Longley Hall Limited

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Improvements were required in relation to gaining consent from people who may lack capacity, this was a recording concern and we saw people being offered day to day choices and consent being sought from people. People were receiving personalised support with achieved good outcomes for them. Care records were individualised, and staff used a range of communication methods to engage with people effectively. People were involved in menu planning and told us they enjoyed the food.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Where possible people and relatives were involved in their care planning. Relatives told us communication was in place and they were involved in their relatives’ care. Comments included, “We have regular review meetings and always get invited to those” and, “We have just had a review to discuss the care plans.” People's communication methods were recorded, and people were given information in accessible formats. Easy to read documents were in place and covered a range of subjects, including how to make a complaint, equal rights, safeguarding and advocacy. Some people had information given in large print formats and some people used Makaton signs to communicate.

Care records contained detailed guidance for staff about peoples needs and preferences. Staff had received Makaton training and we observed staff using different communication methods to effectively engage with people. One staff said, “People have detailed care plans and communication passports.”

Partners told us the service had improved. Partners spoke positively about peoples care records and told us the staff team were more responsive.

Care records were personalised and kept up to date through monthly or as required reviews. Care plans provided contained information about people's needs, wishes, likes and dislikes. Plans relating to personal care contained indivudualised information, such as which gender of staff people preferred and what toiletries they liked to use. One person's plan stated, 'likes to use a soft flannel on their face'.

People’s needs were met and monitored. health action plans were in place and people had an annual health check. The management team monitored staff practice in relation to promoting privacy and dignity and we observed people being treated with respect, such as staff knocking on people's doors before entering.

Staff were positive about the training they had received to enable them to provide higher quality support to people. One staff said, “We have had training around epilepsy, and we can now administer rescue medications, this means [name] can go out a lot more, which makes them happy.” Another staff sad, “We have had training in relation to communication, it is very useful.”

The service had a quality team in place, which monitored peoples care and records, care plan audits were in place by management team to ensure care records were up to date and used best practice guidance.

The service had a quality team in place, which monitored peoples care and records, care plan audits were in place by management team to ensure care records were up to date and used best practice guidance.

Staff worked closely with a range of external professionals to meet people holistic needs, this included Dentists, Opticians, nurses and community Learning Disability teams. Staff told us people received support from a range of healthcare professionals and the registered manager spoke highly of their working relationship with the local practice nurse.

We received positive feedback about how staff work with partners to meet people’s needs. The service had worked closely with external Positive Behavioural Support (PBS) teams, and this had had a positive impact to people.

Detailed records were kept about peoples care and support, records evidenced people received support external agencies and care plans were formulated in line with professionals’ advice and assessments.

People were involved and supported with their health and well-being. 1 person attended well-being workshops and people had access to information about how to take care of their oral health. People were involved in menu planning, this was explored through meetings and monthly reviews, and included healthy options. People told us they were happy with the food.

Staff had worked closely with epilepsy teams and 1 person had a significant reduction in their seizure activity, this had improved their health, well-being and community access. Staff told us how they ensured people’s health and well-being was managed. One staff said, “We formulate menus with people which includes healthy options of food.” And “We book health appointments for people, such as dentists and opticians, we also have a chiropodist who visits the home.”

We received positive feedback from an external healthcare professional about how staff worked with them to ensure people’s health needs were met.

Health action plans were in place and people had an annual health check. Hospital passports were in place and included a snapshot of people's needs and wishes, should they require a stay in hospital.

Systems were in place to monitor outcomes for people, this included 'Where we are now' documents, celebrating how people had achieved their goals. For example, one person had worked towards visiting their relatives and obtaining a pet, another person was working in a charity shop. A relative said, “[Name] has just started a part time job for 2 days, staff are also looking into other community things [name] can become involved with.” Another relative said, “[Name] has a key worker, they are amazing with [name].”

Staff were passionate about increasing people’s independence and achieving good outcomes for them. A staff member said, “Everyone living here has short and long term goals they are working towards, for example one persons current goal is to access the community more, following some health issues.”

People had a key worker, which was a nominated staff member to oversee their care and support. Monthly key worker reviews included a summary for the month about people’s care, any incidents or actions required, any concerns or any positive outcomes to celebrate. WIFI was available throughout service and people had chosen streaming channels and gaming channels. Regular tenant meetings were held and evidenced people were involved in choosing their care.

Relatives told us staff gained consent from people and we observed staff gaining peoples consent with their day to day care. People had access to advocacy services. 1 person was actively using an advocate to enable them to move to another flat on the site, which they had requested.

Staff understood their roles and responsibilities to seek consent from people with their day to day choices and activities. One staff said, “We gain peoples consent, sometimes people refuse care, we would report this to the manager.”

The provider had not always followed the principles of the MCA. Whilst we saw staff gaining consent from people with day to day care, records were not always in place. Where people lacked capacity to consent, appropriate assessments or consent records were not always completed. Where people may have been deprived of their liberty, appropriate authorisations had not always been sought. This was brought to the attention of the registered manager on the day of the inspection and action taken to address this.