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CQC report explained · a nursing home

What the CQC found at Lindisfarne Seaham

Goodpublished 24 October 2018, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse, risks were assessed and medicines were managed safely. Inspectors received mixed feedback about staffing levels, although they saw people attended to promptly during the visits.
Effective?
Good
Staff had high levels of completed training and supported people with appropriate food, health care and consent arrangements. The home was developing its training system because some staff felt overwhelmed by the amount of training.
Caring?
Good
People and relatives described staff as caring and respectful. Inspectors observed compassionate care and found that people were supported with privacy, dignity, choice and independence.
Responsive?
Good
Care plans were detailed, regularly reviewed and based on people's needs and preferences. People had access to activities, community opportunities and complaint procedures.
Well-led?
Good
The management team was described as approachable and the home had regular audits and improvement plans. Some staff felt concerns about staffing were not always heard, and management agreed to improve ways for staff to raise them.
The latest report, explained

What inspectors found, October 2018

Rated Good; inspectors found caring, safe and well-managed care, while staffing levels received mixed feedback.

Inspectors visited on 19 and 21 September 2018. The first visit was unannounced. They spoke with people, relatives, staff and visiting professionals, observed care, looked around the home and checked care, medicine, recruitment, training and management records.

The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found safe medicine support, detailed care plans, kind interactions, suitable activities and systems to monitor quality.

There were mixed views about staffing levels. The management team said staffing was being monitored and reviewed, and inspectors saw people receiving care promptly during their visits. Staff also said they sometimes felt overwhelmed by the amount of training.

What inspectors praised
  • Caring relationships

    People and relatives described staff as caring and respectful. Inspectors observed compassionate interactions and support for people's dignity and independence.

    “We observed staff to be very caring and to deliver care compassionately.” from the report
  • Detailed care planning

    Care plans covered important areas such as nutrition, mobility, personal care, medicines and mental capacity. They were reviewed regularly with people.

    “Care plans were detailed and reflected people's needs and preferences.” from the report
  • Quality monitoring

    The home used regular audits and action plans covering medicines, health and safety and infection control. Inspectors saw ongoing improvements being put into action.

    “There was a robust programme of audits in place with regular checks being made on areas such as medicines, health and safety and infection control.” from the report
What inspectors were concerned about
  • Mixed views about staffing

    needs fixing

    Some relatives and staff felt staffing levels were too low at times, including during breaks or when two staff were helping one person. Management said staffing was being monitored and reviewed.

    “When two staff are assisting someone it leaves the lounge with no staff.” from the report
  • Training workload

    minor

    Training completion was high, but some staff said they felt overwhelmed by the amount of training. The management team was introducing a new system focused on skills and competence.

    “Staff told us they sometimes felt overwhelmed by the volume of training.” from the report
  • Staff concerns being heard

    minor

    Some staff felt their concerns about staffing were not always acted on. Management agreed to improve the ways staff could discuss concerns and share views anonymously.

    “Some of our concerns fall on deaf ears.” from the report
Questions to ask them, based on this report
  1. 01How many staff are normally on duty on each floor, including during breaks?
  2. 02How do you adjust staffing when residents' needs or occupancy increase?
  3. 03What has changed in the training system since staff said they felt overwhelmed by the volume of training?
  4. 04How can staff and relatives raise concerns about staffing, and how are responses tracked?
  5. 05How are care plans reviewed with residents and their relatives?

This was an unannounced comprehensive inspection covering all five key questions, and the overall rating and each question rating remained Good. This explanation was written from the published report of 24 October 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Lindisfarne Seaham

4 rated inspections over 4 years: the service has improved, from Requires improvement to Good.

  1. October 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Lindisfarne Seaham →

  2. April 2016Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. October 2015Goodup from Requires improvement
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. March 2015Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. November 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. February 2011

    Registered with the Care Quality Commission on 2 February 2011.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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