CQC report explained · a residential care home
What the CQC found at Lyme Bay View Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People felt safe, and inspectors found safe systems for medicines, recruitment, safeguarding, infection control and managing risks. They noted that some risk assessments needed to be reviewed more promptly when people's needs changed.
- Effective?
- Good
- This area was not inspected during this visit. Its previous rating was carried forward into the overall rating.
- Caring?
- Good
- This area was not inspected during this visit. Its previous rating was carried forward into the overall rating.
- Responsive?
- Good
- This area was not inspected during this visit. Its previous rating was carried forward into the overall rating.
- Well-led?
- Good
- Inspectors found visible leadership, effective quality checks and good communication with people, relatives, staff and other professionals. They discussed creating a clearer service improvement plan.
What inspectors found, January 2023
Lyme Bay View Residential Home is rated Good; inspectors found people were safe and the home was well led, with some records and improvement work needing attention.
This was an unannounced focused inspection on 05 January 2023 and 11 January 2023. Inspectors spoke with 10 people, a relative, nine staff members and health professionals. They also observed care and checked care, medicines, recruitment, maintenance and management records.
The home was rated Good for Safe and Well-led. People said they felt safe and were happy living there. Medicines, staffing, recruitment, safeguarding, infection control and environmental risks were generally managed safely.
The registered manager was visible, knew people well and worked alongside staff. Inspectors found effective checks on the quality of care and that staff and people were asked for their views.
This was not a full inspection of all five areas. The overall Good rating stayed in place because the other ratings were carried forward from the previous inspection in 2019.
People felt safe
People and families told inspectors they felt safe. Staff had safeguarding training and understood how to report concerns.
“People told us they were happy living at the service and felt safe.” from the report
Safe medicines arrangements
Medicines were ordered, stored, given and checked safely. Records showed people received medicines at the right time.
“Medicines were safely managed. Processes were in place for the ordering and supply of medicines.” from the report
Responsive staffing
Staffing levels were increased during the inspection so a staff member was present in communal areas throughout the day.
“An additional staff member was added to the rota between 10 and 4 each day to ensure a staff member was always present in the communal areas” from the report
Visible leadership
The registered manager worked alongside staff, knew people well and focused on person-centred care.
“The registered manager worked alongside the staff and was very visible, they knew people well and focused on delivering person centred care.” from the report
Learning from incidents
The manager reviewed accidents and incidents, looked for patterns and shared learning with staff.
“The registered manager looked at information to analyse trends, review risk and identify learning.” from the report
Risk reviews
needs fixingSome individual risk assessments were not reviewed as promptly as they should have been when people's needs changed.
“We discussed with the registered manager the need to ensure these were reviewed more promptly when some people's needs changed.” from the report
As-required medicines
needs fixingMost as-required medicines had protocols, but the manager said protocols still needed to be put in place for all people's medicines.
“The registered manager confirmed they would ensure all people's as required medicines would have a protocol put in place.” from the report
Agency staff induction records
minorAgency staff received practical information when they arrived, but the home was advised to record this induction formally.
“We discussed with the registered manager the benefit of formally recording this induction with the agency staff.” from the report
Clear improvement plan
minorThe manager completed many audits, but inspectors discussed the need for a clear service improvement or action plan.
“We discussed going forward having a service improvement plan/action plan, so they were clear about the areas they were looking to improve.” from the report
- 01How quickly are risk assessments updated when a resident's mobility, skin condition or swallowing needs change?
- 02Do all as-required medicines now have written protocols, and how are these checked?
- 03How do you record the induction and safety information given to agency staff?
- 04What is included in the service improvement plan, and when will families be updated on progress?
- 05What was the outcome of the follow-up Food Standards Agency visit after the previous rating of 3 out of 5?
This was a focused inspection of Safe and Well-led only; the other ratings and the overall Good rating were carried forward from the previous inspection published on 3 October 2019. This explanation was written from the published report of 26 January 2023 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.
What inspectors found, October 2019
Lyme Bay View Residential Home was rated Good; inspectors found kind, safe care and improvements since the previous inspection, with quality monitoring still developing.
This was an unannounced inspection on 4 September 2019. The inspectors spoke with people, a relative and staff. They observed care and reviewed care, medicines, recruitment and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found safe recruitment, suitable staffing, safe medicines management and a clean home.
People were treated kindly and with respect. Their care was personalised, their choices were supported, and they could take part in activities, hobbies, trips and family visits.
The service had improved from Requires Improvement at the previous inspection in 2017. The two earlier breaches had been addressed, and there were no breaches at this inspection. A Good rating means the inspectors found the service met the relevant standards at the time of the visit.
Kind and respectful staff
Inspectors saw staff engaging warmly with people and responding patiently when someone was distressed. People and relatives described staff as caring and kind.
“Staff engaged with people with kindness and compassion.” from the report
Safe care
Recruitment checks, staffing arrangements, risk assessments, medicines systems and infection control were all found to be suitable.
“People lived in a service that kept them safe.” from the report
Personalised choices
People could choose when to get up, go to bed, bathe and take part in activities. Staff knew their likes, dislikes and support needs.
“People benefited from personalised care that valued them as individuals.” from the report
Good food and health support
People had food and drink choices, including adapted equipment where needed. Staff arranged healthcare support and followed professional advice.
“People were supported to eat a nutritious diet and were encouraged to drink enough to keep them hydrated.” from the report
Improved management
The provider had introduced audits and an improvement plan. The previous breaches had been addressed and the overall rating improved from Requires Improvement to Good.
“At this inspection we found improvements had been made and the provider was no longer in breach of regulations.” from the report
Fire escape work was delayed
needs fixingA first-floor fire escape staircase was still being built at the time of the inspection. Ask whether it has since been completed and checked.
“The provider gave us assurances that a fire escape staircase from the first floor was being built and would be fitted and explained why there had been delays.” from the report
Quality monitoring was still developing
minorThe home had improved its checks, but inspectors said it was still working with the local authority to make quality monitoring more robust.
“The provider had been working with the local authority quality assurance and improvement team (QAIT), regarding putting in place a more robust quality monitoring process.” from the report
- 01Has the first-floor fire escape staircase now been completed, fitted and signed off?
- 02What quality checks are currently used to identify and fix problems?
- 03How are staffing levels checked against residents' changing needs?
- 04How will you involve our relative and family in care reviews and decisions?
- 05What activities and trips are currently available, and how are residents supported to follow their interests?
This was an unannounced planned inspection covering all five CQC questions, including care, premises, records, staff and management systems. This explanation was written from the published report of 3 October 2019 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.
Every inspection of Lyme Bay View Residential Home
5 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- January 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Lyme Bay View Residential Home →
- October 2019Goodup from Requires improvementSafe: GoodWell-led: Good
Read what inspectors found at Lyme Bay View Residential Home →
- September 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- November 2014
Report published without a new overall rating.
- September 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- October 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 12 January 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.
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