• Care Home
  • Care home

Beachview

Overall: Inadequate read more about inspection ratings

28 Alleyne Way, Middleton-on-Sea, West Sussex, PO22 6JZ (01243) 582896

Provided and run by:
Dolphin Homes Limited

Latest inspection summary

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Background to this inspection

Updated 4 January 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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

2 inspectors, a member of the medicines team and an assistant inspector carried out this inspection.

Service and service type

Beachview is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was not a registered manager in post. An area manager was overseeing the running of the service. However, they have submitted an application to register. We are currently assessing this application.

Notice of inspection

This inspection was unannounced. Inspection activity started on 14 March and ended on 20 April 2023. We visited the service on 14 March following this we conducted two additional visits. A visit was conducted on 25 March and was 'out of hours' to enable us to meet with the night staff and observe care. On 20 April 2023 a member of the medicines team visited the service.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We communicated with all the people who used the service and observed how people were being supported. We spoke with all staff on duty including care workers, senior care workers, agency care workers and the area manager.

We inspected the storage of medicines, reviewed six medicines administration records (MARs) and care files of people within the service. We also observed the administration of medicines.

We reviewed a range of records. This included people's care records and the governance arrangements for the safe handling of medicines, including audits, the providers medicines related policies, and staff training records. We looked at a variety of records relating to the management of the service, recruitment, including policies, procedures and safeguarding incident records.

After the inspection

We continued to seek clarification from the provider to validate evidence found. Following our visit to the service we looked at additional documents the provider sent us. This included a variety of records relating to the management of the service. We spoke with professionals who regularly visit the service and spoke to 4 relatives to find out about their experience of the care provided. We also contacted all staff we did not meet during our visits to the service.

We spoke with the nominated individual following the inspection to seek immediate assurances for concerns we found. The nominated individual is responsible for supervisi

Overall inspection

Inadequate

Updated 4 January 2024

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Beachview is a residential care home registered to provide care for up to 10 young people.. It provides support to people who have a range of learning disabilities, some of whom also have a physical disability. At the time of our visit there were 9 people living at the service

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

The provider could not demonstrate how the service met the principles of right support, right care, right culture. This meant we could not be assured of the choices and involvement of people who used the service in their care and support.

Right Support

People’s support needs and risks associated with their care were not always appropriately managed to ensure safe care could be provided. The provider did not have effective systems in place to protect people from avoidable harm. When people expressed choices, these were not always respected due to the deployment of staff. Staffing levels prevented people from getting up when they wanted to.

Right Care

Systems and processes were not always effective in ensuring people were protected from the risk of abuse and staffing was not always provided in line with people’s needs. The service did not have enough staff to meet people’s needs and keep them safe.

People were given their medicines in a way that met their individual needs. However, record keeping was not consistent, nor were we assured that medicines were always administered as the prescriber intended. There were systems and processes in place for the safe storage of medicines. However, these processes were not always followed. We have made recommendations regarding management of medicines.

Right culture

The service did not have a registered manager. The area manager was overseeing the running of the service. Staff told us there was a lack of leadership. Staff and relatives expressed concern regarding the high turnover of managers. Staff spoke of a blame culture at the service and did not feel confident concerns raised were dealt with.

Care was not always person centred and people were not empowered to influence the care and support they received. The service was not using governance processes effectively to learn lessons or improve the service. Governance systems did not ensure people were kept safe and received a high quality of care and support in line with their personal needs.

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 requires improvement (published 13 October 2022).

Why we inspected

We undertook this inspection to assess that the service is applying the principles of right support, right care, right culture.

We received concerns in relation to medicines, the management of people’s food, the accuracy of record keeping, staffing numbers, staff culture, leadership and oversight of practices. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.

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 requires improvement to inadequate based on the findings of this inspection.

We have found evidence that the provider needs to make improvements. Please see the safe, effective and well-led sections of this report.

We looked at infection prevention and control measures under the safe key question. We look at this in all 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.

Enforcement and Recommendations

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 and will take further action if needed.

We have identified continued breaches in relation to safe care, the management of the service and governance at this inspection. We have identified a new breach in relation to staff deployment.

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

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Beachview on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme.

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 return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.