Inspection on 27/02/07 for Langley Lodge

This inspection was carried out on 27th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Langley Lodge 12/02/08

Langley Lodge 21/03/06

Langley Lodge 10/08/05

Langley Lodge 18/03/05

Langley Lodge 23/09/04

Langley Lodge 10/02/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Langley Lodge 39 Imperial Avenue Westcliff On Sea Essex SS0 8NQ Lead Inspector Sarah Hannington Unannounced Inspection 27th February 2007 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 Langley Lodge DS0000015540.V331448.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 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. Langley Lodge DS0000015540.V331448.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Langley Lodge Address 39 Imperial Avenue Westcliff On Sea Essex SS0 8NQ 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) 01702 340186 01702 340186 Mrs Patricia A Campfield Mrs Patricia A Campfield Care Home 26 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (26), of places Terminally ill (2) Langley Lodge DS0000015540.V331448.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Nursing and personal care to be provided for up to a maximum of two people who may be over the age of fifty-five years and have a diagnosed terminal illness. Terminal illness placements to be limited to the ground floor only Nursing and personal care to be provided for up to 26 Older People Nursing and personal care to be provided for up to a maximum of three people who are over the age of sixty-five years and who have a diagnosis of Dementia. 2. 3. 4. Date of last inspection Brief Description of the Service: Langley Lodge provides nursing care and accommodation for up to a maximum of twenty-six older people including up to a maximum of two people who have been diagnosed with a terminal illness. The home is situated in a quiet residential area of Westcliff on Sea, close to the sea front, Chalkwell Park and the local shops and amenities on London Road. Langley Lodge is a large well-maintained older style property. The home provides fourteen single bedrooms and six double bedrooms. People living at the home have access to a small dining area, large lounge / conservatory and a large well maintained garden area. Langley Lodge DS0000015540.V331448.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A tour of the home took place. The Key inspection site visit took place over a period of 5 hours. The visit mainly focused on the all Key standards. Staff, relatives and residents were spoken with. In addition, case tracking took place using some of the personal care records and other official records within the home were also assessed. The home also had available questionnaires that had been completed by residents and relatives and these were taken into account when assessing the outcomes of the inspection. What the service does well: 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 Langley Lodge DS0000015540.V331448.R01.S.doc Version 5.2 Page 6 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Langley Lodge DS0000015540.V331448.R01.S.doc Version 5.2 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 Langley Lodge DS0000015540.V331448.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Initial assessments were in place and the homes systems for assessing individual needs prior and once admission has taken place are to a good standard. EVIDENCE: The policies and procedures of the home provide evidence that it meets the requirements expected for the admission of any new residents. People are only admitted to Langley Lodge following a detailed assessment of their nursing and care needs. Langley Lodge does accommodation for those residents who need rehabilitative care following surgery or medical treatment. Langley Lodge DS0000015540.V331448.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this area is good. This Judgement has been made using available evidence including a visit to this service. Information about each persons nursing, safety and general care needs is clearly recorded and kept up to date. EVIDENCE: Observation during the inspection showed residents to be well cared for, clean and properly looked after. Residents and relatives spoken with felt that the quality of care was good and that there wishes taken into consideration when care and treatment is provided. Resident’s wishes for care and treatment in respect of end of life and arrangements following death are recorded. Medication is stored in a lockable cabinet and the administration records were being maintained in accordance with agreed procedures. Record sheets had been correctly recorded and signed for. A new recording sheet for disposal of and collections by contractors of medications need to be developed to evidence quantity, dosage, which residents medication is being disposed of and that staff can account and evidence for all medicines crushed and collected. Training records indicated that all staff had medication training. No omissions were observed within the medication administration records (MAR). Langley Lodge DS0000015540.V331448.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this area is good. This Judgement has been made using available evidence including a visit to this service. There are no activity plans for each individual; activities in general still need further development. Relatives and friends are encouraged to have regular contact with the home. A variety of regular nutritious meals were being provided. EVIDENCE: The home does provide monthly activities by bringing into the home musical entertainment. All special occasions such as, resident’s birthdays and nationally recognised dates such as, valentines, Easter etc are celebrated. However no specific programme of information documented within individual care plans detailing activities undertaken by residents indicated any frequent activities/meaningful stimulation offered and/or provided. It was evident during the inspection that staff are very busy with providing personal care to residents and do not have specific time available to initiate activities for residents. Residents spoken with during the inspection informed me that they mainly preferred not to join in-group activities, however some maybe happy to just observe. Most residents were contented to have newspapers, music, television, DVD’s, crosswords and puzzles available to them. Activity choices and refusal by individuals need to be recorded appropriately and include resident’s signatures to evidence this. Langley Lodge DS0000015540.V331448.R01.S.doc Version 5.2 Page 11 Residents and relatives spoken with evidenced that visits happen without any restrictions attached. Meals provided are wholesome, fresh foods purchased, homemade and reflect the resident’s choices. Langley Lodge DS0000015540.V331448.