Care Home: Langtree Park

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What the care home does well There is a warm and welcoming atmosphere in the home and people said that this was always the case. People living at the home said that they receive help and support in a way that suits them and that they liked living at the home. The home is well maintained throughout and a major programme of redecoration and refurbishment is in the process of being carried out. The staff team are well trained and the majority of the care staff hold the National Vocational Qualification (NVQ) in care which makes sure that high standards of care is given to people living at the home. Staffing levels are sufficient to give time for the staff to sit and talk to people. The recruitment practices in the home are safe which makes sure that only suitable people are employed at the home. People said that the staff team and kind and caring and couldn`t do enough for them. There are a wide range of activities available for people to participate in if they wish to do so. A full time activities co-ordinator is employed and she has a good knowledge of people`s interests and hobbies. What has improved since the last inspection? This is the first key inspection of the home since the ownership changed. What the care home could do better: No requirements of have been made as a result of this key inspection. A recommendation has been made in relation to making sure that all care plans are up to date and reflect people`s current needs. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Langtree Park Oxford Street Castleford West Yorks WF10 5DF     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Cheryl Stovin     Date: 2 4 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. Copies of the National Minimum Standards – Care Homes for Older People 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Langtree Park Oxford Street Castleford West Yorks WF10 5DF 01977668448 01977668449 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Leyton Healthcare (No 1) Limited care home 60 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: The maximum number of users who can be accommodated is 60 The registered person may provide the following category of service only: Care Home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP, maximum number of places 60 Dementia Code DE, maximum number of places 36 Mental Disorder, excluding learning disability or dementia - Code MD, maximum number of places 36 Date of last inspection 36 36 0 Over 65 0 0 60 Care Homes for Older People Page 4 of 24 Brief description of the care home Langtree Park Care Home is situated in a residential area in Castleford near to local shops and facilities. The home is easily accessible from the M62 and public transport facilities are nearby. The home, a purpose built property is registered to provide accommodation and care for up to 60 older people. The home comprises of two units. The ground floor provides 24 beds for people requiring nursing or residential care. The first floor is a 36 bedded unit for people with dementia and related conditions. The weekly fees at the home range from £388 for local authority funding residential care to £525 for people receiving EMI nursing care. Additional charges are made for hairdressing and personal items. Care Homes for Older People Page 5 of 24 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 Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This report brings together evidence of the key inspection of Langtree Park which included visits to the service on 24th March 2009 and 7th September 2009. During these visits a full tour of the building took place, we looked at records and talked to people living at the home, visitors and to management and staff. The home completed an Annual Quality Assurance Assessment (AQAA) which was returned promptly and gave useful information. This was the first inspection of the home since it was acquired by Leyton Health Care Limited. Care Homes for Older People 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 set out 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 Older People Page 7 of 24 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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. Peoples care needs are assessed to make sure that the home can meet their needs. Evidence: Five peoples care records seen showed that peoples care needs are fully assessed before they move into Langtree Park. This is to make sure that the home can meet their needs and that the services and facilities will be suitable for them. The care records seen also contained a contract which clearly sets out what services and facilities the home can provide. People are encouraged to visit the home before making a decision to move in, this gives them the opportunity to meet the staff and other people living there and to sample the daily routine in the home. Visitors spoken to confirmed that their relative had visited before moving in to the home. Care Homes for Older People Page 9 of 24 Evidence: Staff also said they try to make people feel comfortable on their admission to the home, by introducing them to people they think they might get on with or have known in the past. They also said they try to identify any immediate risks for people such as the risk of falls or any personal care matters that people may need reassurance about. They said this helps people to feel more safe and settled in the home. People we spoke to and their relatives said they had chosen this home after looking at a number of others in the area. One person said this home Stood out from the rest. Other comments included: Knew it was a good place the minute we came through the doors Very welcoming and no smells Nice and warm and clean. People are given written information about the services and facilities provided by the home and all have a contract which clearly details the terms and conditions and rights and responsibilities of everybody. Intermediate care is not provided in the home. Care Homes for Older People Page 10 of 24 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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 health needs are met and personal care is given in accordance with their preferences. Evidence: The care records of six people living at the home were looked at. Three nursing and three people who have been assessed as requiring residential care. The records contained detailed assessments of peoples needs and abilities and they were seen to be reviewed and updated on a regular basis. Everybody living in the home has a detailed care plan which clearly shows what care and support people need and how the care is to be given. People we spoke to confirmed that they are fully involved in drawing up their plan of care. There are risk assessments in place to make sure that people are kept safe and that any potential risks to health are minimised. There were however, some minor shortfalls with some care plans and risk management plans. Some plans did not give the detail of how care needs are carried out. Terms such as stands with assistance and check regular do not tell staff how much