Longley Health Care Limited

Updated 27 September 2017

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 registered provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 21 August 2017 and was unannounced. The inspection team consisted of three adult social care inspectors, including an adult social care inspector who was shadowing as part of their induction to the role, an expert by experience and a specialist advisor. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. The expert by experience had experience in caring for older people and people living with dementia. The specialist advisor was a nurse.

Before the inspection visit we reviewed the information we held about the service, including the Provider Information Return (PIR) which the registered provider completed before the inspection. The PIR is a form that asks the registered provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed notifications of safeguarding and other incidents we had received. Notifications are changes, events or incidents the registered provider is legally obliged to send us within required timescales.

We contacted Sheffield local authority and Healthwatch (Sheffield). Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. All of the comments and feedback received were reviewed and used to assist and inform our inspection.

We were unable to fully communicate with some people living at the home. We would normally undertake a short observational framework inspection (SOFI). SOFI is a way of observing care to help us determine the experience of people who could not talk with us. At this inspection we did not undertake a SOFI as most people spent time alone in their rooms, or were alone in communal areas and this would have been too intrusive. We observed interactions between people living at the home and staff. We spoke with five people using the service and three of their relatives to obtain their views of the home.

We spoke with 12 staff including the registered manager, the operations manager, a clinical nurse manager, qualified nurses, senior care staff, care staff, catering staff, housekeeping staff, the maintenance person and the administrator. We looked at four care plans, four staff files and records associated with the running and monitoring of the service.

Updated 27 September 2017

The home is registered as Longley Health Care Limited but is known as Longley Park View. The home is registered to provide accommodation and nursing care for up to 59 people who may be living with dementia, have mental health difficulties and whose behaviours may also challenge. The home has four units over two floors, accessed by a passenger lift. The home is purpose built and situated in a residential area of Sheffield, close to local amenities and transport links. The home has a garden and car park.

At the time of this inspection the home was undergoing a major refurbishment and one unit was closed to accommodate this.

There was a manager at the service who was registered with Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC 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 and associated Regulations about how the service is run.

Our last inspection at Longley Park View took place on 19 July 2016. We found two breaches in the regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, in regard to Regulation 18: Staffing and Regulation 19; Fit and proper persons employed. The registered provider sent an action plan detailing how they were going to make improvements. At this inspection we checked improvements the registered provider had made. We found sufficient improvements had been made to meet the requirements of Regulation 18: Staffing, as staff had been provided with regular supervision in line with the registered providers policy. We also found sufficient improvements had been made to Regulation 19: Fit and proper persons employed, as records were in place to show the registered provider had obtained all of the required information for each person employed.

This inspection took place on 21 August 2017 and was unannounced. This meant the people who lived at Longley Park View and the staff who worked there did not know we were coming. On the day of our inspection there were 41 people living at Longley Park View.

People spoke positively about their experience of living at Longley Park View. They told us they felt safe and they liked the staff.

Staff were aware of safeguarding procedures and knew what to do if an allegation was made or they suspected abuse.

Shortfalls in the systems for the proper and safe management of medicines had been identified and were being dealt with. Some aspects of these systems required further improvement.

Risk assessments were in place that identified risk and the actions required of staff to mitigate these risks. Systems would be more robust if records clearly detailed the support provided was in line with this.

Sufficient numbers of staff were provided to meet people’s needs.

Staff were provided with relevant training, supervision and appraisal so they had the skills they needed to undertake their role.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The registered provider’s policies and systems supported this practice.

People had access to a range of health care professionals to help maintain their health. A varied diet was provided, which took into account dietary needs and preferences so people’s health was promoted and choices could be respected.

Staff knew people well and positive, caring relationships had been developed. People were encouraged to express their views and they were involved in decisions about their care. People’s privacy and dignity was respected and promoted. Staff understood how to support people in a sensitive way.

A programme of activities was in place to provide people living at the home with a range of leisure opportunities.

People living at the home said they could speak with staff if they had any worries or concerns and they would be listened to.

There were systems in place to monitor and improve the quality of the service provided. Regular checks and audits were undertaken to make sure full and safe procedures were adhered to.

Further information is in the detailed findings below.