Coast Care Centre

Updated 6 January 2023

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.

Inspection team

The inspection was carried out by 2 inspectors.

Service and service type

Coast Care Centre is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Coast Care Centre is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the 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 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 of this information to plan our inspection.

During the inspection

We spoke with 8 people who used the service and 10 members of staff. Staff included the registered manager, deputy manager, head of care, the chef, the maintenance lead, 2 nurses and 3 care staff. We looked at 7 care plans and documentation relating to risk. We looked at multiple medication records and documents relating to auditing and quality assurance. We also looked at 4 staff files and policies and documents relating to complaints and safeguarding. We spoke with 6 relatives and five professionals.

Updated 6 January 2023

About the service

Coast Care Centre is a care home with nursing and accommodates up to 44 people in a purpose built home. The service provides discharge to assess accommodation for some people and is commissioned by East Sussex County Council. Some people are supported at the service for longer periods of time. The service supports adults whose primary needs are nursing although some people live with dementia. At the time of our inspection there were 37 people living at the service.

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

Risks to people had been identified however there were some risk assessments missing. Identified risks relating to medicine management, diabetes and wound management were missing in some care plans. The registered manger did take immediate steps to complete the missing assessments.

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; however, the policies and systems in the service did not support this practice. Some mental capacity assessments were not decision specific and it was not consistently clear who was involved in best interest meetings. Similarly, this was raised with the registered manager who took steps to improve these documents.

We found one care plan lacking detail about a person’s care and support. This was again immediately addressed by the registered manager and we were reassured from speaking with staff that staff knew the person well and there were no immediate risks to their welfare.

The registered manager had promoted a positive culture at the service which resulted in an engaged staffing team which ensured good outcomes for people. People, relatives and staff were all given opportunities to feedback about the service and people’s cultural and personal differences were respected and celebrated.

People told us they felt safe and staff were able to tell us about how they managed risk and reported concerns. We saw enough staff during the inspection to support people and medicines were administered safely. People lived in a clean environment and infection prevention and control policies were in place and put into practice. Accidents and incidents had been reported, reviewed by the managers and any learning to support people in the future was shared with staff.

People’s care was provided in a person-centred way and people were supported with their communication needs. There were activities for people that could be done in a group or as one to one support. People and their relatives told us they were confident to raise issues and complaints if they needed to and had confidence that concerns would be acted on in most cases. Staff had completed training in end of life care and knew the important aspects of care and support for people at this important time.

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 (report published 2 February 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.

At our last inspection we recommended that complaints against the service were recorded and investigated in line with the service policy and that the complaints process was made accessible to people and relatives. At this inspection we found that improvements had been made.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 8 December 2022. The provider completed an action plan after the last inspection to show what they would do and by when to improve the safe care and treatment of people and the governance of the service.

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, responsive 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 Coast Care Centre 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.