16 February 2016
During a routine inspection
After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breaches. We undertook a comprehensive inspection on the 16 and 24 February 2016 to check that they had followed their plan and to confirm that they now met all of the legal requirements. 24 hours’ notice of the inspection was given because the service is small and we needed to be sure that someone would be in.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for ‘Longley Meadows’ on our website at www.cqc.org.uk’
Longley Meadows is in the grounds of the Northern General Hospital and provides short stay respite accommodation for adults with learning difficulties. Many of the people accessing the service have profound and multiple learning difficulties, including multiple health needs and physical disabilities. The service can provide care for up to nine people at any one time. 39 people use the service in total.
The service did not have a registered manager. A registered manager is a person who has registered with the Care Quality Commission 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. There was an acting manager in post at the time of the inspection however she had only worked at the service for two weeks.
The requirements of the Mental Capacity Act 2005 were in place to protect people who may not have the capacity to make decisions for themselves. However, we found there was not sufficient detail recorded about how consent and best interest decisions were achieved for the use of assistive technology in people’s bedrooms.
Our check of medication records identified that medicines were not always safely managed and recorded. This meant that people accessing the service may not be protected against the risks associated with the unsafe management of medication.
The support plans were centred on people’s individual needs and contained information about their preferences, backgrounds and interests. People were treated with dignity and respect throughout our inspection. Staff were aware of people’s differing cultural and religious needs.
There were enough skilled and experienced staff and there was a programme of training, supervision and appraisal to support staff to meet people’s needs. Procedures in relation to
recruitment and retention of staff were robust and ensured only suitable people were employed in the service.
Our observations, together with our conversations with relatives of people who used the service provided evidence that the service was caring. The staff we spoke with had a clear understanding of the differing needs of people staying at the home and we saw they responded to people in a caring, sensitive, patient and understanding professional manner.
People’s physical health needs were monitored and referrals were made when needed to health
professionals. People were supported to access existing day time and evening activities during respite stays at Longley Meadows. The service had an open and transparent culture that actively encouraged feedback from people who used the service, their relatives and staff.
We saw there was a complaints procedure that could be accessed by people who used the service and their relatives. Staff told us they would offer assistance if people needed to use it. We saw that the complaints procedure was written in plain English which described how people should raise any concerns they may have. It also explained to people how they could obtain an independent person to assist them if needed.
We found there were systems in place to monitor and improve the quality of the service. However, these were not always effective.
Our inspection identified three breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we have asked the provider to take at the back of the full version of this report.