Inspection on 25/08/05 for Langley Nursing Home

This inspection was carried out on 25th August 2005.

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 Nursing Home 27/09/06

Langley Nursing Home 11/04/05

Langley Nursing Home 23/09/04

Langley Nursing Home 22/04/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE LANGLEY NURSING HOME 44 Langley Road Slough Berkshire SL3 7AD Lead Inspector Julie Willis Unannounced 25 August 2005 @ 09:50 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 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 NURSING HOME H51-H01 11000 Langley N H V234584 250805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Langley Nursing Home Address 44 Langley Road Slough Berkshire SL3 7AD 01753 676500 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Langley Nursing Home Limited Care Home 11 Category(ies) of Older Person OP registration, with number Dementia over the age of 65 years DE(E) of places LANGLEY NURSING HOME H51-H01 11000 Langley N H V234584 250805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 11/04/05 Brief Description of the Service: Langley Nursing Home is situated on the main road near to Langley shops and High Street. The home is privately owned by the Trustworth Group Ltd and can accommodate 11 service users over the age of 65 years, 4 of whom may be mentally frail.The home is an adapted premises on 2 floors serviced by a passenger lift. The home has 4 shared rooms and 3 singles. There are parking facilities to the front of the home and a large garden laid mostly to lawn at the rear. LANGLEY NURSING HOME H51-H01 11000 Langley N H V234584 250805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 09:50 and 13:20 on a weekday morning and afternoon. The inspector toured the home, checked a number of care and health & safety records and spoke to the Acting Manager and staff, 6 service users and 5 visitors. There were no requirements outstanding from previous inspections and only 1 new requirement was made as a result of this visit. What the service does well: This home is well run by an experienced nurse supported by a team of caring, kind and well-trained staff. Staff provide residents with a range of interesting activities each day. Care records are good and provide staff with enough information to meet the needs of residents effectively. The home is clean, comfortable and homely and is always welcoming to visitors. Food is nicely presented, tasty and well cooked. LANGLEY NURSING HOME H51-H01 11000 Langley N H V234584 250805 Stage 4.doc Version 1.30 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. LANGLEY NURSING HOME H51-H01 11000 Langley N H V234584 250805 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection LANGLEY NURSING HOME H51-H01 11000 Langley N H V234584 250805 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of the standards in this section were fully inspected on this occasion. EVIDENCE: None of the standards in this section were fully inspected on this occasion. LANGLEY NURSING HOME H51-H01 11000 Langley N H V234584 250805 Stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 10 Service users are provided with appropriate health and personal care in a manner, which maintains their right to dignity, privacy and autonomy and as defined in their care plan. EVIDENCE: Examination of two of the newly reviewed service user plans demonstrated that they included nursing tools to assess the risks associated with nutrition, manual handling, falls, skin integrity and use of cot sides. Where risk was identified a comprehensive care plan was in place. Appropriate aids and equipment to reduce the risks identified were being deployed appropriately throughout the home. Service users confirmed that the care they were receiving was appropriately meeting their needs and that they were regularly consulted on health issues and offered appropriate screening and preventative treatments. LANGLEY NURSING HOME H51-H01 11000 Langley N H V234584 250805 Stage 4.doc Version 1.30 Page 10 Relatives confirmed that the home was pro-active in seeking professional advice and support from other care and health professionals when necessary and were kept well informed about the users health and welfare. LANGLEY NURSING HOME H51-H01 11000 Langley N H V234584 250805 Stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 15 The routines in the home are designed flexibly around the needs of users and provide opportunities to engage in meaningful activities and pursuits. Service users are provided with a varied and nutritious menu. EVIDENCE: The inspector observed that the home runs flexibly around the needs of its users within a semi-structured framework. Meals tend to be at set times but can be adjusted to meet the needs of the service and individuals. Service users confirm that they may rise and retire at a time of their choosing and are offered appropriate choices in relation to everyday life. Service users are provided with the opportunity to engage in a range of activities that provide mental and physical stimulation. The ‘music man’ is a particular favourite of residents. He visits fortnightly and provides musical entertainments. Staff engage users in card games, quizzes, puzzles, ball games, dominoes, ‘frustration’, reality orientation and passive exercises on a daily basis. Service users confirmed that they were rarely bored