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CQC report explained · a residential care home

What the CQC found at Longlast

Outstandingpublished 14 March 2018, 8 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection risks were being managed, including visiting, testing, protective equipment, admissions, hygiene and outbreak planning. The provider also said it had measures to manage COVID-19-related staffing pressures.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Outstanding
Are people treated with kindness and dignity?
Responsive?
Outstanding
Is care built around the person? Care plans, activities, complaints.
Well-led?
Outstanding
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, February 2022

Longlast was inspected but not rated; inspectors found strong infection control and safe visiting arrangements.

This was an unannounced, targeted inspection on 27 January 2022. It focused on infection prevention and control during COVID-19, and on whether staffing pressures were affecting people.

Inspectors were assured that the home was managing visitors, testing, personal protective equipment, admissions, social distancing and possible outbreaks safely. Staff had infection control training, and the home had good supplies of protective equipment.

The home supported people to keep in touch with relatives in several ways. The inspection did not give an overall quality rating. The safe question was recorded as inspected but not rated.

What inspectors praised
  • Safe visiting

    The home offered different ways for people to see relatives, including visits inside, in a garden pod, in the community or at relatives' homes.

    “People and relatives had choice about how they received their visits” from the report
  • Outbreak planning

    Testing and contingency plans helped the home respond quickly when positive cases occurred. The layout was used to reduce the risk of infection spreading.

    “This helped to minimise the risk of cross infection.” from the report
  • Infection control training

    Staff had completed infection prevention and control training, including how to put on and remove protective equipment. The home also had good stocks of protective equipment.

    “All staff had received and embedded their training in infection prevention and control and donning and doffing PPE.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are COVID-19-related staffing pressures affecting people now, and what measures are in place to manage them?
  2. 02What visiting choices are currently available if infection restrictions are introduced?
  3. 03How quickly are staff and residents tested when there is a suspected or confirmed positive case?
  4. 04How are the home's outbreak contingency plans used in practice?
  5. 05How do you check that all staff remain competent in infection control and the safe use of protective equipment?

This was a targeted inspection of infection prevention and control, with questions about staffing pressures; it did not provide a full rating of the other areas of care. This explanation was written from the published report of 9 February 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, March 2018

Rated Outstanding; inspectors found exceptionally caring, responsive and well-led support, with safe and effective care rated Good.

This was an unannounced inspection over three visits in January 2018. Inspectors spoke with people using the service, relatives, staff and visiting professionals. They reviewed care plans, medicines records, staff files and management records.

The home supported nine people with learning disabilities and could accommodate up to 11. Inspectors found enough trained staff, safe medicines management, clean surroundings and suitable risk assessments. People were supported to make choices, stay independent and access health care.

The home was rated Outstanding overall. Caring, Responsive and Well-led were rated Outstanding. Safe and Effective were rated Good. Caring and Responsive had improved from the previous inspection, while Well-led remained Outstanding.

What inspectors praised
  • Personalised support

    Care plans recorded people's backgrounds, preferences and needs in detail. Staff used this information to provide consistent, individual care.

    “Care records were extremely detailed and assisted staff to identify how to work well with people.” from the report
  • Activities and community life

    People helped choose activities and were supported to keep their hobbies, friendships and faith. Staff arranged opportunities both at the home and in the community.

    “There was an emphasis on meeting people's social needs and ensuring that people maintained their hobbies and interests.” from the report
  • Health support

    Staff worked closely with health professionals and supported people to attend appointments. Staff could stay with a person in hospital from 8am to 10pm when needed.

    “Staff were adept at ensuring people received their regular check-ups, were referred to healthcare professionals in a timely manner” from the report
  • Strong management

    The management team regularly checked the quality of care and acted on what they found. People and staff were included in decisions about the home.

    “There were very effective systems in place to monitor and improve the quality of the service provided.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you assess and record my relative's communication methods, preferences and support needs?
  2. 02Which activities and community opportunities could my relative take part in, and how would they choose them?
  3. 03How would you support my relative to maintain friendships, family contact, hobbies and faith?
  4. 04If my relative needed hospital treatment, what support would staff provide during the visit or stay?
  5. 05How would my relative and our family be involved in reviewing the care plan and raising concerns?

This was an unannounced comprehensive inspection covering all five CQC questions and the overall rating, with the premises and care provided both examined. This explanation was written from the published report of 14 March 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Longlast

2 rated inspections over 2 years: the service has improved, from Good to Outstanding.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Longlast →

  2. March 2018Outstandingup from Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Longlast →

  3. December 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding

    Read this report on cqc.org.uk

  4. July 2015

    Registered with the Care Quality Commission on 1 July 2015.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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