Langford Park

The management team promoted a culture of openness and honesty. They were open and transparent during the inspection. They demonstrated their commitment to reflecting and learning when things went wrong and sharing this knowledge with staff to improve the quality and safety of the service. The majority of staff told us they felt well supported both personally and professionally. They were passionate about their role.

There was a robust and effective quality assurance programme in place. This meant the provider had already identified the majority of issues we found at the inspection and was taking action to address them. Where issues had not previously been identified, the provider took immediate action in response to our feedback.

We found improvements were needed to care plans to guide staff in the cleaning of equipment and recognising signs of infection. The management team acted immediately, and this information had been added to care plans before the end of the inspection. Overall, we found the management of risk had improved, with better recording and well trained and competent staff. The staff team worked in partnership with external health and social care professionals to support people. A robust pre-admission process was in place to ensure any new placements were safe and well planned, after issues had arisen following the admission of people with very complex needs.

People felt safe living at Langford Park and there were enough staff to meet their needs. The provider took action during the inspection to stagger staff breaks, to ensure communal areas were adequately staffed at all times. Last minute sickness had been a challenge, but this had been addressed by the management team and improved over recent weeks. Staff were recruited safely, and safeguarding processes were in place to help protect people from abuse. One person said, "It's okay, they are all nice. They make sure you are clean,

make sure you are comfortable."

There were systems in place to ensure the safe administration of medicines, although some improvements were needed in relation to the recording of topical medicines administration; the storage of oxygen cylinders and protocols for the use of 'as required' medicines. Immediate action was taken to address these issues.

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.