Care Home: Langdale

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What the care home does well The home is well managed and run in the best interests of the people who live there. People are consulted about the way the home is run and their views are listened to and acted upon. The accommodation is good. It is clean, comfortable and very well maintained. Anyone who is thinking of moving into Langdale is properly assessed before a place is offered. This makes sure that staff are able to provide the care and support people need. There is information about the service in the `Service User Guide` people visit the home before they move in so they can decide if it is the right place for them. Staff at the home work with people to help them to improve their skills and give them opportunities to be involved in the community. Everyone has an individual care plan that identifies people`s needs and what support staff need to offer to make sure those needs are met. Staff are enthusiastic and enjoy their jobs. Staff are receiving training that is relevant to their role. People using the service like the staff and say that they listen to them. Staff recruitment procedures are robust. This means that staff are suitable and safe to work with vulnerable people. There are good quality assurance systems in place. This makes sure that the home is being managed properly and that the people living there can shape the service. What has improved since the last inspection? This was the first inspection of the service since it was registered in January 2009. What the care home could do better: When staff have finished their probationary period and are made permanent they need to complete their National Vocational Training (NVQ) in care. At least 50% of the staff team need to complete this training so that there are always qualified staff on duty. Key inspection report Care homes for adults (18-65 years) Name: Address: Langdale 56 Gledholt Road Huddersfield W Yorkshire HD1 4HR     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Paula McCloy     Date: 1 0 0 8 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 24 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) 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. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 24 Information about the care home Name of care home: Address: Langdale 56 Gledholt Road Huddersfield W Yorkshire HD1 4HR 01943874289 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): adrian@woodleigh-care.co.uk Langdale Name of registered manager (if applicable) Type of registration: Number of places registered: care home 8 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: 1. The registered person may provide the following category of service user 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 2. The maximum number of service users who can be accommodated is: 8 Date of last inspection Brief description of the care home Langdale is a care home for 8 adults with a learning disability. The house is situated opposite Greenhead Park in Huddersfield and the town centre and all of its facilities are within walking distance. The home has a lounge, dining room and kitchen on the ground floor and a further lounge/dining and kitchen area on the first floor. There are eight single bedrooms that all have en suite toilet and showers. There is a patio and seating area at the rear of the building and a car park. There is ramped access to the ground floor. Care Homes for Adults (18-65 years) Page 4 of 24 Over 65 0 8 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use the service are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This inspection was carried out to assess the quality of care provided to people living at the home. Care Homes for Adults (18-65 years) Page 5 of 24 The inspection process included looking at the information we have received about the home since it first opened as well as a visit to the home, which lasted approximately 7 hours. During the visit we spoke to 3 people living in the home, 4 members of staff and the manager. We also observed staff delivering care and support, looked at various records and looked around the home. Care Homes for Adults (18-65 years) Page 6 of 24 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individual needs are assessed before any decision is made about people moving in. People are provided with information about the service and invited to visit to see if it is the right place for them. Evidence: There is a Statement of Purpose and Service User Guide available that contain a lot of information about the service. The Service User Guide is also available in an easy read style if people want the information presented in this way. Everyone is assessed before they move into the home to make sure that their needs can be met there. We looked at the reccords for two people and found good assessment information. People told us that they had visited the home before they moved in to see for themselves if they liked it. Staff told us that there is a lot of information available before people move in so that they know what care and support they will need to offer. This means that staff are sure they can meet peoples needs before they are offered a place at the home. Care Homes for Adults (18-65 years) Page 9 of 24 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are encouraged and supported to make decisions about their lives and are involved in planning their care and support. Evidence: We looked at care plan and risk assessment records for two people who live at the home. We found them to be person centred and individual. They gave clear information about peoples needs and the action staff must take in order to meet those needs. There is evidence that the plans are reviewed and evaluated regularly to make sure they are still relevant for people, this makes sure they are still meeting peoples needs properly. Staff do need to make sure that reviews are a little more structured and cover health and personal care as well as activities. The records show that people are actively consulted about what is in the plan and show that each person is involved in the reviews of their own plan. There are good clear plans in place, that have been agreed with indiviuals about aspects of their care and support, for example management finances. This means that Care Homes for Adults (18-65 years) Page 10 of 24 Evidence: staff respond consistently and stick to the agreements that have been made with people. The daily records are of a good standard, they are informative and give an account of the day to day support people receive. Everyone has individual timetable of activities, these are devised on a weekly basis incorporating individual time with a staff member, people choose their own activities. For example meal outs, cinema, pub, shopping trip, sporting activities etc. People we spoke to told us they were making plans for their holidays this year. Care Homes for Adults (18-65 years) Page 11 of 24 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to make choices about their lifestyle. Social, educational, cultural and recreational activities meet peoples expectations. They also benefit from a good, healthy and varied diet. Evidence: People take part in a variety of activities of their choice. From talking to people using the service, staff and looking at the care plans we found out that people are involved in the following: clubs, swimming, shopping, cinema, meals out, trips out, local events, leisure centres, bowling etc. Some of the people living at the home have enrolled with the local college and will be starting their courses in September. They use the facilities