CQC report explained · a residential care home
What the CQC found at Langwith Lodge Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was preventing and managing infection risks. They found appropriate arrangements for visitors, testing, protective equipment, isolation, cleaning and social distancing.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, January 2021
Inspected but not rated; inspectors were assured that infection prevention and control arrangements were safe.
The inspection took place on 23 December 2020 and was announced. It was a targeted inspection during the coronavirus outbreak, focused on infection prevention and control.
Inspectors found procedures to reduce infection risks for visitors, residents and staff. These included visitor controls, COVID-19 testing, safe use of protective equipment, isolation arrangements and increased cleaning.
The home was inspected but not rated. This means the report does not give an overall quality rating or a standard rating for each of the five areas of care.
Keeping in touch with relatives
Staff supported residents to keep in contact with relatives by telephone and video calls. The home also had a bookable visiting pod and had previously accommodated garden visits.
“The provider ensured people maintained contact with relatives by staff supporting them with telephone calls and video calls.” from the report
Testing and outbreak planning
There was a regular testing programme for residents and staff. The home also had risk assessments and plans for managing positive tests and self-isolation.
“There was a clear regular programme for staff and people living in the home to be tested for COVID-19.” from the report
Protective equipment
Inspectors found that staff used protective equipment safely and that supplies were available. Staff followed procedures for putting it on, removing it and disposing of it.
“Staff followed procedures for putting on and removing personal protective equipment (PPE) and disposed of it safely, in line with the government guidelines.” from the report
Clean environment
The home was described as very clean. Cleaning had increased, schedules were completed consistently and deep cleaning was used after people came out of isolation.
“The home was very clean and the provider had a refurbishment programme in place.” from the report
Inspectors raised no specific concerns in this report.
- 01How have visiting arrangements changed since the inspection, and is the visiting pod still available?
- 02How often are residents and staff tested for COVID-19 or other infections now?
- 03How would you manage infection risks if my relative tested positive or needed to self-isolate?
- 04How do you make sure there are enough staff if staff members are absent or testing positive?
- 05How often are cleaning schedules and deep cleaning checked and reviewed?
This was a targeted inspection of infection prevention and control practices only; the service was inspected but not rated and the other areas of care were not assessed. This explanation was written from the published report of 22 January 2021 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 2020
Rated Good; inspectors found safe, kind and well-managed care, with some records and activities needing improvement.
This was an unannounced inspection on 4 December 2019. Two inspectors spoke with people living in the home, relatives, staff and a visiting healthcare professional. They also reviewed care, medicines, recruitment and management records.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines procedures, suitable recruitment checks, good healthcare support and kind, respectful care.
There were some areas to improve. Some care plans were not up to date, end of life wishes were basic, and the dementia suite needed better signs and updating. Two people said they did not have enough to do. The home said it was addressing these points.
Enough staff
People and relatives said there were always enough staff. The home adjusted morning staffing to support people who wanted to get up early.
“People and relatives told us there was always enough staff to support people's needs.” from the report
Safe medicines
Medicines were stored securely, and staff received training and yearly checks of their competence. Staff used a 'Do not disturb' tabard during medicine rounds to reduce interruptions.
“People were supported with their medicines in a safe and timely way.” from the report
Kind and respectful care
People and relatives described staff as caring and respectful. Inspectors saw staff spending time with a distressed person in line with their support plan.
“People and families told us staff were kind and caring and treated them with respect” from the report
Learning from incidents
The home reviewed accidents and falls and changed equipment when it found a risk from air flow mattresses. This change was also shared with other homes in the provider group.
“As a result, the registered manager had replaced all the mattresses to ensure the air flow did not move people in this way.” from the report
Personal interests
People were supported to continue hobbies and take part in activities with local schools and a nursery. The home also helped people achieve personal wishes.
“Staff supported people to maintain previous hobbies” from the report
Care records
needs fixingSome care plans had not been updated regularly and did not reflect people's most recent needs. Some also lacked information about people's past lives and interests.
“However, some care plans had not been updated regularly and did not reflect the persons most recent care needs.” from the report
End of life wishes
needs fixingPeople had discussed their end of life wishes, but the information recorded was basic. The home said it planned to develop fuller life histories and preferences.
“People had discussed information about their end of life wishes, however it was basic.” from the report
Dementia suite
needs fixingInspectors found that the dementia suite needed updating and that signs were poor, including missing information to identify some people's rooms. The home said improvements were planned.
“The dementia suite needed updating. Signage around the suite was poor.” from the report
Activities
minorMost people were happy with the activity programme, but two people said they did not have enough to do. The home said it was recruiting another activity coordinator.
“However, two people told us they did not have enough to do.” from the report
Relative involvement
minorThe home held meetings for people and relatives, but the relatives spoken to did not seem to know about them. The manager said different ways of gathering relatives' views would be considered.
“However, none of the relatives we spoke to seemed aware of the meetings.” from the report
- 01How do you make sure care plans are updated when a person's needs change?
- 02How are residents' end of life wishes recorded, reviewed and shared with staff and families?
- 03What improvements have been made to the dementia suite, including room signs and memory boxes?
- 04How do you make sure people have enough activities, especially if they prefer individual or room-based activities?
- 05How are relatives now told about meetings and given opportunities to share their views?
This was an unannounced planned inspection covering all five CQC questions, including the care provided and the home environment; all ratings remained Good from the previous inspection. This explanation was written from the published report of 14 January 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.
Every inspection of Langwith Lodge Care Home
4 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- January 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- January 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- November 2014
Report published without a new overall rating.
- February 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 13 January 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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