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Inspection Summary

Overall summary & rating


Updated 18 May 2018

We carried out an unannounced comprehensive inspection of Seahaven Care Home on 17 and 18 January 2018. This meant that the provider and staff did not know we were coming.

At the last comprehensive inspection of the service on 19 and 20 October 2016 we identified breaches of regulation 12, safe care and treatment, regulation 17, good governance and regulation 18, staffing. The provider had not fully assessed the risks to the health and safety of people who used the service. The provider failed to ensure that the premises were safe to use for their intended purpose. We found the provider did not appropriately manage the deployment of staff at meal times to ensure people received dedicated support when they needed it. The provider did not have effective systems in place to assess, monitor and improve the quality and safety of the service provided. After the inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breaches.

We carried out a focused inspection on 15 June 2017 to check that the service was meeting legal requirements. During the inspection we found the provider had made improvements in some areas. However, we found the provider had not completed all the actions set out in their action plan. We found there were continuing breaches of regulations. This was because the provider had not adequately assessed the risks to the health and safety of people who used the service, plans to mitigate risks and to provide personalised care were not specific to the identified risk. Policies and procedures had not been reviewed.

At this inspection the service had made the required improvements. We found no breaches of regulations and the service was meeting the legal requirements. The premises were safe and the registered manager carried out regular premises checks to ensure all aspects of health and safety were being met. People’s care plans reflected their individual needs and risks were assessed. The registered manager had reviewed and updated all of the policies and procedures to make sure they reflected current legislation.

Seahaven Care Home is a ‘care home’ located in South Shields. People in this care home receive accommodation and 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. Seahaven Care Home accommodates people in one adapted building and on the date of this inspection there were 16 people living at the home.

There was a registered manager in post who has been registered with the Care Quality Commission (CQC) to provide regulated activities since December 2017. 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.

People told us that they felt safe at the home and relatives agreed with these comments. We found there were policies and procedures in place to help keep people safe. Staff had received training and attended supervision sessions around safeguarding vulnerable adults.

Staff were safely recruited, had appropriate checks, references and they were provided with all the necessary induction training required for their role. The registered manager continued to provide on-going training for staff and monitored when refresher training was required. Accidents and incidents were recorded correctly and if any actions were required, they were acted upon and documented.

The premises were safe. Regular checks of the premises, equipment and utilities were carried out and documented. On the first day of inspection the laundry room was left unlocked but the registered manager had a keypad lock installed straight away to remove any risk to residents. Infection control me

Inspection areas



Updated 18 May 2018

The service was safe.

There were suitable staffing levels. People received care from staff who were trained and aware of safeguarding procedures.

The premises were safe. Risks which people faced were assessed and reviewed regularly.

Medicines were administered safely and in line with safe medicines management procedures.



Updated 18 May 2018

The service was effective.

People received care which was delivered in line with the Mental Capacity Act (2005) MCA, consent was sought before staff provided care to people.

The service worked in partnership with other organisations to have access to all applicable health care services.

Staff providing care to people had received appropriate training and support to carry out their roles. People were supported to maintain a balanced diet.



Updated 18 May 2018

The service was caring.

People were treated with kindness and respect by staff.

People and their relatives were consulted and supported with planning their care.

Staff upheld people�s privacy and dignity.



Updated 18 May 2018

The service was responsive.

People enjoyed a wide range of social activities.

The provider had a robust complaints procedure in place. This information was used by the service to learn and continuously improve.

People received person-centred care which met their needs and was regularly reviewed and updated.



Updated 18 May 2018

The service was well-led.

There was a registered manager in post who understood their role and responsibilities.

The provider had quality and assurance processes in place to monitor the quality of the service and rectify any issues identified.

The provider and registered manager had a clear vision, strategy and plan to deliver good quality care.