Longview

Longview is a residential care home providing personal care to up 70 people. The service provides support to older people some of whom maybe living with dementia. At the time of our inspection there were 62 people using the service. The service is set over two levels and people can use lifts to move around to the multiple lounges and communal areas. There is also access to outside space and gardens.

People’s experience of using this service and what we found

people we spoke with were happy using the service and complimentary of the staff. One person said, "It is perfect here the staff are so good."

Care and treatment were planned and delivered in a way that was intended to ensure people's safety and welfare. People were cared for safely by staff who had been recruited and employed after appropriate checks had been completed. Staff had received appropriate training. There were systems in place to minimise the risk of infection and to learn lessons from accidents and incidents. Medication was dispensed by staff who had received training to do so.

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.

The registered manager had put systems in place to monitor and provide good care and these were reviewed on a regular basis.

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 11 November 2019). At this inspection the service has remained good.

Why we inspected: The inspection was prompted in part due to concerns received about safeguarding referrals not being raised and how the service responded to falls. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe and well led sections of this full report.

Follow up: We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Longview is a residential care home providing accommodation and personal care for up to 70 people aged 65 and over. At the time of the inspection 70 people were living at the service, this included people living with dementia.

People’s experience of using this service and what we found

People we spoke with told us they felt happy and safe living at Longview.

Systems were in place to safeguard people from harm and risks were assessed appropriately. There were enough trained staff to meet people’s needs and people’s medicines were administered safely.

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.

Staff were knowledgeable and caring and treated people with dignity and respect. People and their relatives spoke positively about the care and support received.

People’s care was personalised and people were supported to take part in a range of different activities which were meaningful to them. People knew how to raise concerns and told us they felt confident these would be addressed when raised. The service worked with other health professionals to meet people’s needs.

People and relatives spoke highly of the manager and the positive culture created by the management team. Staff told us they felt supported by the manager. Quality monitoring processes were in place to assess and 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 10 February 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

At our last inspection, the service was rated good and at this inspection we found the service remained good.

The service was safe. People received a safe service and were protected from the risk of harm. There were enough staff that had been safely recruited to help keep people safe and meet their needs. Medication management was good and people received their medication as prescribed.

The service was effective. People were cared for by experienced and well trained staff. The service ensured that people had the support they needed to have as much choice and control over their lives in the least restrictive way possible. People received sufficient food and drink to meet their needs and preferences and their healthcare needs were met.

The service was caring. Staff knew the people they cared for well and were kind, caring and compassionate in their approach. People were encouraged and supported to remain as independent as possible. Staff ensured that people were treated with dignity and respect and their privacy was maintained at all times.

The service was responsive. People were fully involved in the assessment and care planning process. Their care plans had been regularly reviewed to reflect their changing needs. People were encouraged and supported to participate in a range of activities to suit their individual interests. Complaints were dealt with appropriately in a timely way.

The service was well-led. People were positive about the quality of the service. The registered manager and staff were committed to providing people with good quality person centred care that met their needs and preferences. There were good systems in place to monitor the quality of the service and to drive improvements. The service met all relevant fundamental standards.

Further information is in the detailed findings below.

Two relatives spoken with were generally happy with the care and support provided by the service. They felt that when they had raised issues that staff and management had been responsive and acted to address their issues.

You can see our judgements on the front page of this report.

Those people who were unable to communicate were observed during the day and their body language and facial expressions were noted and people appeared relaxed with staff. Staff were observed speaking with people with dignity and respect and involving them in their care. Staff were observed interacting with people and there was a homely atmosphere. Feedback from people spoken with included 'I could not ask for more,' 'Excellent care' and 'They are marvellous.'

An Expert by Experience assisted on the day of the visit and their finding included 'I thoroughly enjoyed my day at Longview, and was grateful for the warm welcome I received from the management and all members of staff. I was happy to see the care provided, and the warm social atmosphere in which residents were able to live. Throughout my time at Longview, I was impressed by the care delivered by all members of staff. Carers were patient, supportive and attentive to the needs of those living in the home. People generally looked clean, well dressed, and well cared for.