CQC report explained · a nursing home
What the CQC found at The Langston
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found enough staff, safe medicine management, recorded risk assessments and appropriate safety checks.
- Effective?
- Good
- People's needs and choices were assessed and care was delivered in line with those assessments. Staff had training and support, and people received suitable food, drinks and access to health services.
- Caring?
- Good
- Staff were observed to be caring, supportive, professional and respectful. People were involved in decisions, and staff promoted privacy, dignity and independence.
- Responsive?
- Good
- Care plans were personalised and updated when people's circumstances changed. People had communication support, activities and opportunities to maintain relationships.
- Well-led?
- Good
- The management team had a positive culture and involved people and staff. Regular audits, action plans and a new electronic care planning system were used to monitor and improve care.
What inspectors found, September 2019
The Langston was rated Good; inspectors found safe, kind and personalised care, with all five areas rated Good.
This was an unannounced routine inspection on 8 August 2019. One inspector and an Expert by Experience spoke with seven people, three relatives and seven staff. They reviewed care records, medicine records, staff files and management records, and contacted 16 health and social care professionals.
Inspectors found people were safe and supported by enough staff. Medicines were managed safely. Staff understood people's needs, treated them respectfully and supported their choices, independence, health care, diet and activities.
The home had systems to monitor quality, review care and learn from events. This was the first inspection under the provider's new legal entity, so there was no previous rating for comparison. All five questions were rated Good.
Safe medicines
Inspectors found that people received their medicines as prescribed and that medicines were given by competent nursing staff.
“People received their medicines as prescribed. Medicines were safely administered by competent and skilled designated nursing staff.” from the report
Kind and respectful staff
Staff interactions were observed to be caring and respectful. People were supported to make choices and keep their independence.
“Staff interactions we observed were caring, supportive, professional and respectful.” from the report
Personalised care
Care plans included people's preferences, religious needs and communication needs. Staff knew people well and adapted support to them.
“People's care plans included information of what was important to them including people's religious needs.” from the report
Quality monitoring
The management team used regular audits and action plans to identify and address improvements.
“The registered manager ensured regular audits were completed.” from the report
Good food and support
People were positive about the food, and inspectors saw staff supporting people appropriately at mealtimes. Dietary needs, including pureed, soft and vegetarian meals, were provided.
“We observed the lunch time and it was a positive, social experience.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you update my relative's care plan if their needs or circumstances change?
- 02How will you support my relative's communication needs, including any hearing, sight, speech or language difficulties?
- 03What activities and opportunities to maintain relationships would be suitable for my relative?
- 04How do you make sure there are enough staff with the right skills on each shift?
- 05What progress has been made towards the planned nationally recognised accreditation for end of life care?
This was an unannounced first, routine inspection covering all five CQC questions; the current provider had registered as a new legal entity in 2018. This explanation was written from the published report of 3 September 2019 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 The Langston
Each visit the CQC has published, newest first, back to the day the home was registered.
- September 2019Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2018
Registered with the Care Quality Commission on 28 September 2018.
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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38 live-in carers within about an hour of Oxfordshire
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 £1,300 a week. 32 can care for a couple. 12 years' experience on average.
“We can all fully relax around Nyarai and she feels like part of our family, which is no mean feat!”
“She was v competent and confident and we felt our mum was safe in her care. She supported us through a difficult time.”
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.