causing some technical problems. However it is early days and the signs are promising that the process will be implemented and contribute to people having a clear say in how their lives change. Key workers review people’s progress monthly and this is written up in files. These reports gave a flavour of how people were over the month. However, a clearer link to goals would make these more meaningful in terms of tracking progress, especially once the person centred plans are implemented. This would also be a useful tool in monitoring quality within the service. One relative, who visited on the day of the inspector’s visit, said that they felt that staff had become familiar with her daughter’s needs quickly and listened well to her as the caring relative. Any issues of concern had been ironed out quickly. A care manager for one person who responded to the survey question “what does the service do well?” said: “Promotes individuality, tries to offer a homely environment. Flexible in their approach, to adapt to individuals’ changing needs.” Langley Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 13 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 using the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. People who use services are able to make choices about their life style, and supported to develop their life skills and maintain relationships with friends and family. . EVIDENCE: The people living at Langley Lodge have only been there for a short time but relatives have been very positive about the way that opportunities have been opened up for some people. One person said; “X’s quality of life has improved considerably since moving to Langley Lodge” One person, who spoke with the inspector, said they now enjoy going out and about more, supported by staff. The inspector also saw photographs taken by staff of trips and events that people have been involved with. Langley Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 14 As well as trips out people are encouraged to take part in daily activities such as looking after their own rooms and helping with cooking and shopping, as far as possible. Each person has a weekly activity plan, which shows their regular activities as well as any special events that they may be attending. For example one person loves music and dancing and likes to attend a line dancing class every week. There have been several one-off events that people have also enjoyed such as discos, trips to shops and on the evening of this visit some people were planning to go to a firework display. It was evident that staff try hard to offer a wide variety of activities to enrich and develop people’s lives. The care manager who responded to the surveys said: “Much thought is put into meeting the clients’ lifestyles and personalities.” One area where the home excels is in maintaining relationships with families. Relatives who responded to the surveys said they were very happy with the way they had been involved and welcomed into Langley Lodge. Another person, who contacted the inspector by phone, said that they were pleased that now they as relatives, now had more opportunities to share their relative’s life, which they had not been able to previously. The manager said that she felt that maintaining those relationships is vital to people’s well being. She and the staff team therefore make every effort to keep links or to promote those that may have lapsed in the past. Family and friends are welcomed to the home and people can telephone to keep in touch if they wish with free access to a portable telephone. Files showed that individuals’ preferences around food were recorded and there is a record in the kitchen for staff to refer to when preparing meals or planning menus. The inspector was present for one meal, which was a relaxed affair with people eating at their own pace and supported by staff in a discreet and respectful way when this was needed. Fresh fruit was available in the lounge. Height adjustable tables enabled one person to be able to feed himself independently where he may have otherwise needed assistance to do this. Special crockery and drinking cups were given to one person, which again made it easier for him to be independent in eating and drinking. Care plans showed people’s religious affiliations. Most people were nonpracticing but one person likes to go to church and has been supported to do so by staff. Langley Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 15 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): People using the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. Health and personal care is managed well at the home. EVIDENCE: Files that were examined showed that staff at Langley Lodge have made great efforts to make sure that personal care given to individuals is appropriate and offered in a way that respects the individual’s preferences. For example one person, who has recently become less able to manage personal care independently, has clear guidelines for staff in the plan about offering care sensitively because he still finds it very difficult to accept the level of personal care now required. Health care needs were well documented on the files and individuals’ records of appointments with health care professionals were written up so that progress could be tracked. Routine health screening such as dental and optical appointments were also seen to be covered. It was seen that appropriate referrals were being made to health professionals, such as to a psychiatrist for suspected depression. Langley Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 16 One person has been ill recently and admitted to hospital. This was managed well and this person’s changing needs clearly documented. The care manager involved and relatives, all indicated that they were very happy with how the home had dealt with this event. There was evidence that staff have worked closely with other health professionals to meet changing needs, for example with the occupational therapist to ensure the correct equipment was supplied. The management of medication was found to be good. One person per shift is responsible for handling the medication to minimise the possibility of errors. Medication stocks for both regular and ‘as required’ medications were checked and found to be correct on the day of this inspection. Langley Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 17 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 using the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. People living at Langley Lodge are protected by the service and listened to. EVIDENCE: Langley Lodge has a clear complaints procedure and there is a user-friendly version available for people who live there to use in the Service User guide. Relatives who responded to the surveys indicated that they were aware of how to raise concerns but said that they had no reason to do so so far. There is the facility to record complaints but as yet none were recorded. One person who spoke with the inspector said they felt that staff listened to them when they had something to say but did not have any complaints about the home whatsoever. Staff at Langley Lodge have had training in safeguarding vulnerable adults as part of their induction. Staff at the home demonstrated an awareness of issues relating to safety and files showed that risk assessments considered ways to keep people safe. Staff have not yet had training in managing challenging behaviour but this is booked for the near future. The training will be non physical intervention training accredited by BILD (British Institute for Learning Disability). The finances of one person was checked. This showed that there is an efficient system for tracking spending for individuals and monies are balanced daily to ensure any discrepancies