We carried out a review of the data available to us about Seaview House Nursing Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Seaview House Nursing Home, you can give feedback on this service.
Seaview House Nursing Home provides care for up to 20 people with needs associated with their mental health. There were 19 people living at the service at the time of our inspection. The accommodation at Seaview House Nursing Home is provided across three floors, with one communal lounge and separate dining room. The service is near all facilities including the sea front.
People’s experience of using this service and what we found
People were protected from the risk of harm and risks to people had been considered and documented. There was enough suitably trained staff to meet people's needs. People received their medicines in a safe and appropriate way. Staff within the service were recruited safely and received suitable training to fulfil their role. The service had implemented good infection control practices, protecting people from the risk of infections and in line with current best practice guidance.
The management of the service maintained good oversight through regular reviews and audits, and included people and staff in the running and shaping of the service. Management had actively looked for ways to better the service, and had an ongoing plan for improvements. The service worked well with external professionals to monitor and maintain people's health, and improve the care they received.
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 and update
The last rating for this service was requires improvement (published 19 May 2021) and there were breaches of regulation.
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
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 requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Seaview House Nursing Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Seaview House Nursing Home provides care for up to 20 people with needs associated with their mental health. There were 19 people living at the service at the time of our inspection. The accommodation at Seaview House Nursing Home is provided across three floors, with one communal lounge and separate dining room. The service is near all facilities including the sea front.
People’s experience of using this service and what we found
Safeguarding concerns had been raised in relation to staff not wearing personal protective equipment (PPE). People were not safeguarded from harm as systems were not in place to protect them. The registered manager took immediate action to ensure the service complied with Government guidance following the inspection.
Infection prevention and control systems did not follow current good practice guidance in relation to COVID-19. All staff had not received the required training in infection control and COVID-19 as their knowledge and practice was inconsistent and required improvement.
Risk management and oversight of the service was not effective in ensuring everyone’s safety. Whilst, no one was harmed, decisions made, and actions taken by the provider had placed people and staff at risk of potential harm. Some policies and procedures, including for the management of infection control and COVID-19, were out-of-date and not used to inform practice.
People we spoke with told us they liked living at Seaview House Nursing Home. The staff were caring and knew them well.
Staff were safely recruited with checks undertaken to ensure they were safe to work with people. Induction and training took place to ensure staff had the skills to work with people safely. There was enough staff in the service with rotas being well managed to keep people safe.
Risk assessments and care plans for people had been completed and contained information relating to their needs, choices and wishes. These included risks to people’s health, wellbeing and COVID-19.
People’s medicines were being managed correctly by staff who were competent to administer them. People received their medicines at the right time and in the right way. Quality audits showed that the medicines system was being monitored and any improvements needed were put in place quickly.
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.
The service had a vision and strategy for providing person centred and inclusive care and support. Assurance systems had been developed to monitor the quality of the service people received.
The service worked in partnership with other services to provide joined up care; and staff worked well with people to engage and involve them in all aspects of their life.
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 17 September 2019).
Why we inspected
We undertook this targeted inspection on 15 April 2021 to follow up on specific concerns which we had received about the service. These were in relation to the risks to people and staff not wearing appropriate PPE and following best practice COVID-19 guidance in infection control procedures. A decision was made for us to inspect and examine those risks.
We inspected and found there was a concern with staff not wearing masks, infection control policy and procedure and lack of risk assessments for staff, so we widened the scope of the inspection to become a focused inspection which included the key questions of Safe and Well Led. We returned to inspect the service on 20 April 2021.
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.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection.
We have found evidence that the provider needs to make improvements. Please see the Safe and Well Led key questions in this report. The provider has started to take action to mitigate the risks found. We found no evidence during the inspection that people had come to harm from this concern.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Seaview House Nursing Home on our website at www.cqc.org.uk.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service
We have identified breaches in relation to safe care and treatment and good governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan for 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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
Seaview House Nursing Home provides accommodation, care and support for up to 20 people with mental health needs. As a nursing home, the service is also registered to provide the regulated activities ‘treatment of disease, disorder or injury’. There were 19 people living at the service on the day of inspection.
