We carried out an inspection in February 2014 and found that Langley House needed to take action to meet the following essential standards:

• Supporting workers

Langley House submitted an action plan stating they would be compliant with the outstanding regulation by 31 May 2014. We carried out this inspection, on 15 July 2014, to ensure the action plan had been put into place.

We found from talking to staff and looking at personnel records, that an appraisal system was in place and that staff were supported in other ways, for example, supervision and approachable and visible managers.

We did not speak with any patients during this inspection.

The people we spoke with were complimentary of the care and treatment they received. One person said “I am happy with the care and support I received and I am being well looked after.” Another person said “The care is excellent, staff are excellent and my experience is a positive one. The staff are very busy, caring and helpful.” A relative said “We can’t fault the care. All the staff are very caring. We do not have any concerns”.

We found that the provider was meeting all the standards we had inspected except for one. People’s privacy, dignity and their independence had been promoted. They received care and treatment that was safe and appropriate to meet the needs of individuals. People were provided with a choice of suitable and nutritious food. There were systems in place to control the spread of infection, management and safe administration of medicines and for assessing and monitoring the quality of service. However, we found that some staff did not receive regular formal supervision and that their work had not been appraised regularly.

Although, the provider and staff demonstrated they were aware of people’s cultural needs and for ensuring equality and valuing diversity, they did not meet their needs fully in practice.