CQC report explained · a nursing home
What the CQC found at Langdale House Ltd
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm, and inspectors found enough trained staff and safe recruitment. However, medicines procedures were not always followed, and some guidance about increased anxiety needed more detail.
- Effective?
- Good
- This area was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this visit. The report records consistently positive feedback about staff's kindness, respect and person-centred care.
- Responsive?
- Good
- This area was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Inspectors found effective oversight, regular audits, open management and a commitment to learning and improvement. There was no registered manager in post, but two managers were applying for registration.
What inspectors found, December 2023
Rated Good; inspectors found safe, caring support, but medicines records and some anxiety guidance needed improvement.
This was an unannounced focused inspection on 6 December 2023. Inspectors looked at Safe and Well-led. They spoke with people, relatives, staff and health professionals, and reviewed care records, medicines records and the home's systems.
People were generally safe and well supported. Inspectors found enough trained staff, safe recruitment, suitable safeguarding arrangements, good infection control and regular checks on risks, equipment and fire safety. People and relatives were very positive about staff being kind, respectful and knowledgeable.
There were some problems. Medicines procedures were not always followed, including leaving one person's medicines in a pot and concerns about recording insulin opening dates. Guidance for supporting people during increased anxiety was not detailed enough. The home acted immediately on the medicines issue and no one was harmed.
The overall rating is Good, as are Safe and Well-led. The home was also rated Good at the previous inspection in 2018. The other three areas were not inspected during this visit, so their previous ratings were used for the overall rating.
Kind and respectful care
People and relatives were consistently positive about staff. Inspectors found that care was individual, respectful and focused on people's needs and preferences.
“People and relatives were highly complementary about how well staff provided care and support that was individual, respectful and supported people to achieve positive outcomes.” from the report
Enough trained staff
Inspectors found enough staff to meet people's needs. Staff were trained, experienced and competent, and recruitment checks were completed.
“Staff were sufficiently trained, experienced, skilled and competent.” from the report
Good safety systems
The home assessed risks linked to people's care and the building. It also investigated incidents, identified lessons and shared actions with staff.
“Themes and trends were identified, lessons were learnt when things went wrong, shared with staff and actions were taken to drive improvements.” from the report
Strong management oversight
The home had regular checks and audits covering quality and safety. Inspectors found managers open and responsive during the inspection.
“Provider oversight and leadership was effective.” from the report
Medicines procedures were not always followed
seriousInspectors found medicines left in a pot and concerns about recording the opening dates of insulin boxes and pens. The home acted immediately, and no one was harmed.
“Best practice guidance and the provider's medicine policy and procedure had not always been followed.” from the report
Anxiety guidance needed more detail
needs fixingSome care guidance did not explain in enough detail how staff should support people when anxiety increased. Staff knew people's needs and provided effective care, but the records needed reviewing.
“Guidance for staff of how to meet people's care and support needs at times of heighted anxiety needed further detail.” from the report
No registered manager at the inspection
needs fixingThere was no registered manager in post when inspectors visited. Two managers were in the process of submitting applications to become registered managers.
“At the time of our inspection there was not a registered manager in post.” from the report
- 01What changes have been made to prevent medicines being left in pots or insulin opening dates being missed?
- 02How do you record and review the support each person needs when their anxiety increases?
- 03Who is currently responsible for managing the home while the registered manager applications are being processed?
- 04How do you check that staffing levels remain enough for people's individual needs, including one-to-one support?
- 05How will you improve the environment and personalise people's bedrooms, as mentioned in the report?
This was a focused inspection of Safe and Well-led only; the other ratings were carried over from the previous inspection in 2018 and were not reassessed. This explanation was written from the published report of 23 December 2023 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, November 2018
Rated Good in all five areas; inspectors found safe, kind and personalised care, with strong activities and oversight.
This was an unannounced inspection on 16 October 2018. Inspectors spoke with people living at the home, relatives, staff and visiting health and social care professionals. They reviewed care records, medicines records, recruitment and training information, complaints and quality audits.
The inspectors found that people were safe and supported by enough staff. Medicines were managed safely, the home was clean, and staff understood people's health, dietary and communication needs. People were treated with kindness and respect, involved in decisions, and supported to remain independent.
Care was personalised and activities were varied. The home had systems to listen to feedback, deal with complaints and check the quality of care. The overall rating was Good, as were the ratings for Safe, Effective, Caring, Responsive and Well-led.
Kind and respectful staff
Inspectors saw staff engage warmly with people and respond to their emotional and personal needs. People's privacy, dignity and choices were respected.
“Staff treated people with kindness, respect and compassion.” from the report
Safe staffing
Inspectors found enough staff on duty, including at busy mealtimes. Call bells were answered quickly and people were not rushed.
“We also saw that all areas of the home were well-staffed and people did not have to wait if they needed support.” from the report
Personalised care
Care plans included people's routines, interests and preferences. Staff used this knowledge to make daily support more personal.
“People's care plans included information for staff about how people needed to be supported, their preferences and likes and dislikes.” from the report
Varied activities
People could take part in exercise, hobbies, entertainment and community activities. Inspectors highlighted links with a local nursery and creative activities for people living with dementia.
“Activities were central to people's lives at the home and the providers had invested time and resources into ensuring people had varied opportunities for exercise, hobbies, and entertainment.” from the report
Quality checks
The manager and senior staff used audits, surveys and feedback to check care and identify improvements. These checks covered areas including staffing, medicines, nutrition and falls.
“There were effective systems in place to monitor the quality of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and review my relative's individual needs before they move in?
- 02How do you decide staffing levels when people's needs change?
- 03How will you support my relative to take part in activities that match their interests and abilities?
- 04How will you manage my relative's medicines, including any medicines needed only when required?
- 05How will you record and follow my relative's wishes about end of life care?
This was an unannounced inspection of the whole service, including the premises and care provided, and all five key-question ratings were given. This explanation was written from the published report of 27 November 2018 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 House Ltd
2 rated inspections over 5 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2018GoodSafe: GoodWell-led: Good
- April 2017
Registered with the Care Quality Commission on 12 April 2017.
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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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. 82 can care for a couple. 12 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
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