CQC report explained · a residential care home
What the CQC found at Langley Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found effective safeguarding, detailed risk assessments, safe staffing and safe medicines systems. Restrictions were kept to the minimum necessary.
- Effective?
- Good
- Care was based on detailed assessments and recognised good practice. Staff supported people's health, eating, communication and independence, and worked with health professionals.
- Caring?
- Good
- Staff treated people with dignity and respect. They learned how each person communicated and supported people to make choices and do as much as possible for themselves.
- Responsive?
- Good
- Care was personalised to people's likes, dislikes and communication needs. People were supported to take part in varied activities at home and in the community.
- Well-led?
- Good
- Inspectors found committed leadership, good staff morale and strong quality checks. Families and staff felt able to raise concerns and contribute to improvements.
What inspectors found, April 2020
Rated Good; inspectors found safe, kind and highly personalised care across all five areas.
This was an unannounced inspection on 8 and 9 January 2020. One inspector spoke with four relatives, seven staff members and visiting professionals. People living at the home could not speak with inspectors because of their complex needs. The inspector also reviewed care, medicines, staffing and management records.
The home was rated Good in every area: Safe, Effective, Caring, Responsive and Well-led. Inspectors found detailed care plans, safe medicines systems, suitable staffing and clean premises. Staff supported people to make choices, build independence and take part in activities.
Relatives, staff and professionals gave very positive feedback. The report describes strong leadership, good teamwork and an open culture. No breaches of regulations were reported.
Personalised care
The home used detailed care plans and communication information to help staff understand each person and support their choices.
“People using the service received planned and co-ordinated person-centred support.” from the report
Safety and medicines
Risk assessments gave staff clear step-by-step guidance. Staff were trained and checked as competent before giving medicines, with regular audits.
“Care plans and risk assessments were extremely detailed and helped to reduce the risk of avoidable harm.” from the report
Kind and respectful staff
Relatives and professionals described staff as caring and respectful. Staff encouraged people to be independent and treated them as individuals.
“Staff treated people with dignity and respect. Staff treated people as individuals and used a strengths-based approach which focused on people's abilities and promoted their independence.” from the report
Activities and independence
People were supported to try varied activities and take positive risks. Staff looked for new opportunities based on people's interests.
“Staff supported people to follow their interests and take part in activities both in the home and in the community.” from the report
Leadership and teamwork
Inspectors found an experienced manager, a stable and supportive team, and regular checks to improve the service.
“There was an excellent quality assurance process in place. Regular auditing and action plans were in place to ensure the service was always improving.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you learn and use my relative's preferred ways of communicating?
- 02What activities and community opportunities would match my relative's interests?
- 03How do you review medicines and check that staff remain competent to give them safely?
- 04What progress has been made towards National Autistic Society accreditation since this inspection?
- 05How will you involve our family in recording and reviewing end-of-life wishes?
This was an unannounced comprehensive inspection covering all five CQC questions, and all five ratings remained Good from the previous inspection. This explanation was written from the published report of 1 April 2020 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, July 2017
Rated Good; inspectors found kind, personalised care, with some medicines records and storage temperatures needing improvement.
This was a comprehensive, unannounced inspection on 6 June 2017. One inspector spoke with relatives, staff and the registered manager, observed care, and checked records including two care plans. All six people living at the home were unable to speak with inspectors because of their condition.
Inspectors found people were safe, well cared for and supported by staff who understood their individual needs. Care plans were detailed and person centred. People had choices, suitable food and regular contact with health professionals. They also had activities at the home and in the community.
The overall rating was Good. Each of the five areas was also rated Good: Safe, Effective, Caring, Responsive and Well-led. There were two medicines shortfalls, but the report says the manager was addressing them.
Personalised support
Care plans included people's routines, preferences, communication needs and interests. Staff showed a detailed understanding of how each person wanted to be supported.
“The care plans we looked at were comprehensive and contained information that was specific to the person” from the report
Activities and community life
People had individual activity programmes, including trips and activities such as music therapy, shopping, swimming and horse riding.
“People were supported in promoting their independence and community involvement and enjoyed a range of person centred activities.” from the report
Quality checks
The home used audits, staff meetings and house meetings to check safety and care. Inspectors saw evidence that actions were followed up.
“We saw evidence which showed any actions resulting from these checks and reports were acted upon in a timely manner.” from the report
Medicines storage temperatures
needs fixingThe medicines room and some fridge temperatures had been above the recommended guideline since 23 May 2017. The manager said changes had been made after the inspection and the temperature was then within the guidelines.
“However, the room and some fridge temperatures had exceeded the recommended guideline since 23 May 2017.” from the report
As-needed medicines records
needs fixingSome as-needed medicines and creams did not have records explaining when they should be given. The manager said guidance was being produced and would be completed by the end of June 2017.
“However, we saw there were some medicines and creams that were prescribed 'as and when' needed (PRN) but, we did not see records in place to support the administration of PRN medicines.” from the report
Weekend staffing
minorInspectors found enough staff during the inspection, but some staff said there could sometimes be only two staff at weekends. New weekend staff had been recruited but were awaiting checks before starting.
“However, some staff commented, occasionally at weekends there could sometimes be only two staff members on shift.” from the report
Unrecorded complaints or concerns
minorThe manager said a couple of minor concerns had been raised but had not been recorded. They said these would be recorded in future.
“They went on to say they had received a couple of 'niggles' but had not recorded these.” from the report
- 01How are medicines room and fridge temperatures checked now, and what happens if they go above the recommended guideline?
- 02How do you record when as-needed medicines and creams should be given, and can we see an example of the current guidance?
- 03What staffing levels are guaranteed at weekends, and have all the recruited weekend staff completed their checks?
- 04How are minor complaints and 'niggles' recorded and followed up?
- 05How will my relative's views and choices be identified if they cannot communicate verbally?
This was a comprehensive, unannounced inspection covering all five key questions; it was the first inspection with Horizon Healthcare Homes Limited as the provider. This explanation was written from the published report of 8 July 2017 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 Lodge
2 rated inspections over 3 years: the service has held its Good rating throughout.
- April 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015
Registered with the Care Quality Commission on 27 May 2015.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Kirklees
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. 86 can care for a couple. 11 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“Primrose is a very kind and compassionate healthcare professional”
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.