Longley Hall Limited

Improvements were required about how the service monitored incidents of behavioural distress, we found no impact to people and where people had an increase in incidents this was appropriately actioned, and referrals made to external professionals. All other accidents and incidents were monitored, and lessons learned to ensure people were safe. Improvements were required in relation to records to ensure the service were following the principles of the Mental Capacity Act (MCA), this was commenced at the time of our inspection and required embedding into practice. Staff kept both digital and paper based records, which meant records could be shared between services as appropriate. People were protected from the risk of unsafe harm. Staff were trained and understood their responsibilities to safeguard people from the risk of abuse. Risks posed to people were effectively assessed and managed. Risk assessments were in place and regularly updated. Systems were in place to ensure the environment and equipment was safe for use. However we found some radiators uncovered, which could pose a risk of burns, action was taken to address this at the time of our inspection. IPC policies and procedures were in place to protect people from the risk of infections. Medicines were safely managed.

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.

The service worked in line with the principles of Right support, Right care, Right culture. People were treated with dignity and respect, and staff promoted people’s independence, choice and control. Staff knew people well and people had control over their day to day activities and how they spent their time.

People and relatives were involved in their care and the service was centred around the people in their care. People had their individual needs met, including those with protected characteristics under the Equality Act. Peoples social, cultural and religious needs were assessed and met.

People, relatives, staff and partners were positive about the changes made at the service, they told us the service was well led and had improved under the new registered manager. Effective governance systems were in place to ensure the service continued to improve the quality and safety of care provided to people.