Care Home: Langley House

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What the care home does well People who live at the home appeared happy and were enjoying spending time in the garden. Staff were observed chatting to people who live at the home and there was a relaxed atmosphere. The home told us that they had made contact with the doctor and health professionals for one person we asked about at the inspection. What the care home could do better: The home needs to monitor the quality and quantity of food provided for people who live at the home to ensure people enjoy their food and their nutritional needs are met consistently. The home should ensure there are sufficient staff on duty so that people who live at the home are able to consistently benefit from activities. The home should hold regular staff meetings so that staff have the opportunity to discuss their work and the service provided. Random inspection report Care homes for adults (18-65 years) Name: Address: Langley House Langley House Langley Marsh Wiveliscombe Somerset TA4 2UF two star good service The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Alison Philpott Date: 2 4 0 6 2 0 0 9 Information about the care home Name of care home: Address: Langley House Langley House Langley Marsh Wiveliscombe Somerset TA4 2UF 01984624612 01984624797 Telephone number: Fax number: Email address: Provider web address: Voyagecare.com Name of registered provider(s): Name of registered manager (if applicable) Mr Paul Binding Type of registration: Number of places registered: Conditions of registration: Category(ies) : Voyage Ltd care home 14 Number of places (if applicable): Under 65 Over 65 0 0 learning disability physical disability Conditions of registration: 14 1 Registered for one named person with a learning disability and physical disability to reside within the main house. (Please see letter from CSCI dated 12/10/04). There is a low doorway in the bedroom on the second floor within the three bedded unit. This room is suitable only for service users who are under 5 ft 2 in in height. Date of last inspection Brief description of the care home Langley House is a large detached home set in its own grounds. It is registered with the Commission for Social Care Inspection to provide care for up to fourteen people between the ages of 18 - 65 years who have a learning disability. The home can also Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home accommodate one client who also has a physical disability, within the main house which has two ground floor rooms accessible for such clients. It also has eight first floor bedrooms. There is a separate annexe providing accommodation for up to three people, and a self-contained flat for one person, at the site. There was a vacancy for the registered manager position at the time of the key inspection visit. Since the visit a manager has been appointed to the service. Fees at the home are determined on an individual basis dependant on assessed need. At the previous key inspection, the inspector was advised the fees range from £1800 per week. Please contact the home for current information. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: This unannounced random inspection was carried out over two hours. We visited the home as we had received concerns relating to food and staffing. The manager was not available at the time of the inspection. Lucy Jones, Senior Support Worker was on duty and assisted us throughout the inspection. There are currently 11 people living at the home. We spoke with 3 staff and one person who lives at the home. We observed tea being served, viewed the kitchen and observed staff interactions with people who live at the home. People who live at the home were sitting in the garden to eat their tea, which was pate on toast. The people on one table had home made rolls that they had cooked earlier in the day. There did not appear to be a lot of food available for people. When one person asked for more toast, the staff organised this straight away. We observed the menus. There is one dish available at lunchtime. Staff confirmed that if people did not like the meal, they would offer an alternative to people. We viewed the kitchen. Food was stored in two fridges and a chest freezer. Staff told us that the home doesnt hold a large stock of food as they go to the supermarket twice a week to purchase food. One member of staff said they would go to the shop if they were short of anything. Other items including bread & milk and fruit & vegetables are ordered as required throughout the week. Staff told us that there had recently been a change to the cooking within the home. The cook has changed job roles. Support staff now take in turns to cook and prepare the meals for the people who live at the home. One person who lives at the home told us they get enough food and that the food was good. They said the food is not so good since the cook went and they miss the cook. One member of staff told us that the food is basic and could be better for the people who live at the home. One person who lives at the home is currently experiencing a difficult period where they self harm. Staff confirmed that the doctor had attended recently. The senior support worker told us that they have arranged a review and the Consultant Psychiatrist has been consulted. At the time of the inspection, there were seven staff on duty. The Senior Support Worker confirmed that there is usually 8 to 9 staff on duty in the morning (sometimes up to 10 or 11 depending on planned activities); 6 to 7 staff on duty in the afternoon and 2 staff on duty at night in the main house, 1 staff on duty in three bedded unit and 1 staff sleep in, in one bed unit. Staff told us that there had been staff shortages recently. They told us the home was unable to cover some shifts due to staff sickness. Staff told us that due to the shortages, people who live at the home have on occasions been restricted in what they can do. Two of the staff we spoke with confirmed they receive regular supervision with their line Care Homes for Adults (18-65 years) Page 4 of 8 manager. One member of staff told us their supervision was overdue. Staff told us that the home had arranged a staff meeting on the day of the inspection. This was cancelled at short notice. Staff told us that there had not been a staff meeting for some time. They told us they need a meeting to discuss their work and the service being provided. The Senior Support Worker told us that there are plans to reschedule the meeting in the near future. What the care home does well: 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 set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 17 16(2)(i) The quality and quantity of 31/08/2009 the food available for providing a balanced and healthy diet for the people in residence should be revised and improved. (The previous timescale of 30/08/2008 has not been met). 2 42 13(6) All staff must be provided 30/09/2008 with all mandatory training, including Safe Handling, and updates as they become due. (Previous timescale of 28/02/07 and 01/11/07 not fully met) This refers to the staff training identified as required in first aid, manual handling updating and POVA training. (This requirement was not assessed at this inspection). Care Homes for Adults (18-65 years) Page 6 of 8 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, 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 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 33 - The home should ensure there are sufficient staff on duty so that people who live at the home are able to consistently benefit from activities. - The home should hold regular staff meetings so that staff have the opportunity to discuss their work and the service provided. Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. 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