# Longley Hall Limited

Longley Hall Limited is a CQC-regulated home-care agency in Sheffield.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Not Rated |
| Safe | Not Rated |
| Effective | Not Rated |
| Caring | Not Rated |
| Responsive | Not Rated |
| Well-led | Not Rated |

## Practical info

- Postcode: S5 7JF
- Registered manager: Whitham, Hannah
- Local authority: Sheffield
- Region: Yorkshire & Humberside
- City: Sheffield
- Last CQC check: 11/Sep/2024 - 00:00

## Inspection findings

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2023-07-13
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2023-07-13
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2023-07-13
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2023-07-13

### Other

- Finding
  - Evidence: Provider allocated additional resources including operations manager two days per week and nominated individual spot checks.
  - Published: 2023-07-13
- Finding
  - Evidence: People's cultural and religious needs were considered in support plans with family involvement in planning.
  - Published: 2023-07-13
- Finding
  - Evidence: Provider and manager had good understanding of duty of candour with policy and procedure in place.
  - Published: 2023-07-13
- Finding
  - Evidence: New manager appointed February 2023 recognised positively by staff, relatives and external professionals.
  - Published: 2023-07-13
- Finding
  - Evidence: Management team responded immediately during inspection and submitted an action plan to address care record quality.
  - Published: 2023-07-13
- Finding
  - Evidence: People supported to have maximum choice and control and to access the community as and when they wished.
  - Published: 2023-07-13
- Finding
  - Evidence: Provider used the Positive Behaviour Support (PBS) model with detailed proactive and reactive strategies where assessed.
  - Published: 2023-07-13
- Finding
  - Evidence: Safe recruitment procedures in place including pre-employment checks, references and DBS certificates.
  - Published: 2023-07-13
- Finding
  - Evidence: Most staff appeared to know people well and understood their support needs despite gaps in documentation.
  - Published: 2023-07-13
- Finding
  - Evidence: Sufficient staffing levels deployed to meet people's needs, recently increased with a business case to further improve night-time arrangements.
  - Published: 2023-07-13
- **staff_competency** _(moderate)_
  - Evidence: The service supported people with a learning disability and/or autism, yet only half of the staff were trained in this area.
  - Published: 2023-07-13
- **communication_with_families** _(moderate)_
  - Evidence: One professional said, 'It can be a little challenging to get any updates from staff members about people when reviewing (their care and support). Often staff don't know much about the person.'
  - Published: 2023-07-13
- **person_centred_care** _(moderate)_
  - Evidence: Some staff were not following people's positive behaviour support plans to ensure they followed all preventative and reactive strategies to enhance people's quality of life.
  - Published: 2023-07-13
- **infection_control** _(minor)_
  - Evidence: We found built up dirt and grime in shared bathrooms, kitchens, food cupboards and fridges.
  - Published: 2023-07-13
- **medication_management** _(moderate)_
  - Evidence: During the inspection we found 2 instances where medicines had not been safely stored...People's medicine support plans did not promote safe and personalised support as these had not been reviewed.
  - Published: 2023-07-13
- **leadership** _(critical)_
  - Evidence: Inconsistencies in leadership led to serious shortfalls in the provider's quality assurance processes...processes to identify risk and ensure the service was operating within the scope of regulations had not been effective.
  - Published: 2023-07-13
- **governance** _(critical)_
  - Evidence: Systems were either not in place or robust enough to demonstrate quality and safety was consistently well-managed. This placed people at an increased risk of harm. Breach of regulation 17.
  - Published: 2023-07-13

### safe

- Finding
  - Preventing and controlling infection
  - Published: 2023-07-13
- Finding
  - Staffing and recruitment
  - Published: 2023-07-13
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2023-07-13
- Finding
  - Using medicines safely
  - Published: 2023-07-13
- Finding
  - Assessing risk, safety monitoring and management; Learning lessons when things go wrong
  - Published: 2023-07-13

### well_led

- Finding
  - Engaging and involving people using the service, the public and staff; Working in partnership with others
  - Published: 2023-07-13
- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2023-07-13
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2023-07-13
- Finding
  - Managers and staff being clear about their roles, understanding quality performance, risks and regulatory requirements; Continuous learning and improving care
  - Published: 2023-07-13

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-479579484

HomeCare Compass is an independent guide and is not affiliated with the CQC.
