Archived: Langfield Nursing and Residential Home

Updated 20 November 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 29 September 2015 and was unannounced.

The membership of the team consisted of two inspectors.

Before this inspection we reviewed previous inspection reports and notifications that we had received from the service. We did not request a Provider Information Return (PIR) because the service would not have had sufficient time to complete it. This is a form that asks the provider to give some key information about the service, what the service does well and any improvements they plan to make.

During the inspection we observed care and support in the communal areas of the home. We looked at the care records for three people who used the service and medicines records for 19 people. We spoke with 11 people who used the service, the relatives of three people who used the service, 8 members of staff and the manager. We also looked at a range of records relating to how the service was managed; these included training records, quality assurance audits and policies and procedures.

Updated 20 November 2015

Langfield Nursing and Residential Home is registered to care for up to 52 older people with nursing and personal care needs. It is a purpose built home situated in a residential area of Middleton, close to shops and local transport.

We last inspected this service ion 20 June 2014 when the service met all the regulations we inspected. We undertook this unannounced inspection on 29 September 2015.

The service did not have a registered manager. The person in charge had applied to register with the Care Quality Commission. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People who used the service told us that Langfield was a safe place to live. Safeguarding procedures were robust and members of staff understood their role in safeguarding vulnerable people from harm.

We found that recruitment procedures were thorough and protected people from the employment of unsuitable staff.

The home was clean and appropriate procedures were in place for the prevention and control of infection.

Members of staff told us they were supported by management and received regular training to ensure they had the skills and knowledge to provide effective care for people who used the service.

Members of staff had also been trained in the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS) so they knew when an application to protect a person’s best interests should be made and how to submit one.

Most of the people we asked told us the meals were good. Snacks and drinks were available between meals. We found that people’s weight and nutrition was monitored so that prompt action could be taken if any problems were identified.

People were registered with a GP and had access to a full range of other health and social care professionals.

We saw that members of staff were courteous and treated people with respect. People who used the service were nicely dressed and looked smart.

We saw that care plans included information about people’s personal preferences which enabled staff to provide care that was person centred and promoted people’s dignity and independence.

Leisure activities were routinely organised at the home. People using the service were given a copy of the activities programme every month to enable them to choose what they wanted to do.

A copy of the complaints procedure was displayed in the home. People who used the service and their relatives told us they would make a complaint if necessary.

People who used the service were given the opportunity to express their views about the service at meetings held regularly to discuss the service provided and activities.

Members of staff told us they liked working at the home and found the manager approachable and supportive.

Visiting professionals told us the home was managed effectively.

We saw that systems were in place for the manager to monitor the quality and safety of the care provided.