Langdale Lodge

Updated 8 February 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was completed by 1 inspector, 1 inspection manager and 1 specialist nurse advisor.

Service and service type

Langdale Lodge is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Langdale Lodge is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection and sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke to 5 relatives, 5 staff, including the registered manager, clinical operations manager and maintenance lead. We reviewed 6 people's care records which included care plans, risk assessments and medicines records. We looked at 3 staff files in relation to recruitment. A variety of records relating to the management of the service were reviewed including policies and procedures.

Updated 8 February 2023

About the service

Langdale Lodge is a residential care home providing personal and nursing care to up to 30 people. The service provides support to older people, people living with dementia and younger adults. At the time of our inspection there were 30 people using the service. The home provides care across 2 floors, with a communal lounge and dining areas.

People’s experience of using this service and what we found

Systems were in place to protect people from abuse. Risks to people were regularly assessed and appropriate measures were in place to minimise risk. Staff understood safeguarding principles and were aware of how to raise a concern. There were enough staff to meet people’s care needs. Staff were recruited safely, and appropriate checks were completed prior to employment. People received their prescribed medicines safely and staff followed correct infection control procedures. Accidents and incidents were recorded and actions were taken to mitigate risk of reoccurrence.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. The registered manager focused on providing a warm, friendly person-centred environment. Relatives told us there was an open and welcoming family feel to the home. People told us the care provided to people was good and staff developed positive relationships with people. The provider worked alongside other healthcare professionals to support people's care needs.

There were systems in place to monitor the quality of the service. The provider promoted a positive learning culture in the home. People were consulted with regularly to give feedback on the service; this was used to drive improvements.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 20 September 2018).

Why we inspected

We received concerns in relation to staffing and care practice. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this full report

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Langdale Lodge on our website at www.cqc.org.uk.