CQC report explained · a nursing home
What the CQC found at Lang Riggs House
Rated Outstanding: inspectors found the home performing exceptionally well.
What inspectors found, November 2020
Inspected but not rated; inspectors found good infection control arrangements during the COVID-19 pandemic.
This was an announced, targeted inspection on 30 October 2020. Inspectors looked at infection prevention and control measures as part of a national review of care homes.
Inspectors found that staff used suitable personal protective equipment, visitors and staff completed health declarations, and visitors wore masks. Hand sanitiser was available at the entrance.
The home had up-to-date infection control policies. Inspectors were assured that it was managing visiting, social distancing, shielding, admissions, testing, hygiene and possible outbreaks safely.
This inspection was not given a quality rating. It does not provide a full assessment of all aspects of care.
PPE and visitor checks
Staff used appropriate PPE. Visitors and staff completed health declarations, and visitors wore masks.
“Staff wore appropriate PPE and followed the current guidance.” from the report
Keeping families in touch
Staff helped people maintain contact with family and friends using technology.
“Staff helped people keep in touch with their family and friends through the use of technology.” from the report
Infection control systems
The home had current infection control policies and held daily management briefings about COVID-19.
“Up to date infection control policies and procedures were in place and adhered to.” from the report
Managing infection risks
Inspectors were assured that the home was managing admissions, testing, hygiene, social distancing and possible outbreaks safely.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors currently checked for symptoms and infection risks before entering?
- 02What PPE and hand hygiene arrangements are currently used by staff and visitors?
- 03How does the home manage testing and safe admissions?
- 04What happens if there is an infection outbreak, and how are families kept informed?
- 05How will people who cannot have normal visits keep in touch with family and friends?
This was a targeted inspection of infection prevention and control measures only, so it was inspected but not rated and did not assess all areas of care. This explanation was written from the published report of 13 November 2020 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, February 2020
Rated Outstanding overall; inspectors found exceptionally effective and responsive care, with safe, kind and well-led support.
This was an unannounced planned inspection on 21 January 2020. One inspector, supported by a social work professional, spoke with three people living at the home, eight staff members and a visiting social worker. They also reviewed care, medicine, training, incident and management records.
The home provided personal and nursing care for four young people aged 16 to 25 with learning disabilities, autism and mental health needs. Inspectors found people were safe, treated with kindness and supported by skilled staff. They saw strong mental health rehabilitation, careful risk management and support to build independence through education, work and community activities.
The overall rating was Outstanding. Effective and Responsive were rated Outstanding. Safe, Caring and Well-led were rated Good. Effective and Responsive had improved from Good at the previous inspection, while the other ratings stayed Good.
Positive outcomes
People made significant progress towards their goals. This included attending college independently, taking part in work or volunteering and preparing for more independent living.
“People had exceeded expectations and goals set by clinical professionals.” from the report
Choice and independence
Staff supported people to make choices, take positive risks and develop life skills. Restrictions were reviewed with the aim of reducing them where possible.
“People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests” from the report
Person-centred care
Care plans were detailed and developed with people, relatives and professionals. Staff understood individual communication needs, preferences and goals.
“People's care was exceptionally planned in a person-centred way.” from the report
Safe and respectful care
People told inspectors they felt safe and were treated well. Medicines, staffing, risk assessments and infection control were managed safely.
“People told us, "I feel safe here" and "I feel safe and I am able to approach staff for support".” from the report
Managerial change
minorThe registered manager had left before the inspection. An interim manager was in place and recruitment for a new registered manager had started, but families should ask about continuity of leadership.
“The registered manager had resigned before this inspection however, we were assured by the provider's actions to deploy an interim manager and increased senior management oversight.” from the report
Some areas needed redecoration
minorInspectors saw that some parts of the home needed redecoration. The management team had plans to address this.
“The senior management team told us about plans to redecorate the house, we saw some areas were in need of redecoration.” from the report
Improvement actions still open
minorThe provider and senior managers had identified some shortfalls before the inspection and had an improvement plan. Families can ask what these shortfalls were and whether they have been resolved.
“The provider and senior management team had identified some shortfalls before the inspection and had an improvement plan which showed clear timelines and action planning.” from the report
- 01What arrangements are in place for leadership while the registered manager role is being recruited?
- 02What were the shortfalls identified in the improvement plan, and have all the actions been completed?
- 03Which areas of the home needed redecoration, and when will this work be finished?
- 04How would the home support my relative to build independence, attend education or work, and take part in community activities?
- 05How would staff manage my relative's medicines and support them to develop safe self-administration skills if appropriate?
This was an unannounced comprehensive inspection covering all five CQC questions; Safe, Caring and Well-led remained Good, while Effective and Responsive improved from Good to Outstanding. This explanation was written from the published report of 28 February 2020 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 Lang Riggs House
2 rated inspections over 3 years: the service has improved, from Good to Outstanding.
- November 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2020Outstandingup from GoodSafe: GoodEffective: OutstandingCaring: GoodResponsive: OutstandingWell-led: Good
- July 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015
Registered with the Care Quality Commission on 11 May 2015.
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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At least 100 live-in carers within about an hour of Bolton
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 92 can care for a couple. 10 years' experience on average.
“Primrose is a very kind and compassionate healthcare professional”
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.