as staff spent time each day talking to them and encouraging them to participate in LANGLEY NURSING HOME H51-H01 11000 Langley N H V234584 250805 Stage 4.doc Version 1.30 Page 12 activities. A number of the users are big readers. The mobile library visits regularly and provides users with a range of large print reading materials. Discussion with the chef evidenced that users are regularly consulted about the menu and offered alternatives to the main menu at each mealtime. At the time of inspection users were provided with chicken burger casserole, green beans, carrots and mashed potatoes followed by tapioca. Tea was ‘bubble & squeak’ followed by bananas and custard. Service users said that they enjoyed the meals, which were tasty, plentiful and well cooked. LANGLEY NURSING HOME H51-H01 11000 Langley N H V234584 250805 Stage 4.doc Version 1.30 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Service users and their relatives confirm that their views and complaints are taken seriously by the homes management and are investigated fully with written outcomes provided to complainants. EVIDENCE: Examination of documentation evidenced that there have been no complaints or concerns raised by users or their relatives friends and advocates since the last inspection. Service users and visitors told the inspector that they rarely had any concerns but felt confident that they would be listened to and their concern would be dealt with quickly and effectively. LANGLEY NURSING HOME H51-H01 11000 Langley N H V234584 250805 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 26 The standard of the environment within this home is good providing service users with a clean, comfortable, attractive and homely place to live. EVIDENCE: A tour of the home evidenced that the accommodation was clean, safe and well maintained. All communal space was well used and bedrooms were light airy and comfortable. Service users confirmed that they were able to personalise their bedrooms and could bring with them small items of furniture and favourite possessions when admitted. There is a need to redecorate the ceiling in the sun lounge where it has been recently water damaged to enhance the appearance for users. LANGLEY NURSING HOME H51-H01 11000 Langley N H V234584 250805 Stage 4.doc Version 1.30 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 Staff individually and collectively were able to demonstrate that they have the necessary skills and experience to effectively meet the needs of service users in their care. EVIDENCE: Examination of the rosters demonstrated that the home has a full complement of permanent staff. Agency workers are never used at the home. At the time of inspection there were sufficient staff on duty to meet the needs of users. The staff team was made up of a Registered Nurse (Acting Manager), two carers a chef and domestic assistant. The inspector had the opportunity to speak with six users and five relatives or friends that were visiting at the time of inspection. All were highly complimentary about the quality and caring attitude of staff. They confirmed that staff were “kind, caring and committed” and “went that extra mile to provide high quality care to the residents”. Staff were observed to provide personal care in a caring, discreet and sensitive way, which afforded users dignity and respect. LANGLEY NURSING HOME H51-H01 11000 Langley N H V234584 250805 Stage 4.doc Version 1.30 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38 Service users live in a well maintained home where risks to their safety are assessed, minimised and managed effectively. EVIDENCE: Examination of a number of health & safety records evidenced that all necessary checks and maintenance of equipment is routinely carried out to safeguard the health & safety of users. The Environmental Health Officers recommendations from their visit dated 22nd June 2005 have been carried out in full and a new extinguisher has been provided on the advice of the Fire Safety Inspecting Officer. Unnecessary risks to users safety are identified using a range of clinical tools and risk assessments. The identified risks are reduced or eliminated by effective risk management procedures. LANGLEY NURSING HOME H51-H01 11000 Langley N H V234584 250805 Stage 4.doc Version 1.30 Page 17 LANGLEY NURSING HOME H51-H01 11000 Langley N H V234584 250805 Stage 4.doc Version 1.30 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x x 3 LANGLEY NURSING HOME H51-H01 11000 Langley N H V234584 250805 Stage 4.doc Version 1.30 Page 19 NO Are there any outstanding requirements from the last inspection? 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 19 Regulation 23 (2) b Requirement Ensure that the ceiling in the sun lounge is redecorated where water marked Timescale for action By 25.2.06 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. Refer to Standard Good Practice Recommendations LANGLEY NURSING HOME H51-H01 11000 Langley N H V234584 250805 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 2nd Floor 1015 Arlington Business Park Theale Berkshire RG7 4SA National Enquiry Line: 0845 015 0120 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 NURSING HOME H51-H01 11000 Langley N H V234584 250805 Stage 4.doc Version 1.30 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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