Background to this inspection
Updated
17 February 2024
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
Inspection team
The inspection was carried out by 1 inspector, a regulatory co-ordinator and 2 Experts by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Regents View is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Regents View is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a manager in post. However, they were not registered. They confirmed they had submitted their application for registration to CQC.
Notice of inspection
The inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from Healthwatch, the fire service and the local authority. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
The provider completed a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 18 people and 17 relatives about their experience of the care provided. We spoke with 14 members of staff including the manager, 2 regional managers, a care support manager, 7 care staff, the chef, a kitchen assistant, and the activity co-ordinator. We spoke to 2 visiting professionals.
We reviewed a range of records. This included 4 people's care records and 5 people’s medicine records. We looked at 5 staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
17 February 2024
About the service
Regents View Care Home is a residential care home providing personal and nursing care for up to 50 people. At the time of our inspection there were 48 people using the service.
People’s experience of using this service and what we found
There were not enough staff on duty to meet people’s needs. The provider had not ensured risks to people had been assessed, monitored and managed. Recruitment processes had not been safely managed.
The provider's fire risk assessment was over 12 months old and although action was taken to address this after the inspection, the provide'rs own quality assurance systems had not identified this.
The home required refurbishment. Many areas of paintwork, flooring and furniture were worn. Curtains and blinds were missing from windows. The manager sent us a refurbishment plan after the inspection detailing the refurbishment to be carried out and timescale for completion.
Some quality monitoring systems were ineffective as they did not identify the areas of concern we found during this inspection.
Most people and relatives said they felt safe at the service and staff were kind and caring. However, some relatives did raise concern about some staff ignoring people or being rude.
People received support with their medicines and there were measures in place to prevent the spread of infections.
Accidents and incidents were well managed, with procedures in place to learn from these.
The provider had an open, transparent culture. People and staff all had opportunities to provide feedback about the service which was used to drive continuous improvement. Staff enjoyed their jobs and were all keen to deliver high-quality care. The manager and staff worked alongside other professionals to help ensure people received effective care and support.
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.
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 July 2023).
Why we inspected
The inspection was prompted in part due to concerns received about the overall management of the service, limited activities, and the safety of care of people who use the service. A decision was made for us to inspect and examine those risks. We undertook a focused inspection to review the key questions of safe and well-led only.
We looked at infection prevention and control measures under the safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection. Please see the full report for further details.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Regents View Care Home on our website at www.cqc.org.uk
Enforcement
We have identified breaches in relation to safe care and treatment and the provider's oversight and management of the service.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.