Background to this inspection
Updated
1 April 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection team consisted of one inspector.
Service and service type
Langley Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We also sought feedback from partner agencies including the local authority and Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
People were unable to speak with us because of their conditions. We spoke to four relatives about their experience of the care provided. We spoke with seven members of staff including the registered manager and a student on placement. We spoke to one visiting professional. We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at a range of evidence and quality assurance records. We contacted two professionals who regularly visit the service.
Updated
1 April 2020
About the service
Langley Lodge is registered to provide accommodation for persons who require nursing or personal care for up to six people. At the time of our inspection six people were living at the service.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service received planned and co-ordinated person-centred support.
People’s experience of using this service and what we found
The registered manager and the team provided a high standard of care. This ensured everyone received personalised support. The staff team worked in partnership to continuously improve and this achieved good outcomes for people. Everyone without exception, praised the leadership and the person-centred approach to care.
People were safe with the minimum restrictions necessary. Care plans and risk assessments were extremely detailed and helped to reduce the risk of avoidable harm. Positive risk-taking promoted people’s independence. Staff empowered people to live fulfilling lives.
The staff were strong advocates for people and endeavoured to access the best possible support available. They were tireless in this respect and treated people like family. This meant people received timely care and support from health professionals and other agencies, which had a positive impact on their lives.
Staff treated people with dignity and respect. Staff treated people as individuals and used a strengths-based approach which focused on people’s abilities and promoted their independence. The service followed best practice guidance to ensure a high level of care provision.
The service provided support to enable people to access a wide variety of activities. Staff continually searched for new ideas and opportunities and encouraged and reviewed. This included new activities, new sensory items and increased access to activities that people had enjoyed.
Staff supported people to have maximum choice and control of their lives and supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 10 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.