that are available in the local community using public transport or the homes transport. People are also given the chance to enjoy their own company if this is what they prefer. Care Homes for Adults (18-65 years) Page 12 of 24 Evidence: People are given good support to keep in touch with family and friends. Some individuals stay with their families on a regular basis. People can also invite relatives and friends for a meal if they want to. Everyone is offered a healthy diet that meets their dietary needs. We were told the food at the home is good. People are encouraged to take part in the domestic routine of the home, for example, cooking meals and doing their own laundry and cleaning. Care Homes for Adults (18-65 years) Page 13 of 24 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples general health care needs are well met and based upon their individual needs. Evidence: Good records are kept of health appointments and their outcomes. Staff make sure that people are given support to attend appointments to meet their health needs. The manager told us that people who have needed dental treatment urgently have received this. Now people have been registered with a dental practice. The medication system is well managed and people get their medication at the right times. Staff who administer medication have all received training. Care Homes for Adults (18-65 years) Page 14 of 24 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to express their concerns and are protected from abuse. Evidence: The home has a clear complaints procedure which is given to everyone when they move into the home. The three people we spoke to said that they knew who to talk to if they were unhappy about anything. The home has a complaints book in place where staff would record any complaint that is made together with the action they took to resolve it and outcome. This means that when a complaint is received it is dealt with properly. Staff have received training and are aware of their responsibility to safeguard people in their care. All of the staff we spoke to were clear about what they would do if they felt there were any practices in the home that were not in the best interests of the people living there. Care Homes for Adults (18-65 years) Page 15 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment is homely, spacious, comfortable, well maintained and provides a safe place for people who live at the home. Evidence: The home is a traditional building that has been adapted for its current use. It is opposite Greenhead Park in Huddersfield and the town centre is within walking distance. There is a car park to the rear of the house and a patio with seating and a table for people to use in fine weather. The accommodation is well designed, spacious, well equipped and comfortable. There is one large lounge on the ground floor and a lounge/diner/kitchen area on the first floor. Both are very comfortably furnished. There is a seperate dining room and kitchen on the ground floor. There are eight single bedrooms which all have en suite showers and toilets. There is a laundry room in the basement that has a washing machine and tumble dryer. All staff receive infection control training as part of their induction. This means that staff are aware of the precautions they need to take to stop the spead of any infections. Care Homes for Adults (18-65 years) Page 16 of 24 Evidence: Care Homes for Adults (18-65 years) Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is appropriately staffed. Staff at the home need to undertake National Vocational Training (NVQ) in Care so that there are qualified staff on duty at all times. Evidence: The home is appropriately staffed to meet the needs of the people living there and to make sure people are safe. The staff are flexible and the rota is planned to make sure that planned activities, meetings and appointments can always take place. We saw good interactions between people who live at the home and staff. People were very relaxed with staff and were pleased to see them when they arrived. People were chatting, laughing and joking, and enjoying the company of staff. There was a good atmosphere. People said they liked the staff and they said they were kind. There are 25 support staff working at the home. Only one person has completed their National Vocational Qualification (NVQ) training in care at level 2/3. The company have a six month probationery period. This means that until staff cannot complete their NVQ training until they have passed their probationery period. The manager told us that there are six staff who are now in the process of registering for their NVQ award at level three and in three months time another six members of staff should be in the same position. The manager is confident that having 50 of the staff team Care Homes for Adults (18-65 years) Page 18 of 24 Evidence: trained at NVQ level 2/3 will be achived within 6-8 months. Staff told us that training was on offer that was relevant to their role. The recruitment procedure is thorough, new staff only start work in the home when references and checks are carried out to make sure they are suitable. We looked at three staff files and found all of the necessary documents. All new staff undertake a detailed induction programme and are given a staff handbook. The manager is in the process of drawing up a training matrix so that she can make sure all staff receive training up dates when required. This will make sure that staff are kept up to date with their practice. Care Homes for Adults (18-65 years) Page 19 of 24 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed. The interests of people who use the service are seen as important to the manager and all of the staff. The health, safety and welfare of service users is protected. Evidence: There was a registered manager at the home when it opened in January 2009, she has now moved to manage another service for the company. The acting manager has worked at the home since it opened and has completed her registered managers award. She now needs to register with us. This will make sure there is someone legally responsible for the day to day management of the home. There are quality assurance systems in place. Questionnaires have been sent out to people living in the home to get their views about the service. The acting manager is aware that she needs to collate the information and prepare a report about the responses. The area manager also visits the home and once a month writes a report on her findings. This means that there are good checks in place to make sure the Care Homes for Adults (18-65 years) Page 20 of 24 Evidence: service is being managed properly. Arrangements are in place to make sure of safe working practices. The home has a comprehensive range of health and safety policies and procedures in place. All of the services and equipment are newly installed and are still under warranty. Care Homes for Adults (18-65 years) Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 32 18 Fifty per cent of the support staff must achive an NVQ 2 or 3 in care. This will make sure that there are always qualified and competent staff on duty. 30/04/2010 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 37 The acting manager should make an application for registration. this will make sure there is someone legally responsioble for the management of the home. Care Homes for Adults (18-65 years) Page 23 of 24 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 summary 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. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 24 of 24 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!