People’s experience of using this service:
People, relatives and professionals were extremely complimentary about the care provided at Seaview House Nursing Home. People received care from staff who understood how to recognise and report issues of concern. Staff were recruited safely and there were enough staff to meet people’s needs. Detailed risk assessments were in place to keep people safe which also promoted people’s wellbeing, choice and independence. People’s medicines were managed safely. Incidents and accidents were investigated, and actions taken to prevent any recurrence. The environment was clean, comfortable and safe.
People's needs were assessed prior to them moving into the service to help ensure they could be supported effectively. Staff received relevant training, support and supervision to enable them to carry out their roles and responsibilities. People enjoyed a nutritious and varied diet. Staff worked well with external professionals to promote people’s health and wellbeing.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
The culture of the service was positive, caring and person-centred. Staff were kind, motivated and passionate and supported people with dignity and respect. Trusting relationships had been formed between staff and people using the service which promoted people’s engagement.
People were supported by competent staff who knew them very well and supported them according to their needs and preferences. People were encouraged to be as independent as possible and had the choice to participate in activities which promoted their self-esteem and quality of life.
Everyone we spoke with were very complimentary about how the service was managed. The registered manager was visible and approachable, and we received feedback that they went above and beyond their role to ensure people were well cared for. Staff had a clear understanding of their roles and responsibilities. Audits were completed and there were effective quality assurance systems in place to drive continuous improvement.
Rating at last inspection: Good (published 11 February 2017)
Why we inspected: This was a planned inspection based on the previous rating.
Follow up: We will continue to monitor all intelligence received about the service to ensure the next planned inspection is scheduled accordingly.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Seaview House Nursing Home provides accommodation and personal care for up to 20 people with mental health needs. As a nursing home, the service is also registered to provide the regulated activities ‘treatment of disease, disorder or injury’ and ‘diagnostic and screening services’. At the time of our inspection there were 18 people using the service.
At the time of our inspection there was no registered manager in post at the service. 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 2008 and associated Regulations about how the service is run. The day-to-day running of the service was carried out by a management team consisting of the director, who is also a qualified Registered Mental Health Nurse, supported by an administrator and a nurse in charge of each shift. The director has liaised with CQC’s registration department and plans are in place to submit an application to register a manager.
People were safe because the management team and staff understood their responsibilities to recognise abuse and. keep people safe. People received safe care that met their assessed needs and staff knew how to manage risk effectively.
There were sufficient staff who had been recruited safely and who had the correct skills and knowledge to provide care and support in ways that people preferred.
The provider had clear systems in place to manage medicines and people were supported to take their prescribed medicines safely.
People’s health needs were managed effectively with input from relevant health professionals and people had sufficient food and drink that met their individual needs.
The Care Quality Commission (CQC) monitors the operation of the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS) which apply to care homes. We found the provider was following the MCA code of practice.
The management team supported staff to provide care that was centred on the person and staff understood their responsibility to treat people as individuals.
People were treated with kindness and respect by staff who understood their needs and preferences. Staff respected people’s choices and took their preferences into account when providing support. People were encouraged to enjoy pastimes and interests of their choice and access the local community so that they were not socially isolated.
Staff had good relationships with people who used the service and understood their needs. People’s privacy and dignity was respected.
There was an open culture and the management team supported staff to provide care that met people’s needs.
The provider had systems in place to check the quality of the service and take the views of people into account to make improvements to the service. There were systems in place for people to raise concerns and there were opportunities available for people to give their feedback about the service.
The management team, including nursing staff, were visible and actively involved in supporting people and staff. Staff were positive about their roles and their views were valued by the management team.
People told us they were consulted about their care and treatment and we observed that staff ensured people had a choice: for example, during our inspection, a staff member arranged a shopping trip and involved people in preparing what they wanted and where they wanted to go.
During the course of our inspection we saw that people were supported to express their views and choices by whatever means they were able. Staff clearly understood each person's behaviours and their individual ways of communicating their needs
We looked at care plans and records of four people who used the service and found people experienced care, treatment and support that met their needs and protected their rights.
Staff records seen showed that staff were appropriately qualified with an appropriate mixture of skills. We saw staff rosters that demonstrated staffing levels met the needs which supported people who used the service.
We saw that people lived in a bright, clean and maintained environment. The provider had recently completed refurbishment decoration.
We saw that people were self-assured in their discussions with the management team and confidently made their needs and wishes known to staff.