CQC report explained · a nursing home
What the CQC found at Longley Health Care Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, September 2017
Longley Health Care Limited was rated Good overall, but inspectors found medicines management and some risk records needed improvement.
This was an unannounced inspection on 21 August 2017. Inspectors spoke with people living at the home, relatives and staff. They observed care and checked care plans, medicine records, staff files and other records.
The home was rated Good overall. Effective, Caring, Responsive and Well-led were all rated Good. Safe was rated Requires Improvement because some medicine checks and records were not reliable enough, and one person's dietary risk instructions were not always clearly recorded.
The home was being refurbished, and one of its four units was closed temporarily. The previous inspection had found problems with staffing supervision and recruitment records. Inspectors found these improvements had been made.
Kind and respectful care
Staff knew people well and supported them in a patient and respectful way. Inspectors saw staff explain care, seek consent and offer reassurance.
“We saw in all cases people were cared for by staff that were kind, patient and respectful.” from the report
Enough staff
Inspectors found staffing levels were maintained and sufficient to meet people's needs. People and staff also said there were generally enough staff.
“We found one nurse, one senior and between four and six care staff were provided each day on each of the three units.” from the report
Good support and training
Staff received relevant training, regular supervision and appraisals. People had support from healthcare professionals and their nutritional needs were monitored.
“Staff were provided with a regular programme of training, supervision and appraisal for development and support.” from the report
Activities and choice
The home provided individual and group activities, including trips out and visits from entertainers. People could choose whether to take part.
“We found that activities were provided individually or in small groups to meet people's diverse needs.” from the report
Improvements since the last inspection
The previous problems with staff supervision and recruitment records had been addressed. Inspectors found the requirements relating to both areas were now met.
“At this inspection we found improvements had been made.” from the report
Medicine checks and records
seriousMedicine fridge and room temperatures were not always recorded. Some stock balances were wrong, and the timing of some medicines was not formally recorded.
“Shortfalls in the systems for the proper and safe management of medicines had been identified and were being dealt with.” from the report
Risk support was not always clearly recorded
seriousOne person's food records did not clearly show that food had been prepared in line with their swallowing risk assessment. The manager updated the records and planned a further assessment.
“Records of the support provided did not always evidence the actions required of staff to mitigate identified risk had been adhered to.” from the report
Some guidance was incomplete
needs fixingA few records for medicines given when needed did not explain clearly when staff should give them. Some behaviour care plans also needed more detail about triggers and distractions.
“However, we saw a few examples where this guidance was not in place.” from the report
- 01What changes have been made to medicine checks since the inspection, and how do you confirm that fridge and room temperatures are recorded every day?
- 02How do you now record the exact timing of medicines that must be given before food or other medication?
- 03How do you check that each person's risk assessment is followed and clearly recorded, especially for swallowing and dietary risks?
- 04Have all 'when required' medicine instructions and behaviour support plans been completed with enough detail for staff who do not know the person well?
- 05How has the refurbishment affected the home, and when was the temporarily closed unit expected to reopen?
This was an unannounced inspection covering all five key questions; inspectors did not carry out a SOFI observation and reviewed four care plans, four staff files and other selected records. This explanation was written from the published report of 27 September 2017 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.
Every inspection of Longley Health Care Limited
2 rated inspections over a year: the service has improved, from Requires improvement to Good.
- September 2017Goodcurrent ratingup from Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- October 2010
Registered with the Care Quality Commission on 1 October 2010.
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.
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