CQC report explained · a residential care home
What the CQC found at Langley Court Rest Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, February 2023
Rated Good overall; inspectors found safe, kind care and good leadership, with more detail needed for some "as required" medicines.
The inspection was unannounced and took place on 22 November and 7 December 2022. One inspector spoke with people and staff, reviewed care, medicines and recruitment records, and checked how the home was managed. Feedback was also obtained from relatives and a health and social care professional.
People told inspectors they felt safe and were treated kindly and respectfully. Risks were assessed, medicines were managed safely, the home was clean, staffing levels met people's needs, and activities and food were viewed positively. The home had a relaxed atmosphere and people and relatives were involved in decisions and feedback.
The home was rated Good overall. Safe and Well-led were both rated Good. The other three areas were not inspected during this visit, so their previous ratings were used to calculate the overall rating. Inspectors noted that some care documentation was updated after the inspection.
Kind and respectful staff
People said staff supported their independence and dignity and treated them with kindness and respect.
“People said they were supported by kind, caring and respectful staff who promoted their independence and dignity.” from the report
Safety checks
Risks such as falls, mobility and health conditions were assessed, with guidance for staff. Equipment, the building and fire safety arrangements were also checked.
“Risks to people had been assessed. Care plans provided guidance for staff on how to manage identified risks.” from the report
Clean environment
Inspectors found the home clean and hygienic, with infection prevention arrangements in place.
“The home was clean and hygienic.” from the report
Good management
The home had systems to monitor care, medicines and safety. People, relatives and staff spoke highly of the management and communication.
“The home was well-led and managed. People, relatives and staff spoke highly of the registered manager and his deputy.” from the report
Inspectors raised no specific concerns in this report.
- 01What changes have you made to the instructions for each person's "as required" medicines since the inspection?
- 02How do you make sure staff know when and why an "as required" medicine should be given?
- 03How are current staffing and recruitment challenges affecting the home, and what staffing levels are normally provided?
- 04What care documentation was updated after the inspection, and how do you check that it stays accurate?
- 05How are relatives' feedback and suggestions recorded and followed up?
This was a focused inspection of Safe and Well-led; the other key question ratings were not inspected during this visit and previous ratings were used for the overall rating. This explanation was written from the published report of 3 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, January 2022
Inspected but not rated; inspectors were assured about the home's infection prevention and control arrangements.
This was a targeted, announced inspection on 14 January 2022. It looked only at infection prevention and control during the coronavirus pandemic.
Inspectors were assured that the home used personal protective equipment safely, managed visitors and admissions safely, and followed testing, shielding and social distancing arrangements.
The home supported residents to keep in touch with family and friends. It also monitored people's mental wellbeing and had extra support available if their mental state declined.
The home was not given a rating at this inspection. The report says the inspectors signposted the provider to resources to develop its approach.
Infection control
Inspectors were assured that the home was taking steps to prevent visitors, staff and residents from catching or spreading infections.
“We were assured that the provider was preventing visitors from catching and spreading infections.” from the report
Safe use of PPE
Staff and visitors were provided with PPE, and inspectors observed staff following PPE and social distancing guidance.
“Our observations during the inspection confirmed staff were adhering to PPE and social distancing guidance.” from the report
Family contact
Residents were supported to stay in contact with family members and friends through calls, emails and video conferencing.
“The provider enabled residents to keep in touch with family members and people's friends through regular phone calls, emails and video conferencing.” from the report
Mental wellbeing
The home carried out monthly wellbeing assessments and offered extra support when people's mental state declined.
“To ensure people's well-being the provider performed monthly wellbeing assessments using a tool and people's mental state was monitored.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now for visitors, staff and residents?
- 02How do you currently test people before admission and manage their isolation after they arrive?
- 03How do you support residents who are vulnerable to COVID-19 or other infections?
- 04How are residents' mental wellbeing and changes in their mental state monitored now?
- 05What resources did the provider use to develop its infection prevention and control approach after this inspection?
This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other care questions were not assessed. This explanation was written from the published report of 26 January 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 Langley Court Rest Home
8 rated inspections over 8 years: the service has improved, from Requires improvement to Good.
- February 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2022Inspected but not ratedSafe: Inspected but not rated
- October 2017Goodup from Requires improvementSafe: GoodWell-led: Good
- June 2017Requires improvementstayed Requires improvementResponsive: GoodWell-led: Good
- September 2016Requires improvementstayed Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- March 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- September 2015Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Requires improvement
- July 2015Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Requires improvement
- March 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- November 2013
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- November 2011
Registered with the Care Quality Commission on 14 November 2011.
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 Kingston upon Thames
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. 11 years' experience on average.
“Without his support we wouldn't have been able to navigate bringing and keeping Dad at home.”
“We cannot speak highly enough of the care that Angelique gave, and would recommend her to anyone else needing a live-in carer.”
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.