Background to this inspection
Updated
7 March 2020
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Beach View 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.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed the information we had received about the service including notifications of incidents and accidents which they are required to send us by law. We also sought feedback from the local authority quality monitoring team. We used all of this information to plan our inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with two people who used the service and three relatives about their experience of the care provided. We spoke with three members of the care staff including two senior care staff, the chef, the registered manager and the quality assurance director.
We reviewed a range of records. This included two people’s care records and three medication administration records. We looked at one staff file in relation to recruitment and at other records relating to training and staff supervision. We also viewed other records relating to the quality and safety of the service.
Updated
7 March 2020
About the service
Beach View is a residential care home registered to provide personal care for up to 25 older and younger adults including those with a physical disability. The building is a large period property with rooms on several floors. There is a lift to all floors. At the time of the inspection the service was undergoing a comprehensive refurbishment programme. For this reason, as people had left the service, new clients had not been admitted. There were six people at the service when we inspected.
People’s experience of using this service and what we found
Risks posed by the environment during the current building work had not been fully assessed and mitigated. The registered manager began to address these identified risks immediately. Other aspects of the service were safe. There were enough staff and they were safely recruited. Staff understood their safeguarding responsibilities and knew how to reduce the risk and spread of infection. Medicines were well managed.
Staff received training and support to carry out their roles and worked well with other healthcare professionals. People’s needs were assessed before they were admitted and their healthcare, eating and drinking needs were well managed. 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 design of the building presented a challenge, especially to those who might be living with dementia. The refurbishment programme aimed to ensure that the building would be better appointed with ensuite facilities, wet rooms and increased leisure opportunities.
Staff demonstrated a kind and caring attitude and relationships appeared good. People told us their privacy and dignity were maintained. People, and their representatives or family members, were consulted on all aspects of the care provided.
Care was person centred and care plans contained detailed information about people’s needs and preferences. Activities were limited due to the ongoing building works but suitable one to one provision had been made. People’s care needs and preferences for the end of their life had been discussed with them and recorded.
Leadership and governance was strong and had enabled the staff to cope well during the refurbishment programme which had been very disruptive. Systems and processes were in place to monitor the safety and quality of the service and to benefit and enhance people’s lives. Plans were in place for ongoing improvement and innovation.
Rating at last inspection
This service was registered with us on 15 January 2019 and this is the first inspection
Why we inspected
This was a planned inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.