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Seacroft Court Nursing Home Requires improvement

We are carrying out a review of quality at Seacroft Court Nursing Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 5 September 2020

About the service

Seacroft Court Nursing Home is a care home with nursing providing personal and nursing care to 41 people at the time of the inspection. The service can support up to 50 people. The service provides accommodation for people of two floors.

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

People and staff were not always protected from the risk of contamination because staff did not always follow good infection control practices. Staff did not always receive training around infection control and did not follow the providers infection control policy and guidance. There were shortfalls in staffing hours allocating for cleaning and laundry.

This was a breach of Regulation 12, Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, Safe Care and Treatment.

Staff had not received training in order to keep their skills up to date and safe. Staff understood their responsibilities to raise any concerns relating to people using the service. During the Covid-19 pandemic, we identified there had been multiple staff absences. Many of these shortfalls were covered using agency staff and support from the management team. However, some shortfalls were unable to be covered in line with the providers staffing guidance. The provider continued to recruit staff and carried out appropriate checks before employment. Medicines were administered and stored safely.

The provider’s quality assurance process was not always effective. Where shortfalls in the service had been identified, action was not always taken and sustained to ensure improvements were made. The process did not identify some of the issues we found on inspection. Despite completion of some works, the environment continued not to be well maintained. There was inconsistent leadership which had affected the improvement in the service. There was no registered manager at the time of inspection. However, there was a home manager who had recently commenced employment.

This was a breach of Regulation 17, Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, Good Governance.

Since the last inspection there had been some improvement in relation to person centred care. There was evidence some activities had taken place and we observed positive interaction between staff and people. We also observed some people being supported to access the local community, where they had an ice cream near the seafront. However, people, staff and relative told us there was a lack of meaningful activities. During inspection we did not see staff engaging in other meaningful activities with people. However, we did observed people being offered choice around their care.

Staff spoke highly of the new manager and were optimistic about developments for the future. Staff and residents’ meetings had taken place and care plans were reviewed regularly. Staff worked with other agencies to enhance peoples care.

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

Rating at last inspection (and update)

The last rating for this service was requires improvement insert (last report published 13 August 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. Although some improvements had been made we found at this inspection not enough improvement had not been made and sustained and the provider was still in breach of some regulations.

Why we inspected

This was a planned inspection based on the previous rating.

We have found evidence that the provider needs to make improvements. Please see Safe and Well-led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

Following the inspection the provider sent us an action plan about how they plan to mitigate risks in relation to controlling and preventing infection.

Enforcement

We are mindf

Inspection areas

Safe

Requires improvement

Updated 5 September 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 5 September 2020

Caring

Requires improvement

Updated 5 September 2020

Responsive

Requires improvement

Updated 5 September 2020

Well-led

Requires improvement

Updated 5 September 2020

The service was not always well-led.

Details are in our well-led findings below.