support a person needs and could lead to needs being overlooked. We also Care Homes for Older People Page 11 of 24 Evidence: noted that a persons risk assessment regarding their mobility was not current and did not show how the person or their family had been involved in making a decision to use seating that restricted this persons mobility. A recommendation has been made in respect of this. A consultant psychogeriatrian holds regular clinics at the home which means that peoples mental health needs are monitored and support and guidance offered. Help and advice is sought from health care professionals to make sure that people get the special help they need to maintain their health. People are escorted to appointments or health care professionals such as district nurses, attend the home as required. Records are kept to make sure peoples health needs are monitored. Staff said they weigh people who are nutritionally at risk, monitor blood sugars for people who are diabetic and make sure peoples bowels are regular. They said they are trained to report any concerns to the nurse in charge to make sure health needs are attended to promptly. People who need specialist seating to help maintain their posture and keep them comfortable are assessed for their own chairs. The manage told us this is done on an individual basis to make sure the person gets the right chair for them, they are comfortable and not at risk from pressure ulcers. People said that they are treated with dignity and that they receive the personal and health care support that they need. People said that the staff attend to their needs in a prompt and sensitive manner. Comments made by people included: No complaints here The care is very good, there are some really good carers here. The system for handling peoples medication in the home is well managed. A medication room in each unit makes sure that stocks of medication are securely and safely stored. Medication Administration Records are accurately completed and a photograph of people receiving the medication is attached to clearly identify the individual. Guidelines are in place for anybody being prescribed as required (PRN) medication. This makes sure that all staff administer the medication in a consistent manner. The Pharmacist that the home uses visits regularly to undertake an audit, no issues were identified at the latest visit. Care Homes for Older People Page 12 of 24 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to access a range of activities inside and outside of the home and to maintain contact with family and friends. This makes sure that each persons needs are aspirations are met. Evidence: There is a warm and welcoming atmosphere in the home and people told us that this is always the case. People said that they can choose where and with whom to spend their time. One person said Im content living here, Im comfortable and I cant fault it. There is a full time activities co-ordinator employed in the home who works flexibly to make sure that everybody has the opportunity to persue or develop their interests. From talking to her it is clear that she has a good understanding of peoples interests and hobbies. A weekly programme of planned social activities in displayed to give people that chance to join in if they wish to do so. In addition to the planned group activities people have the opportunity to participate in their interests on an individual basis. A record is kept of people attending social activities and what they particularly enjoyed. One person said, Theres always something going off. Activities include, pamper sessions, stained glass window painting, quiz nights, prize bingo, bowls and Care Homes for Older People Page 13 of 24 Evidence: darts on a games console, video and chocolates afternoons, coffee mornings, and painting demonstrations. A Catholic priest visits weekly to give people communion, there is a Church of England service held at the home monthly and the Salvation Army visit twice monthly to meet peoples spiritual needs. The activity organiser said she tries to involve peoples relatives in the activities and is currently setting up an evening painting class, that relatives will be free to join in with too. She also said they sometimes provide gentlemen only sessions of activity as a way of trying to get people more motivated to join in activities. The home has bought some sensory equipment to use in their sensory room. The activity organiser said this was particularly useful for people who found it difficult to engage with more traditional activities. Activity can be provided in small groups, larger settings or on a one to one basis, depending on peoples needs. Staff said they always had time to just sit and chat with people if thats what they wanted. We saw staff do this as the went about the home and noticed that sometimes just a reassuring hold of the hand was what people wanted or an impromptu sing a long with someone who enjoyed singing. Regular residents meetings are held which gives people living in the home an opportunity to have their say on the way the home is run. Visitors spoken to during the visit said that they are always made welcome when they visit the home. They said that they are always kept fully informed of any important issues affecting their relative or friend. They also made the following additional comments: we are really happy with Mum being here, never had any complaints and the best home in Castleford. People said that they enjoyed the meals served and mealtimes were seen to be a relaxed social occasion. The main meal of the day is served at lunchtime and the dining tables were seen to be attractively set. There is always a choice of main meal and dessert. If, however, anybody requires an alternative this is always made available. One person said that there is always two choices but you can have anything you want and it is always good. The kitchen of the home has recently been inspected and awarded five stars by the environmental health department. This means that the food handling and hygiene has been assessed as excellent. Care Homes for Older People Page 14 of 24 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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. Procedures are in place to make sure that people are protected from abuse and neglect and that their welfare is safeguarded. Evidence: The home as a complaints procedure with details of the process to follow the procedure is prominently displayed in the home and is also in the service user guide. A record is kept of any complaints received and of the resolution. no complaints have been made directly to the commission. It was clear from staffs interactions with people that the people who live at the home seemed confident to raise their wishes or concerns. A relative said they had been given information on how to complain if they needed to, although they said they had, Nothing to complain about. All staff have received adult protection safeguarding training and staff spoken to were aware of the procedure to follow if they witnessed or suspected that people were not being treated properly. This makes sure that people are protected from neglect or abuse. The home also has a whistle blowing procedure for staff to report any allegations in confidence. Care Homes for Older People 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, 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. 