2 March 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 3 February 2022 and was unannounced.
2 March 2022
About the service
Longcliffe care home is a residential care home providing accommodation and personal care for up to 42 older people some of whom had physical disabilities. At the time of the inspection 16 people were using the service.
People’s experience of using this service and what we found
People's risk assessments required improvement. Records were not always updated to reflect people's current needs and information within records was contradictory. This meant staff may not have the information they need to provide safe care.
Some infection control practices did not mitigate the risk of contracting and spreading COVID-19 within the care home. Staff were observed not wearing appropriate personal protective equipment when supporting people with medicines and failing to wear face masks or ensure these were fitted correctly. Medicines were not always administered safely.
People were protected from abuse. However, the provider had not always submitted notifications of serious incidents and accidents to the Care Quality Commission. This meant we could not ensure timely action had been taken to keep people safe.
Oversight of the service required improvement. Not all concerns found on inspection had been identified through the providers' audits and checks.
Staff were safely recruited to ensure they were suitable to work in the staff. The provider had implemented contingency planning to ensure sufficient numbers of staff were deployed to meet people's needs.
People and their relatives felt the service was safe and provided personalised care. People and relatives gave examples of positive outcomes as a result of the care provided. Staff felt supported and engaged in the service. The management and staff were open and transparent throughout the inspection. They agreed to ensure changes were made to improve the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (Published 25 August 2018)
Why we inspected
The inspection was prompted in part due to concerns received about care and support. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Longcliffe care home on our website at www.cqc.org.uk.
We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.