We carried out a review of the data available to us about Tony Long House on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Tony Long House, you can give feedback on this service.
We found the following examples of good practice.
The provider worked closely with the registered manager to ensure safety of people living at the service.
They would only allow a new admission after a confirmed negative result of the Covid-19 test of a person.
The number of occupied beds and layout of the service, enabled easier social distancing. The management were aware of zoning guidelines but did not need to implement it as no people were Covid-19 confirmed or suspected to date. The layout of the building was suitabale should barrier nursing be required.The provider ensured there was a sufficient stock of personal protective equipment (PPE) and the supplier ensured it complied with the quality standards. Staff had infection control training and understood and practiced the correct donning and doffing procedure.
People were supported by a stable and committed team of staff whom they knew well. This helped people to recognize the individual staff with the need to wear face masks.
Staff were well supported and praised the management team, comments included; "We have six, long term service users who know the staff really well. The staff have been amazing, so hard working.” The provider considered risks and impact of the inspection on the individual staff members, this included around their health conditions as well as their caring responsibilities.
Regular testing for Covid-19 took place for both people living at the service and the staff. There was a comprehensive contingency plan what to do in case of an outbreak.
The provider ensured people's relatives were able to get in touch with people. For example, by using technology and through controlled visits.
Further information is in the detailed findings below.
The service provides personal care and support to six people with needs arising from either physical disabilities or a combination of learning and physical disabilities. The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. On the day of our inspection six people were living at the home.
At the last inspection, the service was rated Good.
At this inspection we found the service remained Good overall.
Why the service is rated Good:
People remained safe living in the home. There were sufficient staff to meet people's needs and staff had time to spend with people. Risk assessments were carried out and promoted positive risk taking which enable people to live their lives as they chose. People received their medicines safely.
People continued to receive effective care from staff who had the skills and knowledge to support them and meet their needs. People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the procedures in the service supported this practice. People were supported to access health professionals when needed and staff worked closely with people's GPs to ensure their health and well-being was monitored.
The service continued to provide support in a caring way. Staff supported people with kindness and compassion. Staff respected people as individuals and treated them with dignity. People were involved in decisions about their care needs and the support they required to meet those needs.
The service continued to be responsive to people's needs and ensured people were supported in a personalised way. People's changing needs were responded to promptly. People had access to a variety of activities that met their individual needs.
The service was led by a registered manager who promoted a service that put people at the forefront of all the service did. There was a positive culture that valued people, relatives and staff and promoted a caring ethos.
The registered manager monitored the quality of the service and looked for continuous improvement. There was a clear vision to deliver high-quality care and support and promote a positive culture that was person-centred, open, inclusive and empowering which achieved good outcomes for people.
The inspection took place on the 10th and 11th of February 2015 and was unannounced.
The service provides personal care and support to six people with needs arising from either physical disabilities or a combination of learning and physical disabilities. Limited personal care support is also provided on a domiciliary care basis to four people living independently in the adjacent flats.
The service is required to have a registered manager and one was in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People in the service were actively involved in making decisions about their care and were asked for their consent before being supported. Relationships between staff and people were relaxed and positive.
People chose how they wanted to spend their time. They had a wide range of opportunities to take part in activities and events and could access the community when they wished.
Prospective staff were subject to appropriate checks of their suitability and received the training and support they needed to carry out their role and to keep people safe.
The service responded flexibly to people’s individual wishes and changing needs and sought support from health and wellbeing specialists when necessary. People’s dignity and privacy were respected and supported by staff.
If concerns or issues were raised they were addressed and people felt the manager and staff were approachable and listened to their point of view. People’s views had also been sought through surveys and resident’s meetings.
The format of care plans was being revised to one which was more focused on the individual and better reflected their wishes and choices. The manager and provider carried out a series of audits to monitor the operation of the home and action was taken to address any issues identified.