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Inspection on 03/11/09 for Langton House

Also see our care home review for Langton House for more information

This inspection was carried out on 3rd November 2009.

It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Langton House The quality rating for this care home is: The rating was made on: two star good service 1 0 1 0 2 0 0 8 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Elaine Barber Date of this annual service review: 2 8 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Wharf Road Wroughton Swindon Wiltshire SN4 9LF 01793812661 01793845439 Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Swindon Borough Council Number of places (if applicable): Under 65 Over 65 0 40 Intermediate care may only be provided for 11 people in the area known as the rehabilitation unit; 9 of which do not exceed 8 weeks and 2 of which do not exceed 16 weeks in any one episode. The Home may offer up to 2 places on a permanent basis at any one time if people receive intermediate care, short term or respite care. The Home may provide care and accommodation for up to 2 service users aged over 55 years and under 65 years at any one time, who are intermediate care, short term care or respite care. Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Langton House is a two-storey purpose built care home providing care and accommodation for up to 40 older people. Twelve of the places are within a rehabilitation unit that provides short-term care for people leaving hospital, to enable Annual Service Review Page 2 of 7 None 1 0 1 0 2 0 0 8 them to regain independent living skills and thus return home. The home is situated in the village of Wroughton, South of Swindon. There is some parking on site and in a nearby cul-de-sac, and public transport in the area is good. Local amenities include doctors surgeries, shops and a library. The home is one of a number owned and managed by Swindon Borough Council, and most residents are placed by that authority. Those living in the home have single bedrooms. Five of these have en-suite facilities, otherwise there are convenient toilets, all unisex, around the building. All bedrooms have wash hand basins. The two floors are connected by passenger lift. The home sits in large grounds and includes an enclosed courtyard that is easily accessed from one of the sitting areas. At the last inspection the weekly fee was £405. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: * The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. * Surveys returned to us by people using the service and from other people with an interest in the service. * Information we have about how the service has managed any complaints. * What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. * The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. * An improvement plan provided by the manager about how they are meeting the requirements and recommendations from the last inspection. * Relevant information from other organisations. * What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us all the information we asked for. They told us what they do well. They said that they provide person centered care. They also meet the needs of people with complex needs. They told us that they provide information to people prior to admission. Staff assess peoples needs and gather detailed information to ensure that they can meet peoples needs. They said that the home continues to offer a rehabilitation service to people with complex support needs. Other things they said that they did well included maintaining people in placement for as long as possible and adapting support to meet peoples changing needs. There were reviews with care managers and joint working with other services to ensure that peoples needs were met. The manager told us that there was a clean environment and there were high standards of cleaning throughout the home. Equipment was inspected, serviced and repaired so that it was safe to use. The manager also told us that the home provided highly trained and experienced staff with a wide range of skills. There was also a qualified and experienced senior team and administrative support. All staff completed the required induction standards. There were also Regulation 26 visits which provided detailed information about the standards of care in the home. In the AQAA the manager gave us information about improvements in the last twelve months. This included care plan reviews and making care plans more person centered. Staff had assessed peoples needs before they returned home from hospital. They had improved care planning by involving families in the process of gathering information Annual Service Review Page 4 of 7 and the reviewing process had been improved. Staff had completed end of life care plans for people. The medication policy had been rewritten and implemented. More craft activities were being undertaken according to service user request. A Wii games console had been purchased so that people could take part in physical games and different quizzes of their choosing. Other improvements included recruitment of vacant posts in housekeeping. A new stair lift had been installed so that there was full access to four bedrooms in the flat area. The courtyard area had been developed and the downstairs lounge had been made into an activity area. Training opportunities had also been offered to staff through college courses in palliative care. Induction for new staff and training needs of staff were met through new training booking procedures. Continuity of care had been provided through recruitment of permanent staff, use of agency staff from a single agency and also use of staff from the organisations bank staff. Joint assessments with the Primary Care Trust had been developed for rehabilitation referrals. The manager also told us in the AQAA what they could do better and how they were going to do it. The manager said that they planned to develop an information booklet in different formats and develop the rehabilitation service to meet more complex needs. They planned improvement to end of life care by development of plans to ensure wishes are followed by promoting GP involvement and signing up to plans in peoples preferred place of care. The manager said that they were going to develop activities by looking at the activity programme and making sure that it reflected new purchases of equipment. They planned to look at sessions that people enjoyed and develop these further. The manager said that improvements were to be made to the recruitment of staff so that corporate procedures would be speeded up once a vacancy is identified to ensure prompt recruitment into the post. They also planned to develop the newsletter further so that it was more service user focused. They intended to send out quality assurance questionnaires to obtain peoples views. We received thirteen surveys from people who live in the home. They told us that they receive the care and support that they need and their health care needs are met. They said that staff listen and act upon what they say and are available when they need them. People told us that there were activities that they could take part in and they enjoyed the meals. They knew who to speak to if they were not happy and eight people knew how to make a complaint. The others may need to be reminded. In the surveys we asked people what the home does well. They told us; Pleasant and friendly atmosphere. Room always clean. I am satisfied with living at Langton House. Everything. Meals, care very clean. Entertainment, enjoy the activities. Do well in everything. I have never had anything against it. They do everything they possibly can. Make the patients feel welcome and the atmosphere is very homely. Looks after me well. Very good support and help from all the staff and physio team. The staff always help you whenever you need help. There is always someone to talk to. Been very well looked after. Do everything for me. We also asked them how the home could improve. Comments included; More staff. In house entertainment. More things to do. More staff, more entertainment. Have more help in the staff. They do all they possibly can. None. Cant think of anything. Annual Service Review Page 5 of 7 No complaints. We have looked at the information from the AQAA and the surveys and our judgment is that the home is still providing a good service and they know what further improvements they need to make. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 10th October 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people who use the service. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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