Langley Lodge Nursing Home

We found the following examples of good practice.

• Arrangements were in place for visitors and relatives to access the service safely. Temperature checks were carried out and personal protective equipment [PPE] was available. A designated visiting room was available for all visits.

• The service was very clean. We saw cleaning of all areas taking place. Cleaning schedules were in place which showed frequency of cleaning undertaken including high touch point areas and deep cleaning.

• Social distancing measures were in place for people living at the service and for staff. These included staggered start and finish times for staff and communal areas being rearranged to provide people with more space.

• People had been admitted safely to the service inline with government guidelines which included isolating people in their rooms for 14 days.

• Staff had received regular training in the use of PPE and infection control. Staff were following government guidance and PPE was available throughout the service for staff to access.

• Staff and people using the service were part of a regular testing programme. The service was following government guidance on testing frequency.

• The service had in place COVID-19 policies and procedures. Infection control audits were carried out regularly to ensure the service was compliant with current guidance.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good.

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. There were systems in place to minimise the risk of infection. People were cared for safely by staff who had been recruited and employed after appropriate checks had been completed. People’s needs were met by sufficient numbers of staff. Medication was dispensed by staff who had received training to do so.

People were safeguarded from the potential of harm and their freedoms protected. Staff were provided with training in Safeguarding Adults from abuse, Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

People had sufficient amounts to eat and drink to ensure that their dietary and nutritional needs were met. The service worked well with other professionals to ensure that people's health needs were met. People's care records showed that, where appropriate, support and guidance was sought from health care professionals, including a doctor, district nurse and the palliative care team. The environment was appropriately designed and adapted to meet people’s needs.

Staff were well trained and attentive to people's needs. Staff were able to demonstrate that they knew people well. Staff treated people with dignity and respect.

People were provided with the opportunity to participate in activities which interested them at the service. These activities were diverse to meet people’s social needs. People knew how to make a complaint should they need to. People were provided with the appropriate care and support at the end of their life.

The registered manager had a number of ways of gathering people’s views, they held regular meetings with people and their relatives and used questionnaires to gain feedback. The registered manager carried out quality monitoring to help ensure the service was running effectively and to make continual improvements.