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 live in a clean, safe and comfortable environment. Evidence: The home is situated in a residential area near to the centre of Castleford. There are local shops and facilities nearby and good public transport links. Langtree Park consists of two separate units. The ground floor caters for 24 people who require nursing or residential care and the first floor provides accommodation and care for 36 people with dementia and related conditions. The upstairs environment of the home has been adapted in part to meet the needs of people who have memory loss. The corridors have contrasting paintwork and plain carpets or floor covering to help people find their way around more easily. Peoples bedroom doors have a large notice with their name on which helps people to recognise their room. Bathroom and toilet doors also have signs to help people. The home is well maintained throughout and is in the process of a programme of completed redecoration and refurbishment. A full tour of the building showed that the home is clean and fresh throughout. People said that this was always the case. People said that they were satisfied with the facilities provided in their bedrooms. People are encouraged to bring their own personal possessions with them to make sure that their rooms reflect their own tastes and interests. The majority of the rooms seen were Care Homes for Older People Page 16 of 24 Evidence: personalised and homely. Communal areas are spacious and comfortable. There is safe and accessible outdoor space for people to use in the warmer weather. Care Homes for Older People 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. 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. Peoples needs are met by a well trained and motivated workforce. Evidence: There are sufficient staff on duty at all times of the day and night to make sure that peoples needs are met. There is always a Registered Nurse on duty supported by senior care assistants and care assistants. There are also activities co-orinators and sufficient catering, domestic, laundry and maintenance staff. Staff spoken to during the visit, confirmed that, in their opinion the numbers of staff on duty was sufficient to give them time to sit and talk to the people living there. The home places a high priority on staff training and development. There is a programme of national Vocational Training (NVQ) in place and over 90 of the care staff have completed the award. This means that the workforce are qualified and competent to meet peoples needs. All staff are required to undertake induction training to Skills for Care Council specification and to undertake mandatory training which includes: food hygiene, infection control, dementia awareness and challenging behaviour, health and safety and moving and handling training. Staff said they received good training and felt well prepared for their job. One said, Really good training, updates always given and we are encouraged to go for qualifications. People are protected by the rigorous and safe recruitment practices that the home Care Homes for Older People Page 18 of 24 Evidence: adheres to. Six staff recruitment files were seen and confirmed that all staff have a Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosure before being employed at the home as well as two written references. All of the nursing staff have their Personal Identity Number (PIN) checked to confirm that they are registered and fit to practice. People living at the home said that the staff were kind and attentive and met their needs promptly. People described the staff team as ever so nice, they are very good and cant do enough for you. Care Homes for Older People Page 19 of 24 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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 live in a well managed and run home with their health and safety promoted. Evidence: The Registered Manager of the home is qualified and experienced to run the home. She is a Registered Mental Nurse B.A. (Hons) Health Studies with considerable experience of home management. People spoken to during the visit said that the manager was very approachable and listened to their views on the way the home is run. They made the following comments: She is a good manager, very approachable Listens and always follows things through Friendly and listens to our concerns Deals with things properly. There are financial procedures in place which makes sure that any money being held is kept safely and accounted for. There are health and safety policies and procedures in place which makes sure that peoples safety and welfare is protected. Care Homes for Older People Page 20 of 24 Evidence: Formal quality monitoring systems are in place to make sure that the standard of care and facilities are kept to a high standard. The results of the relatives and residents surveys are collated and published in the Statement of Purpose. The last survey was undertaken in May 2009 and the results showed that 90 of people said that they were happy with the home and the care provided. People said that the home had a homely feel, the staff were caring and approachable and that the food was good. 10 of people said that there was a problem with the laundry. Not the quality of the washing but with clothes being returned to the wrong bedroom. Some additional quotes included in the questionnaires are as follows: Mum is treated with dignity and is always clean and fresh. She seems happy and content. There is always something going on for the residents. The atmosphere is warm and friendly on every occasion we have visited. We couldnt ask for more care and love given to our Mum. Its a great peace of mind, thank you. We are very pleased with the care our Dad receives. The staff are very good and always helpful, I cannot think of anything to improve the care, our family is always happy. The staff and management are very easy to talk to and always helpful. I sleep easy at night knowing Mum is in safe hands. Mums care is excellent the staff are genuinely caring, she is quite settled and the food is good. Very clean, warm and friendly. Staff are very polite and helpful. The area manager visits the home regularly and completes Regulation 26 reports. Copies are held at the home. The last visit identified no problems in the areas she looked at. Care Homes for Older People 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 Older People 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 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 7 People who use the service should have detailed care plans and risk management plans, clearly outlining all their support needs. This will make sure they receive person centered support that meets their needs fully. Care Homes for Older People Page 23 of 24 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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