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Inspection Summary


Overall summary & rating

Good

Updated 9 February 2018

We inspected Longview on 8 and 9 January 2018. The inspection was unannounced. The service caters primarily for people with dementia. At the last inspection, in June 2017, the service was rated ‘Requires Improvement.’ This was because we had some concerns that people’s dignity and respect were not always promoted by staff for example how staff assisted people with eating and drinking; moving and handling, when assisting people to move about the service, was not always carried out to a satisfactory standard, and CQC was not always notified appropriately of matters, such as safeguarding concerns, as is required by law. At this inspection we found the registered manager had appropriately addressed the matters of concern. As a consequence, at this inspection, the service has been rated as Good.

Longview is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Longview accommodates 28 people.

The service had a registered manager. 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.

The service was viewed by people we spoke with as very caring. We received many positive comments about the attitudes of staff aand the owners. For example, “Longview is an exceptionally well run home, the staff and owners are approachable, considerate and professional. I have seen other homes and Longview is head and shoulders above all of them,” “Care is excellent,” “Longview has always appeared to us excellent in every way. It is secure, more than adequately catered for by staff who appear both well trained and caring,” “I could not be happier with the care received from the excellent staff,” “I hold up the up most respect for Mr Patel and his care team. I find his approach to care very impressive and indeed just what is needed for local folks in dire need of good quality care,” “Immaculately clean and extremely well appointed…Very homely and comfortable.” “Happy and contented,” and “Staff at the home are very supportive and helpful.”

People told us they felt safe, and we also received positive comments from relatives that the service was “Safe and secure,” and staff were “watchful and very quick to respond,” if there were any problems. The service had a suitable safeguarding policy, and staff had been appropriately trained to recognise and respond to signs of abuse.

People had suitable risk assessments to ensure any risks of them coming to harm were minimised, and these were regularly reviewed. Health and safety checks on the premises and equipment were carried out appropriately.

There were enough staff on duty to meet people’s needs. The service had a suitable recruitment procedure, and appropriate checks were carried out on new staff to ensure they were suitable to work with vulnerable people. Staff were suitably trained. Staff received a comprehensive induction when they started to work at the service, and they received regular supervision to provide them with feedback and guidance about their work.

The medicines’ system was well managed, medicines were stored securely, and comprehensive records were kept regarding receipt, administration,and disposal of medicines. Staff who administered medicines received suitable training.

The service was exceptionally clean and hygenic. A relative told us, “I have always found Longview clean, fresh and well maintained. Unlike (my relative’s) previous home there is no smeall of urine.”The building was well decorated, well maintained and well furnished.

Assessment processes, before someone moves into the service are comprehensive. Thes

Inspection areas

Safe

Good

Updated 9 February 2018

The service was safe.

The service had suitable policies and procedures to deal with any concerns where there was suspected abuse.

There were enough staff on duty so people received appropriate support with their care.

The medicines system operated well, and people received their medicines on time.

Effective

Good

Updated 9 February 2018

The service was effective.

Staff received suitable induction and training so they had the right skills and knowledge to do their jobs.

People received enough to eat, and received good support if they needed help to eat and drink.

People received good support to meet their health care needs. The service had well developed links with external professionals such as GP’s and social workers.

Caring

Good

Updated 9 February 2018

The service was caring.

Staff were observed as kind and supportive. Staff took time to provide people with the help they needed, and involved people in their support as much as possible.

People had comprehensive care plans and these were reviewed regularly.

Relatives said they could visit at any time and they always felt welcome.

Responsive

Good

Updated 9 February 2018

The service was responsive.

Care plans provided staff with sufficient information to enable them to meet people’s needs.

People had the opportunity to join in with a wide range of activities which they could participate in.

The service had a suitable complaints procedure. Relatives said they could approach staff and management, and any concerns would be resolved effectively.

Well-led

Good

Updated 9 February 2018

The service was well led.

The registered manager had made many positive changes to the service since she had been in post since the beginning of the year.

Staff said they worked well together as a team. There were suitable systems in place to ensure effective communication and the sharing of tasks which needed to be completed.

The service had a suitable approach to quality assurance to ensure it was effectively run, and where necessary improvements were made.