Background to this inspection
Updated
5 January 2023
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This inspection was carried out by 2 inspectors and a specialist nurse advisor.
Service and service type
Longmoor Lodge Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Longmoor Lodge Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 4 people who use the service and 3 relatives of people. We spoke with 8 staff, including the registered manager, regional manager, deputy manager, care workers and domestic staff. We spoke with 1 visiting healthcare professional. We reviewed a range of records including 7 people's care records, medicine administration records and some records relating to the management of the service. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
Updated
5 January 2023
About the service
Longmoor Lodge is a residential care home providing accommodation and personal care to up to 46 people. The service provides support to older people, specialising in dementia care. At the time of our inspection there were 29 people using the service. The care home is split over two floors with a number of communal lounges, quiet spaces and dining areas for people to use.
People’s experience of using this service and what we found
Safeguarding processes were robust and ensured people were protected from the potential risk of abuse. There were enough suitably trained staff to meet the needs of people using the service, which included taking time to meet people’s emotional and social interaction needs. Risks to people were assessed and person-centred guidance was in place for staff to support people safely. The home was clean and well maintained. People received their medicines as prescribed. Accidents and incidents were reported, analysed and action taken to mitigate risk to people using the service.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
There were comprehensive quality assurance systems in place to monitor the quality of the service. A range of checks were completed by the registered manager and provider to ensure risks were identified and action was taken to mitigate them. The service actively sought feedback from all relevant stakeholders and used feedback to drive improvements. People were complimentary about the care they received and had positive relationships with staff. The service worked in partnership with a range of professionals, seeking and following recommendations where appropriate.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 9 March 2021) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
The inspection was prompted in part due to safeguarding concerns which had been raised by the provider. As a result, we undertook a focused inspection to review the key questions safe and well-led only. During this inspection we found the provider had taken necessary action to keep people safe.
The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Longmoor Lodge on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.