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area was good. This judgment has been made using available evidence including a visit to this service. There is an established complaints procedure in place. Staff had a good understanding of the reporting procedure for the prevention of harm of vulnerable adults, ensuring that the safety of residents in the home is of paramount importance. EVIDENCE: There have been no complaints. The manager or all staff are available when relatives visit and if they need to raise any concerns or sensitive issues privately they can do so. Relatives spoken with on the day of inspection were complementary about the care provided within the home and felt all staff are approachable. Records were also available of where staff had attended P.O.V.A. (Protection Of Vulnerable Adults) training. Langley Lodge DS0000015540.V331448.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area was good. This judgment has been made using available evidence including a visit to this service. Langley Lodge provides a safe, clean, comfortable and homely environment for those people who live there. EVIDENCE: Renewal’s of furnishings, wheelchairs, air mattresses, recliners and refurbishment of the ground floor bathroom has been achieved since the last inspection took place. A new generator has been purchased. To be able to record monthly activities and any other interesting or special events within the home, a digital camera has been purchased. Furnishings in the home looked comfortable and areas of the premises seen were very well maintained. Private accommodation was comfortable and suited to needs and preferences. On the whole the outside environment is pleasant, attractive and provides appropriate and practical usage for the residents of Langley Lodge. The home environment provides a clean, comfortable and safe environment in which to live in. Langley Lodge DS0000015540.V331448.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area was good. This judgment has been made using available evidence including a visit to this service. The number of staff on duty, their experience and skill was able to meet the needs of residents. Recruitment records were in place and to a good standard. Staff have had mandatory and specific client related training and further training is planned throughout this year. EVIDENCE: On the day of inspection there were sufficient numbers on duty, which includes a well-established team and management structure. The home has an experienced well-dedicated staff team in place. At the time of inspection the home is fully staffed and half of the staffing group are RGN trained. The home does not use agency workers and regular staff cover any sickness or annual leave voids. Staff rotas evidenced that there is adequate cover throughout the day and night. Paperwork for staff recruitment was looked at and overall was to an appropriate standard. All staff had enhanced CRB checks and are Pova checked before being offered a contract of employment. Staff receive regular supervision and new appraisal systems are in the process of being developed. Regular mandatory and specific client led training is in place for staff. Langley Lodge DS0000015540.V331448.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35,36 and 38 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. Management systems are good and the home is run in the best interests of residents. The management respond robustly & rectify matters of health & safety when identified. Financial practices in the home appeared to have been competently managed. EVIDENCE: Relatives and residents representatives support all residents regarding their personal financial management. Staff training records confirmed that training courses are provided in moving and handling, fire safety, food hygiene, first aid and infection control. The homes policy on the control of substances hazardous to health (COSHH) included data action sheets. The home is well maintained and records were available in respect of the repair and maintenance of gas, fire, electrical and mechanical equipment used in the home. Langley Lodge DS0000015540.V331448.R01.S.doc Version 5.2 Page 16 Quality Assurance has been carried out with all interested parties and the manager is in the process of collating this. This will be forwarded to the CSCI when completed. Langley Lodge DS0000015540.V331448.R01.S.doc Version 5.2 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 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Langley Lodge DS0000015540.V331448.R01.S.doc Version 5.2 Page 18 Are there any outstanding requirements from the last inspection? YES 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. 1. Standard OP9 Regulation 13 (2) 17 (3)(a)(b) Sch 3 (m) 16(m) (n) Requirement The registered person must ensure that suitable recording of medications disposed of or collected by contractors is evidenced by staff and signed for. The registered person must ensure that suitable arrangements are made for all residents to receive a varied programme and are provided with a range of suitable and meaningful activities, which meet their needs and wishes. Previous timescale of 30/04/06 not met. Timescale for action 30/03/07 2. OP12 30/06/07 Langley Lodge DS0000015540.V331448.R01.S.doc Version 5.2 Page 19 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 OP9 Good Practice Recommendations The manager must ensure where oxygen therapy is required, the staff must be clear about policies and procedures around this and fully trained. The manager must ensure 50 of care staff should have access and be able to achieve NVQ Level 2. The manager must ensure that any volunteers into the home go through a thorough recruitment, selection process and that CRB and POVA1st checks are obtained. That those volunteers do not carry out personal care. OP28 OP29 Langley Lodge DS0000015540.V331448.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 DS0000015540.V331448.R01.S.doc Version 5.2 Page 21 - 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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