Longley Health Care Limited

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence. At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them, or representatives. People’s needs were assessed before they began using the service. The assessment covered all key aspects of their care and support, including mobility, nutrition, personal hygiene, medicines, communication, and social interests. The management team gathered as much information as possible from people, their relatives, and the local authorities commissioning the care packages. This ensured they had sufficient detail to understand and meet each person’s needs.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. Recognised assessment and monitoring tools were used appropriately to track improvements or concerns. The management team had oversight of these and planned action appropriately with the involvement of family and the staff team. The service had links with other organisations such as the district nursing community team, physiotherapy teams, and speech and language therapists (SALT).

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. Staff worked well with external community professionals to effectively deliver co-ordinated, timely and consistent person-centred care. Plans for transition and referrals to health services considered people’s individual needs, ongoing care arrangements, and expected outcomes. A professionals told us, “I have a very good relationship with the staff of Longley Park View. Managers are professional, nurses and carers are excellent. Patients and their families are always treated with respect and care.” Another professional commented, “There are no barriers to working with Longley Park View. Managers and the staff team are very open and take feedback on board in a reflective manner.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. Care plans included peoples’ preferences in how they would like to be supported, and their level of independence. Care plans also included information on how to achieve positive outcomes for people, such as encouraging people to mobilise independently, and make healthier choices in their lifestyle including physical and oral hygiene. Where people were at risk of deterioration in their hygiene, health and skin integrity, staff worked collaboratively with them to ensure they were given individualised support at a time that suited them or made collaborative decisions in people’s best interests. We saw evidence the management team made referrals to appropriate health services quickly and acted swiftly on their recommendations. Partners told us they were confident that staff knew people very well. The provider demonstrated the range of activities within their service and discussed with us the positive impact this had on people’s well-being. People and relatives were complimentary of the food on offer at the service telling us, “The food is pretty good and if people require a special diet, the home is able to provide this.” And “My relative tells me the food is lovely. If anything, they say they sometimes gets too much!”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. Staff undertook regular checks to monitor each person’s health and wellbeing. These checks were recorded, reviewed by senior staff and actions identified for any issues raised. People and relatives were involved in the reviews of their care plans. People’s care plans identified the person’s care needs, their preferences about their support and how staff could ensure these were met. Relatives told us their loved one’s well-being had “improved a lot” and the service had supported them to access the community again. This meant people were able to achieve positive outcomes and regain some independence. The provider shared with us numerous examples of people’s health and well-being improving since being in the service. For example, a person who prior to entering the service refused personal care. However, since building a trusting relationship with staff now has personal care support on a regular basis.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. We observed staff and management always asking for consent when entering people’s bedrooms or providing care and medication. People were supported to make their own decisions about their care. The service told us about people’s capacity and how they were able to refuse or give consent for specific decisions. Where people lacked capacity, assessments had been completed with people’s representatives and healthcare professionals and best interest decisions made.