CQC report explained · a nursing home
What the CQC found at Langdale Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found people were protected from abuse and avoidable harm. There were enough staff, safe recruitment checks, regular risk reviews, safe medicines practice and effective infection control.
- Effective?
- Good
- This key question was not inspected during this focused visit. Its previous rating was carried over to the overall rating.
- Caring?
- Good
- This key question was not inspected during this focused visit. Its previous rating was carried over to the overall rating.
- Responsive?
- Good
- This key question was not inspected during this focused visit. Its previous rating was carried over to the overall rating.
- Well-led?
- Good
- Inspectors found positive leadership, open communication and effective oversight. Feedback, audits and staff meetings were used to identify and make improvements.
What inspectors found, February 2023
Rated Good; inspectors found safe care and strong management, but only Safe and Well-led were checked.
This was an unannounced focused inspection on 17 January 2023. It followed concerns about staffing and care practice. Inspectors found no evidence that people were at risk of harm from these concerns.
The home was rated Good for Safe and Well-led. Inspectors found enough staff, safe recruitment, suitable risk assessments, safe medicines practice and good infection control. They also found that accidents and incidents were recorded and followed up.
Inspectors found a warm, person-centred culture. Relatives described the home as open and welcoming. The provider used audits, feedback and staff meetings to monitor and improve the service.
Staffing and recruitment
Inspectors found enough staff to meet people's needs and saw staff respond promptly. Recruitment checks and staff training were in place.
“There were enough staff to provide safe care for people.” from the report
Risk management
People's risks were recorded in detailed care plans and reviewed regularly. The home had measures to support people with distress and skin-integrity risks.
“People's risks were identified and care plans included detailed information on how to support people's needs.” from the report
Learning from incidents
The home investigated accidents and incidents, followed up actions and used discussions to learn lessons.
“Lessons were learned when things went wrong.” from the report
Open culture
Inspectors found a person-centred atmosphere with open communication between staff and relatives. The provider used feedback and audits to drive improvements.
“There was open communication between staff and relatives.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you review staffing levels against my relative's changing needs?
- 02How will you manage and review any medicines prescribed for distress or to be given as needed?
- 03How do you prevent and monitor pressure areas and other skin problems?
- 04What happens after a fall or other accident, and how will the family be told?
- 05How will you involve our family in care reviews and feedback about the service?
This was a focused inspection of Safe and Well-led only; the other ratings carried over from the previous comprehensive inspection published on 20 September 2018. This explanation was written from the published report of 8 February 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, March 2022
Inspected but not rated; inspectors found good infection prevention and control practices at Langdale Lodge.
This was an unannounced, targeted inspection on 17 February 2022. Inspectors checked infection prevention and control, including how the home managed COVID-19 risks. They also asked about staffing pressures.
Inspectors found several good practices. The home had leads for infection control and COVID-19 guidance. Staff received training and checks, the home was clean, and cleaning of frequently touched surfaces was increased.
Inspectors were assured that the home used protective equipment safely, supported testing, managed visitors and admissions safely, and had plans for preventing or managing outbreaks. The service was inspected but not rated, so this report does not give a Good or Outstanding rating.
Infection control leadership
The home had an infection prevention and control lead who supported staff training and carried out checks on practice.
“The home had an IPC lead who oversaw IPC training.” from the report
COVID-19 oversight
A designated lead helped communicate changes in COVID-19 guidance, and the provider had systems to oversee infection prevention and control.
“There were effective systems in place to ensure the provider had oversight of IPC within the home and share information.” from the report
Clean environment
The home was clean and maintained. Cleaning schedules included regular cleaning and extra attention to frequently touched surfaces.
“The home was clean and well maintained.” from the report
Outbreak planning
The home had facilities to separate people if needed during an outbreak and individual risk assessments considered the effect of COVID-19 on health conditions.
“The home had the facilities to effectively cohort people in the event of an outbreak.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control checks are carried out now, and how often?
- 02How are staff kept up to date when infection control guidance changes?
- 03How would the home manage an infection outbreak now, including separating people if needed?
- 04What staffing pressures are currently affecting the home, and what steps are being taken to manage them?
- 05How are visitors and new admissions currently managed when there is an infection risk?
This was a targeted inspection of infection prevention and control, with questions about staffing pressures; the service was inspected but not rated. This explanation was written from the published report of 1 March 2022 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 Lodge
2 rated inspections over 4 years: the service has held its Good rating throughout.
- February 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2022Inspected but not ratedSafe: Inspected but not rated
- September 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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62 live-in carers within about an hour of Derbyshire
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 £1,010 to £1,260 a week. 51 can care for a couple. 12 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
“We particularly appreciate the companionship Dawn gives in the evenings when she plays cards and Scrabble with my mother.”
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.