Marine View Lodge

Marine View Lodge is a purpose-built nursing care home providing personal and nursing care to 28 people aged 65 and over at the time of the inspection. The service can support up to 80 people. Marine View Lodge has four units that provide support for those with residential and nursing needs.

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

Medicines were not managed safely, staff competencies to be able to safely administer medicines were not always assessed appropriately, and the monitoring information for people living in the home was not always completed fully. This meant that although the risks to people had been assessed, the daily monitoring was not regularly recorded so risk assessments could be inappropriate. The systems in place to monitor the quality and safety of the service were not always used effectively as they had not identified the issues found during the inspection.

Care plans and risk assessments were in place that reflected people’s needs. Risks to people's health and safety had been assessed and mitigated and equipment had been serviced and maintained.

The environment was clean and welcoming. Infection control was managed safely and we observed appropriate visiting practices were in place during the COVID-19 pandemic, meaning relatives were able to safely visit their family members living in the home.

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.

Complaints, accidents and incidents were recorded and managed appropriately, and referrals were made to other professionals in a timely manner when people living in the home were identified as in need.

The provider employed activities co-ordinators and people were able to choose and access meaningful activities that were person centred. People’s dietary needs were catered for.

Staff were recruited safely, received supervisions, regular training and attended staff meetings.

Rating at last inspection

The last inspection was a focused inspection to review the key questions of Safe and Well-Led only, the rating for this service was ‘inspected but not rated’ (published 19 November 2020) with both key questions rated as requires improvement.

The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection enough improvement had not been made or sustained and the provider was still in breach of regulation

Why we inspected

The inspection was prompted in part due to concerns received about provision of care, staffing and falls. A decision was made for us to inspect and examine those risks.

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 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.

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.

Marine View Lodge is a purpose-built residential care home providing personal and nursing care to 68 people aged 65 and over at the time of the inspection. The service can support up to 80 people. Marine View Lodge has four units that provide support for those with residential and nursing needs and people who have come from hospital for a short time.

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

We found that medicines were not managed safely throughout the home. People's risk assessments were clear however, care plans did not always provide detailed and up to date information for staff about how to safely care for each person. We also identified that the daily monitoring information regarding care was not always completed.

Appropriate recruitment processes were in place, however, there was a high use of agency staff that had impacted the provision of care. The manager was actively reducing this with a recruitment drive.

There were a range of provider and manager audits in place, however, it was unclear what audits were undertaken to check that people’s care plans contained accurate information.

Accidents, incidents, safeguarding and complaints were managed appropriately and monitored by the management. Infection control standards were also monitored and managed appropriately. A family member told us, “When you go to the vestibule, they have aprons, masks and sanitizer there for you. They also have instructions on how to use it which I think is good. The staff don’t come near you, but they wear all the PPE as well.”

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: This service was registered with us on 15/05/2019 and this is the first inspection.

Why we inspected

We received concerns in relation to the management of medicines, staffing and people’s nursing care needs. As a result, we undertook a focused inspection to review the key questions of Safe 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.

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 coronavirus and other infection outbreaks effectively.

We have found evidence that the provider needs to make improvements. Please see the 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.

The provider has taken action to mitigate the risks and this has been effective.

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 the management of medicines. 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 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.