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Longfield Residential Home - MD Inadequate

We are carrying out a review of quality at Longfield Residential Home - MD. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Inadequate

Updated 7 October 2021

About the service

Longfield Residential Home – MD is a residential care home providing personal care to 13 people aged 65 and over at the time of the inspection. The service can support up to 24 people. The service specialises in caring for people living with dementia. The service is in a residential area close to Blackburn town centre and local amenities.

People’s experience of using this service and what we found

We were not assured the provider was preventing visitors from catching and spreading infections. We found Personal Protective Equipment (PPE) stations were not always adequately stocked and staff were not always wearing PPE correctly. Staff had not always had training in infection control.

The environment was not clean. We found dirty bedrooms, a dirty bathroom, dirty bedding, and dirty chairs. Staff told us the home was not clean. The laundry room contained a sluice area which was extremely dirty and was not suitable for use, therefore staff were using a toilet and a person's bedroom as separate laundry areas. A relative also raised concerns with us, shortly after the inspection, about the unclean state of their family member recently.

Some staff told us they were not asked to complete and had not completed a polymerase chain reaction (PCR) or lateral flow device (LFD) tests on a regular basis. Records showed a number of staff had not completed PCR or LFD tests but were still working in the service. One relative told us, “We have not been able to visit for some time, they keep in contact by phone, hopefully we can visit soon.” The manager told us staff had inadvertently given incorrect information about visiting and previous local Government guidance.

People using the service were not always safe from the risk of fire. We requested immediate action was taken to remove combustible materials from exposed hot pipes in the laundry room and raised concerns with local fire safety officers, who attended the service the following day. They also requested immediate measures were put in place to address some fire safety concerns. Staff did not always know how to respond in the event of a fire or emergency situation and Personal Emergency Evacuation Plans were not always accurate.

Risks to people’s health and safety were not always assessed and managed. For example, those at risk of weight loss were not being weighed as frequently as required. People were at risk due to incorrect moving and handling procedures from staff.

Medicines were not always managed safely. We found a specific medicine was not being stored correctly. One staff member was unsure what a certain medicine they were administering was prescribed for. We have made a recommendation about the safe management and administration of medicines.

The provider had not always notified us of safeguarding incidents that had occurred in the service. We have made a recommendation about the management of safeguarding notifications.

The service did not have sufficient staff to meet the needs of people using the service. One staff told us, “There are not enough permanent staff employed. We use a lot of agency staff. However, agency staff often don’t show up or let you down at the last minute.” Staff also told us they did not have enough time to spend with people.

Staff had not always been adequately trained to meet the needs of people using the service. Agency staff were not always given an appropriate handover to ensure they were aware of risks to people’s health and safety, people’s needs or to ensure they were aware of action to take in an emergency.

The service was not caring. People were not treated with dignity and respect. We found people presented with food on their clothing and around their mouth’s. The local safeguarding team had also reported seeing people with dirty clothes, food around their mouths, unkempt and with significantly dirty feet. One relative raised concerns with us about the presentation of their family member and stated, “[Person'

Inspection areas

Safe

Inadequate

Updated 7 October 2021

The service was not safe.

Details are in our safe findings below.

Effective

Good

Updated 7 October 2021

Caring

Inadequate

Updated 7 October 2021

The service was not caring.

Details are in our caring findings below.

Responsive

Good

Updated 7 October 2021

Well-led

Inadequate

Updated 7 October 2021

The service was not well-led.

Details are in our well-Led findings below.