CQC report explained · a residential care home
What the CQC found at Langdale Court Residential Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
- Safe?
- Requires improvement
- Infection control procedures were not followed consistently, and the environment was not always clean or well maintained. Staffing and medicines were found to be safe.
- Effective?
- Requires improvement
- Some care assessments and plans were out of date or unclear. People’s nutrition, healthcare and consent needs were generally supported, but staff did not always follow their training.
- Caring?
- Requires improvement
- People were not always treated with dignity and respect. Staff did show kindness and supported privacy, choice and some independence.
- Responsive?
- Good
- People's care was personalised in many respects, complaints were dealt with appropriately and end of life wishes were recorded. However, meaningful activities and accessible information were limited.
- Well-led?
- Requires improvement
- The home lacked effective audits covering areas such as infection control, the environment, health and safety and documentation. Staff felt supported, but management roles and improvement systems were not clear or robust enough.
What inspectors found, January 2020
Langdale Court Residential Home was rated Requires Improvement; inspectors found infection control and management checks were not good enough.
This was an unannounced inspection on 20 November 2019. Inspectors spoke with people living at the home, a relative and staff. They reviewed care records, medicine records, staff files and management records.
The home was not always safe or clean. Personal protective equipment and hand-washing supplies were not always available. Cleaning checks were not reliable, some risks and care records were out of date, and staff did not always follow their training. Inspectors also found that people were not always treated with dignity.
There were positive findings too. Staffing levels were adequate, medicines were given safely, people's nutrition and healthcare needs were supported, and complaints were dealt with appropriately. Responsive care was rated Good, but Safe, Effective, Caring and Well-led were all rated Requires Improvement.
Staffing levels
Inspectors found there were enough staff to support people, and recruitment checks were in place.
“People were supported by adequate numbers of staff.” from the report
Medicines
Medicines were stored securely and staff who administered them had suitable training and support.
“People received their medicines in a safe way. Medicines were stored in a secure room.” from the report
Health and nutrition
People's nutritional needs and healthcare appointments were supported. Inspectors also found strong evidence of oral health assessment and follow-up.
“There was very good assessment of people's oral health with follow up action and clear plans and information for people and staff on how to maintain oral health.” from the report
Complaints and end of life wishes
Complaints were handled appropriately. Care plans showed that end of life wishes were explored and reviewed.
“There was a complaints policy displayed and we could see that complaints were dealt with and actioned appropriately.” from the report
Infection control
seriousThe home did not consistently provide protective equipment, safe hand-washing facilities or effective cleaning arrangements. Inspectors said this put people at risk of infection.
“People were not protected against the risk of infection as a result of poor adherence to infection control procedures.” from the report
Weak management checks
seriousThere were no reliable audits for infection control, the environment, health and safety or documentation. This meant problems were not being identified and corrected quickly enough.
“Due to a lack of audits to monitor the quality of the service and safety of the environment, this is a breach of Regulation 17” from the report
Dignity and respect
needs fixingAn inappropriate notice was displayed on a toilet door and was removed after inspectors raised it. Inspectors said this showed that staff did not always understand the care people needed.
“There was an inappropriate notice on the toilet door accusing people who lived at the service of 'wickedness' for blocking the toilet.” from the report
Out-of-date care information
needs fixingSome care plans and risk assessments did not clearly show people's current needs. This could make it harder for staff to give consistent support.
“As a result, some people's care planning was out of date and did not always reflect their current needs.” from the report
Limited activities
minorPeople could leave the home and use local facilities, but there were limited meaningful activities inside the home.
“There were limited meaningful activities in the home.” from the report
- 01What changes have you made to provide protective equipment, hand-washing supplies and safe handling of soiled laundry?
- 02How do you now check that cleaning tasks, environmental safety and infection control procedures are completed?
- 03How do you make sure care plans and risk assessments show each person's current needs?
- 04What training and checks make sure staff follow infection control and record-keeping procedures?
- 05What activities and support are now available to help people develop independence and take part in meaningful activities?
This was the first inspection under the current registration and covered the premises, care and all five CQC questions, using discussions, records and observations. This explanation was written from the published report of 17 January 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 Langdale Court Residential Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- January 2020Requires improvementcurrent ratingSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Requires improvement
Read what inspectors found at Langdale Court Residential Home →
- December 2018
Registered with the Care Quality Commission on 6 December 2018.
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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