CQC report explained · a residential care home
What the CQC found at Longview
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, April 2022
Rated Good; inspectors found safe, respectful care, but earlier safeguarding and audit records needed improvement.
Inspectors made an unannounced visit on 29 March 2022. They spoke with six people, one relative and eight staff. They also checked care records, medicines, staff files and management records.
The home was rated Good for Safe and Well-led. People said they felt safe, staff were kind and there were enough staff. Medicines, infection control, staff recruitment and risk assessments were checked and found to be managed safely.
The inspection followed concerns about safeguarding referrals and how falls were handled. Inspectors found that some incidents that should have been referred to the local authority had not been referred at the time. The manager later made these referrals and reviewed the systems. There was no evidence during this inspection that people had been harmed because of this concern.
The overall Good rating remained unchanged from the previous inspection, published on 11 November 2019.
Kind and respectful staff
People were happy with the care and spoke positively about staff. Staff were described as respectful and supportive.
“I have lived here for six years, staff are great and treat you with respect.” from the report
Safe medicines support
Staff who gave medicines had training and regular competency checks. Medicines records contained the information staff needed.
“Medicine administration records were in good order and contained all the information staff needed to support people safely.” from the report
Enough staff and suitable recruitment
People said staff responded to their calls without a long wait. Recruitment checks, induction and training were in place.
“Staff pop in and see me. I have my buzzer if I need them, they are good at coming, it is not a long wait.” from the report
Safeguarding referrals were not always made promptly
seriousA local authority visit found that some incidents and accidents meeting the safeguarding threshold had not been referred. The manager made retrospective referrals and reviewed the system.
“not all incidents and accidents that met the threshold for a safeguarding referral had been raised with the local authority.” from the report
Falls and safeguarding audits had weaknesses
needs fixingThe manager identified failings in these audits and was working to make the information more accurate. Families should ask how this checking now works.
“The registered manager had identified failings in their falls and safeguarding audits and were addressing these to reflect accurate data.” from the report
- 01How do you now make sure every incident needing a safeguarding referral is reported promptly?
- 02What changes have been made to the falls and safeguarding audits, and can you show how they are checked?
- 03How do you monitor whether staff remain competent to give medicines?
- 04How do you identify and respond to changes in residents' weight or appetite?
- 05How do you collect and act on feedback from residents and relatives?
This was a focused inspection of Safe and Well-led, prompted by concerns about safeguarding referrals and falls; Effective, Caring and Responsive were not separately rated. This explanation was written from the published report of 28 April 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.
What inspectors found, November 2019
Rated Good; inspectors found safe, kind and personalised care with effective management and quality checks.
This was an unannounced inspection on 26 September 2019. Inspectors spoke with nine people living in the home, seven relatives and eight staff. They also reviewed care, medicines, recruitment and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines practice, personalised care plans and staff who treated people with dignity and respect.
People and relatives were positive about the care. The home offered varied activities, supported access to health services and involved people and relatives in decisions. Complaints were acted on and quality checks were in place.
The previous inspection rating was also Good, published on 10 February 2017. This inspection was planned because of that previous rating, and all five ratings remained Good.
Enough trained staff
Inspectors found there were enough staff to meet people's needs. Recruitment checks and staff training were also in place.
“There were enough staff to meet people's needs.” from the report
Safe medicines practice
Medicines were given by trained staff. Their competence was checked regularly and medicines records contained information about people's individual needs.
“People's medicines were administered safely by trained staff.” from the report
Kind and respectful care
People and relatives spoke positively about the care. Staff knew people's needs and supported their choices and dignity.
“People and their relatives spoke positively about the care and support received.” from the report
Personalised activities
Care was tailored to people's likes, dislikes and communication needs. People were involved in planning a varied programme of meaningful activities.
“People's care was personalised and people were supported to take part in a range of different activities which were meaningful to them.” from the report
Good management oversight
The management team used audits, meetings, surveys and feedback to monitor the home and make improvements.
“The management team had put in place effective quality monitoring processes, this ensured the manager had good oversight of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you make sure there are enough trained staff for my relative's needs, including at busy times?
- 02How often will my relative's care plan be reviewed if their mobility, health or communication needs change?
- 03How will you support my relative to choose activities that match their interests and preferences?
- 04How are medicines checked and how often is staff competence in giving medicines reassessed?
- 05How will you record and follow my relative's wishes if they need end of life care?
This was an unannounced inspection of the care, accommodation and management of the home, covering all five CQC questions. This explanation was written from the published report of 6 November 2019 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 Longview
4 rated inspections over 7 years: the service has held its Good rating throughout.
- April 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2019Goodstayed GoodSafe: GoodWell-led: Good
- February 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 16 December 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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35 live-in carers within about an hour of Essex
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,260 a week. 25 can care for a couple. 10 years' experience on average.
“Not only was she professional, polite and efficient but she bought a lovely smile and laughter to my parents home.”
“She brought fun and stimulation into mums life.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.