Langdale Nursing Home

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.

Family members told us the home provided a safe environment for people and described how the service had clear COVID protocols. These minimised the risk of infection and yet allowed visiting within a custom- built chalet, a summer house in the garden, and inside in a dedicated COVID secure room. Even prior to COVID, relatives said that environmentally the home was safe, and that people were treated very well by staff and other people living in the service?

People were kept safe from avoidable harm and abuse. The provider had safeguarding procedures in place, which staff understood and followed. Risk assessments reflected how care should be provided to minimise any risks to people; they were regularly reviewed to adapt the level of support needed in response to people's changing needs.

People and their relatives told us they were happy with the variety and choice of meals available to them. Regular snacks and drinks were available between meals, to ensure they received adequate nutrition and hydration.

People received care and support that met their needs. People's care and support needs were assessed, and good practice guidance was followed. People were involved in the planning and review of their care and were encouraged to express their views, preferences and wishes regarding their care, support and treatment. This included any end of life wishes they had.

A professional told us they were always welcomed and attended to by staff when they visited people living at the home. They also told us the staff communicated very well, they listened to advice and always carried out any instructions they left. They said the home always acted promptly and professionally and made referrals to their service in a timely way. Hygiene at the home was reported to be of a good standard and the

home always appeared to have enough staff. They stated the staff appeared to work as a team and that any information the home shared was relevant and good.

The provider had a robust auditing system in place to monitor quality assurance. Records demonstrated any identified issues were acted upon in order to make improvements. The registered manager and provider had systems in place to obtain the views of people who lived at the home and their relatives.