CQC report explained · a residential care home
What the CQC found at 136 Langthorne Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about most infection prevention measures, including visitor screening, testing, social distancing, hygiene and outbreak planning. They were only somewhat assured about PPE use because clinical waste was not disposed of in line with guidance.
- Effective?
- Good
- This was a targeted inspection and this key question was not assessed.
- Caring?
- Good
- This was a targeted inspection and this key question was not assessed.
- Responsive?
- Good
- This was a targeted inspection and this key question was not assessed.
- Well-led?
- Good
- This was a targeted inspection and this key question was not assessed.
What inspectors found, April 2021
Jooma Care Homes Limited - 136 Langthorne Road was inspected but not rated; infection controls were mostly reassuring, but clinical waste disposal did not follow guidance.
This was an announced, targeted inspection on 12 March 2021. Inspectors looked at infection prevention and control measures during the coronavirus pandemic.
The home had visitor screening, temperature checks, personal protective equipment and lateral flow testing. People and most staff were taking part in regular COVID-19 testing, and most staff and all people using the service had received a first vaccination.
Inspectors were assured about most infection control arrangements, including testing, social distancing, hygiene and outbreak planning. They were only somewhat assured that personal protective equipment was being used safely because clinical waste was not disposed of according to guidance.
The home was inspected but not rated. This report does not provide a full judgement on the quality of care or the other four key questions.
Visitor infection checks
Visitors were screened before entering, asked to take a lateral flow test and given PPE. This helped reduce the risk of infection spreading.
“The service had a screening process for visitors before entering the building, including the use of a side entrance, temperature checks and provision of personal protective equipment (PPE).” from the report
Regular testing
People and most staff took part in regular COVID-19 testing. Staff also carried out lateral flow tests twice a week.
“Staff and most people using the service took part in regular COVID-19 testing.” from the report
Support with anxiety
Staff supported people to understand social distancing and use PPE. Inspectors saw creative support to help people manage anxiety about the pandemic.
“People were supported in creative ways to maintain their well-being and manage any anxiety about the COVID-19 pandemic.” from the report
Clinical waste disposal
needs fixingClinical waste was not being disposed of in line with guidance, including the required bags for offensive or hygienic waste. The provider said it was arranging a waste management service after the visit.
“However, clinical waste was not disposed of in line with guidelines for safe disposal, including the use of specific yellow and black bags used for offensive/hygienic waste.” from the report
- 01Has the home now arranged a waste management contract, and are yellow and black bags being used correctly?
- 02How does the home check that staff use and dispose of PPE safely?
- 03What extra measures are used when a person refuses regular COVID-19 testing?
- 04How often are staff now tested, and how are visitors screened before entering?
- 05Have all staff and people living at the home received the COVID-19 vaccinations offered to them?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it was not a full inspection and the service was not rated overall. This explanation was written from the published report of 2 April 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, December 2019
Rated Good; inspectors found safe, kind and personalised care, with some records needing improvement.
This was an unannounced planned inspection on 23 October 2019. An inspector and an Expert by Experience spoke with four people, two relatives and four staff. They also checked care, medicines, recruitment and management records.
The home was supporting five people. Inspectors found people were safe, treated kindly and supported by staff who knew them well. People received their medicines, food and drink, healthcare and activities in line with their needs and choices.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors identified some record-keeping gaps, including medicine storage temperatures, needs assessments, communication documents and an end of life plan. They made recommendations but found no legal breaches.
Kind and respectful staff
People and relatives said staff treated them well. Inspectors saw caring interactions and found that people's dignity, choices and independence were respected.
“People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
Personalised support
Care plans recorded people's likes, dislikes and preferences. Staff knew people well and adapted communication to individual needs.
“People received personalised care from staff who knew them well.” from the report
Activities and relationships
People had weekly activity programmes and were supported to follow their interests, attend places of worship and maintain important relationships.
“Each person had a weekly activity programme.” from the report
Staffing and training
Inspectors found staffing levels were arranged around people's needs. Staff received induction, supervision, appraisal and training in relevant areas.
“Staff were supported to effectively carry out their role.” from the report
Open management
The management team was approachable and encouraged people and staff to share their views. Quality assurance checks were also in place.
“The registered manager had an open-door policy, whereby people were able to enter the office to speak with them.” from the report
Medicine temperature records
needs fixingThe medicine storage room temperature was monitored, but readings were not recorded. This meant the home could not show that the temperature stayed within the required range.
“The room temperature where medicine was stored was monitored, however, this was not recorded.” from the report
Needs assessment records
needs fixingPeople's needs had been assessed, but records of older assessments were not available. Inspectors recommended formalising the process so assessments could be accessed.
“Most people living at the home had done so for 20 years or more, therefore records relating to their needs assessment were not available.” from the report
Care documents not always updated
needs fixingOne communication plan had not reflected changes, although it was updated after the inspection. Some care documents were not available in an easy-read format, and one end of life plan had not been updated since 2013.
“We noted people's plans were not always updated, one person's plan had not been updated since 2013.” from the report
Keeping up with best practice
minorThe provider had many years of experience, but inspectors said the service would benefit from keeping its care practice up to date.
“The provider had been in business for many years and would further benefit from keeping up to date with best practice in service delivery.” from the report
- 01How are medicine storage temperatures recorded now, and what happens if a reading is outside the required range?
- 02How do you make sure every person's needs assessment and risk assessment is recorded and kept up to date?
- 03How are changes in communication needs reflected in care plans and other documents?
- 04How do you check that end of life plans still reflect each person's current wishes?
- 05What recent changes have you made to keep the home's care practice up to date with best practice?
This was an unannounced comprehensive inspection covering all five CQC questions, the premises and the care provided. This explanation was written from the published report of 7 December 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of 136 Langthorne Road
3 rated inspections over 5 years: the service has held its Good rating throughout.
- April 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- December 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2013
Report published without a new overall rating.
- May 2013
Registered with the Care Quality Commission on 29 May 2013.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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