Seaview

Updated 11 May 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the

service, and to provide a rating for the service under the Care Act 2014.

Inspection team: The inspection was conducted by one inspector, one specialist advisor and one Expert by Experience. The specialist advisor on this inspection was a registered nurse. 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: Seaview is a care home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Seaview accommodates up to 20 people over three floors, each of which has separate adapted facilities. One of the units specialises in providing care to people living with dementia.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection: This inspection was unannounced.

What we did: Prior to the inspection, we reviewed the evidence we already held about the service. We asked for feedback from the local authority and the local NHS clinical commissioning group (CCG) who commission services and from the local authority safeguarding team. We also checked records held by Companies House.

We asked the provider for a Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We received this in March 2019.

We visited Seaview on 11 April 2019 to review care records, policies and procedures. We spoke with the registered manager, a nurse and four care staff. We also spoke with five people and four relatives. We reviewed three people's care records, three staff personnel files and records related to the safety and quality of the service. After our site visit, we sent an email to five members of staff asking for their views of the service and their employer. We received one response. We also spoke with a palliative care nurse.

Updated 11 May 2019

About the service: The service is a residential care home which provides nursing and personal care. At the time of this inspection there were 17 people living in the home.

People's experience of using this service: The service was safe. Risk reduction methods were in place to minimise the likelihood of people coming to harm. Staff knew the signs of abuse or harm and they reported their concerns in line with company safeguarding policies and procedures. Medicines were managed well, and the home was exceptionally clean and tidy.

People had achieved good outcomes through effective support from staff and access to external healthcare professionals.

Staff were experienced and competent in their roles. They received good training which supported them to deliver effective care. The support people received was personalised and adapted to meet people's varying needs and wishes.

People were supported to have maximum choice and control of their lives and were supported in the least restrictive way possible. Staff encouraged people to maintain or regain their independence.

Staff displayed caring values. They treated people with kindness, patience, dignity and respect. People were well cared by staff who knew them well.

Staff assisted people to join in with a range of activities and to maintain links with their families and the local community. People were often supported by staff to access local amenities.

The governance of the service had improved since our last inspection. The service delivered good quality, person-centred care. The safety and quality of the service was monitored through regular checks and audits. The management team strived to achieve high standards through continuous improvement.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection: Requires Improvement (published April 2018).

Why we inspected: This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Follow up: We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned for future dates in line with our inspection programme.