What the CQC found at Langholme

People received medicines safely and on time. Staff were trained and medicines checks were carried out.

“People received their medicines safely and on time.” from the report

Inspectors found enough staff on duty and safe recruitment checks were completed. Recent recruitment had helped address earlier staff shortages.

“At this inspection we found that the provider had taken action to help ensure there were sufficient staff on shift to meet people's needs.” from the report

People were supported to attend appointments and staff sought professional advice when health changed. Visiting healthcare professionals had no concerns about the support provided.

“The staff work hard to ensure people's needs are met. Any changes and they are on to us straight away.” from the report

People could take part in varied activities, spend time outside, use the internet and receive visitors. The home also supported people to maintain contact with family and friends.

“Robot animals, a portable magic table and a wi-fi speaker enabled people to access a variety of activities.” from the report

Inspectors observed friendly and caring support. People and relatives described staff positively and said they felt able to raise concerns.

“All the staff show true compassion towards her and other residents” from the report

Some care plans and risk assessments did not accurately reflect changes in people's needs. Information was sometimes disjointed and difficult for staff to find.

“Some care plans provided information which was disjointed and did not accurately reflect recent changes in some people's needs.” from the report

Many care files were kept in bedroom boxes whose locks did not work properly. The files were moved to a secure location while the locks were repaired.

“Many of these boxes did not lock effectively and were unlocked throughout the inspection.” from the report

The home carried out audits, but these checks did not identify the record-keeping and security issues found by inspectors.

“However, the issues identified at this inspection had not been identified by these audits.” from the report

The mealtime atmosphere differed between floors. Upstairs, some people ate in silence and one person was not shown the meal options before a choice was made.

“Upstairs, people in the dining room ate in silence, with staff gathered in the kitchen.” from the report

Some staff mainly interacted with people while completing tasks and did not always explain what they were about to do.

“Some staff did not always explain to people what they were about to do, before they began to support them.” from the report