are followed up without delay. Langley Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 18 One area for development was in ensuring that the mental capacity of individuals is properly considered to protect individuals living there. This should be clearly documented on individual plans. It would be helpful to document people’s financial arrangements on their individual plans to ensure that these arrangements are known and are legally correct. Langley Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 19 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): People using the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. The environment at Langley Lodge offers a good homely place for people to live. EVIDENCE: The environment at Langley Lodge was purpose built to meet the needs of this type of client group. As the home only opened in May this year it still has a fairly new and clean ambience. The kitchen and lounge appeared to be the focal points for the group with most people gravitating to these areas. One improvement would be to fit magnetic hold open devices to the doors for these rooms to allow free access for people as it was observed that this might cause some difficulties for some individuals. The manager agreed that this had already been identified as an issue and a purchase order has been placed for this. Langley Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 20 On the day of this visit it was seen that all areas of the home were clean and tidy. Staff have received training in infection control as part of their induction training before the home opened. The facilities are good throughout the home, each person has an ensuite shower in their room and there is a separate bathroom with an adapted bath if anyone would prefer this option. The laundry has a commercial washing machine installed, which has a sluice facility for dealing with soiled linen. The only improvement identified is in making the rooms reflect the personality of their owners. At present all rooms are painted a neutral colour, which was intended to be temporary when the home was prepared for registration. Langley Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 21 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, 35 and 36 People using the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. People living at Langley Lodge are supported by a skilled and dedicated staff team who are themselves well supported by the management team. EVIDENCE: Before Langley Lodge opened at the end of May 2007, the staff had the luxury of a period of time in training and preparation for the admission of people to the home. During this period all staff completed their Learning Disability Award Framework training (LDAF). This was a good foundation for the staff to gain a clear understanding of the work they were to undertake when the home opened, although a high number of staff have NVQ2 qualification or equivalent, approximately 90 . Staff have also completed some basic skills courses such as Food Hygiene and Moving and Handling. The company has a partnership agreement with the Hollybank Trust who provide a range of courses for staff. The inspector recommended that staff receive some basic training to ensure they understand the implications of the Mental Capacity Act 2005 and how this Langley Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 22 may affect their work in the future. The manager agreed to look into this with their training partners. Staff recruitment records were checked as part of this visit. All those checked showed that a thorough process had been gone through to ensure that only suitable workers were employed. It was seen that support systems for staff were effective. There are regular monthly staff meetings as well as additional meetings where issues arise in between if needed. All staff receive supervision approximately monthly, which is above that recommended in the National Minimum Standards. It was also observed that staff receive good ‘on the job’, informal supervision from the manager and deputy in terms of coaching and role modelling approaches with individuals. Appraisals have been carried out following three month’s work for all staff. Staff who responded to the inspector’s survey confirmed that they felt they had had good training and preparation for their roles and that they felt supported by the management within the home. Feedback from relatives was very positive in relation to staff. One person said: “They are 100 focused on meeting all of my brother’s needs and deal with issues as they arise swiftly.” Another said: “Looking after disabled people is not an easy job, and staff and carers have to be very dedicated to do a job like this and they do it very well.” There is a gender imbalance in the team as there are only two men and twelve women. People who live there are 50 male and female. A better balance could be an improvement so that a choice of carer could be offered, particularly to any men who may be sensitive around personal care, but this is not unusual in this sector. Langley Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 23 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): People using the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. The home is well run in the interests of the people who live at Langley Lodge. EVIDENCE: The manager of Langley Lodge, Louise Preston, was registered by the Commission in June 2007. She is well experienced, and qualified to run the home, holding the Registered Manager’s Award. She has had the benefit of being involved in setting up the home from the very beginning and this has had a positive effect on how the home has begun its operation. The home has some systems in place to monitor quality, including regular monthly visits by the responsible individual for the company, monitoring by the manager and feedback from families and professionals. The manager is keen Langley Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 24 to develop more systematic ways of doing this and is considering a forum for families but this has not yet been developed. Health and Safety is managed well. There are good systems to ensure that routine maintenance is carried out such as checks and water temperature or fridge /freezer temperature checks. There are also good risk assessments in place to minimise risks within the home. Fire safety is good; the system is new and meets current standards. Tests are carried out weekly on fire safety systems. The record of drills only showed one had taken place but staff received this training when they began working at the home and the manager agreed to ensure that all staff have the opportunity to practice. Langley Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 25 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 4 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 2 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 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 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 Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? N/A 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. 1 2 3 Refer to Standard YA6 YA23 YA35 Good Practice Recommendations Monthly progress reports should be more focused in order to better chart progress made towards people’s individual goals. The decisions made on people’s behalf need to be documented and agreed in accordance with the Mental Capacity Act 2005. Staff should receive training in understanding the implications of the Mental Capacity Act 2005 on the people living at Langley Lodge. Langley Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Lodge DS0000070087.V352750.R01.S.doc Version 5.2 Page 28 - 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. 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