CQC report explained · a residential care home
What the CQC found at Langley Homes
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, safe recruitment, clear risk information and suitable safeguarding arrangements. Medicines were administered safely and infection prevention measures were in place.
- Effective?
- Requires improvement
- This key question was not covered by this focused inspection. Its rating was carried forward from the previous inspection, but that rating is not stated in this report.
- Caring?
- Good
- This key question was not covered by this focused inspection. Its rating was carried forward from the previous inspection, but that rating is not stated in this report.
- Responsive?
- Good
- This key question was not covered by this focused inspection. Its rating was carried forward from the previous inspection, but that rating is not stated in this report.
- Well-led?
- Good
- Inspectors found improved quality checks, action plans for identified issues and a manager who was committed to improving the home. Care planning was person-centred and staff understood people's goals.
What inspectors found, June 2023
Langley Homes rated Good after improvements; inspectors found safe, well-managed care and no current breaches.
This was an unannounced focused inspection on 3 May 2023. Inspectors checked whether the home had acted on its previous improvement plan, focusing on Safe and Well-led. They spoke with staff and one relative, and reviewed records and information from other professionals.
The home was rated Good overall. Safe and Well-led were both rated Good. Inspectors found enough trained staff, safer recruitment, suitable risk management, safe medicines systems and effective infection control.
The home had previously been rated Requires Improvement, with breaches relating to protecting people from abuse and to governance systems. Inspectors found enough improvement had been made and said the home was no longer in breach of those regulations.
Safe staffing
Inspectors found enough staff with the training needed to keep people safe and support their individual needs and interests.
“There were enough staff to keep people safe and meet their individual needs.” from the report
Improved safety systems
The home had improved how it recorded incidents, reviewed lessons and checked staff understood positive support and safeguarding.
“We found improvements had been made in relation to how staff recorded incidents and found the management team recorded their debriefs and lessons learnt.” from the report
Medicines and infection control
Medicines records, stock checks and storage checks were being monitored. Inspectors were assured that infection risks were being managed.
“Following our last inspection, the provider had taken appropriate action to ensure people received medicines safely and as prescribed.” from the report
Person-centred care
Care and pathway plans described people's goals and desired outcomes. People were supported with independence, activities, education, cooking and managing money.
“There was a positive, person-centred approach to the planning and provision of people's care.” from the report
Better oversight
The provider had strengthened its quality assurance systems. Audits covered areas such as medicines and health and safety, with action plans where needed.
“Since our previous inspection, the provider had made improvements to their quality assurance systems which ensured all aspects of the service were regularly audited.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you make sure the additional staff training and safeguarding learning are kept up to date?
- 02What checks do you now complete on medicines, including covert medicines, and how do you act on any problems?
- 03Can you show us the current action plan and explain which improvements are complete and which are still in progress?
- 04How do you check that care plans continue to reflect each person's goals, independence and support needs?
- 05What were the ratings for Effective, Caring and Responsive at the previous comprehensive inspection?
This was a focused inspection of Safe and Well-led to follow up the previous action plan; the other three key questions were not inspected and their previous ratings carried over. This explanation was written from the published report of 2 June 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, June 2022
Requires Improvement; inspectors found kind, person-centred support, but weaknesses in safeguarding records and management checks remained.
This was an unannounced targeted inspection on 26 April 2022. It checked whether the home had met a warning notice about safe care and examined concerns about physical interventions. The inspection also looked at infection prevention and control.
The overall rating was Requires Improvement. Safe and Well-led were both rated Requires Improvement. Inspectors found that some physical intervention records did not follow a person's care plan, incident records were not fully reviewed, and medicines checks had missed some problems.
There were enough staff and people were supported with daily choices, independence, education and work goals. Care plans were detailed, but staff did not always follow them consistently. The provider remained in breach of safeguarding and governance regulations.
Enough staff
Inspectors found enough staff to support people safely. Staff were responsive to people's needs and choices, including when people wanted to go out.
“There were sufficient numbers of staff deployed to ensure people were supported safely.” from the report
Independence and goals
People were supported to take part in activities they valued and to work towards education, employment and greater independence.
“People were supported to maximise their independence and to take part in activities of interest to them” from the report
Person-centred planning
Care plans contained detailed information about how people wanted to be supported. Individual goals were reviewed, and achievements were recognised.
“People were supported to identify individual goals and detailed plans were developed for staff to follow” from the report
Physical intervention records
seriousStaff did not always follow one person's care plan when using physical interventions. Inspectors said some interventions were not always proportionate, creating a risk of harm.
“Records of physical interventions used evidenced staff had not consistently followed one person's care plan.” from the report
Weak incident learning
seriousIncident records lacked detail and did not show debriefs for the person or staff involved. The provider had not analysed incidents for patterns or shared learning with the wider staff team.
“Lessons learnt following accidents and incidents were not effectively managed.” from the report
Medicines checks
needs fixingThe home's systems did not identify missing pharmacy advice for covert medicine or missing temperature checks in the medicine storage area. Audits had not picked up these issues.
“Temperature checks of the medicine storage area were not in place.” from the report
Governance and oversight
seriousManagement checks did not reliably identify incomplete records, care plan failures or medicine issues. The provider remained in breach of the governance regulation.
“Systems and processes were not robust in ensuring documentation regarding physical interventions, accidents and incidents had been fully completed.” from the report
- 01What has changed to make sure staff follow each person's care plan when physical interventions are used?
- 02How are incidents and accidents now reviewed, including debriefs and checks for repeated patterns?
- 03How do you check that learning from incidents is shared with every relevant staff member?
- 04Has pharmacy advice for covert medicines been obtained, and how are medicine storage temperatures recorded?
- 05What evidence can you show that the action plan has addressed the Regulation 13 and Regulation 17 breaches?
This was a targeted inspection of Safe and Well-led, focused on a warning notice and concerns about physical interventions; the other key questions were not rated in this report. This explanation was written from the published report of 24 June 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 Homes
3 rated inspections over 2 years: the service has improved, from Requires improvement to Good.
- June 2023Goodcurrent ratingup from Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- June 2022Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Requires improvement
- July 2021Requires improvementSafe: Requires improvementWell-led: Requires improvement
- May 2020
Registered with the Care Quality Commission on 18 May 2020.
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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Most charge £1,010 to £1,260 a week. 51 can care for a couple. 12 years' experience on average.
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