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What the CQC found at Marine Park View

Goodpublished 20 May 2024, 2 years ago

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

The latest report, explained

What inspectors found, August 2023

Marine Park View is rated Inadequate and in special measures; inspectors found risks to safety, poor records and weak management despite improvements underway.

This was an unannounced inspection. Inspectors visited on 20 June 2023 and gathered information until 29 June. They spoke with people living at the home, relatives, staff and a health professional. They also observed care and checked care records, medicine records, staff files and management documents.

Inspectors found serious problems with safety, medicines, cleanliness, the building, care records and management checks. Some bedrooms did not have working nurse call cords. Bathrooms were not working, the medicines storage was unsuitable, and some areas and equipment were unclean. Staff recruitment records were also incomplete.

The home was making changes, including increasing staffing, improving training, introducing new care planning and starting refurbishment. However, inspectors said the changes had not had enough time to become established. The overall rating fell from Good at the previous inspection in 2018 to Inadequate.

What inspectors praised
  • Health professional support

    People could access health professionals when needed. Staff worked with several other services to support people's health needs.

    “People had access to health professionals when required. Staff worked with a range of other professionals, including GPs, district nurses, speech and language therapy and social workers.” from the report
  • Staff training

    The home had introduced more training and most staff training was up to date. Staff also received supervision and competency checks.

    “The majority of staff training was up to date and any outstanding training was ongoing.” from the report
  • Some caring interactions

    Although care was inconsistent, inspectors saw some positive and respectful interactions between staff and people.

    “At other times we observed some very positive interaction between people and staff which was kindly and caring.” from the report
  • End-of-life wishes

    People's wishes to remain at the home near the end of their lives were respected. Relevant people were involved in decisions when needed.

    “People's wishes to remain at the home were respected when they neared the end of their life.” from the report
What inspectors were concerned about
  • Safety risks

    serious

    Some bedrooms did not have nurse call bell cords, and no shower or bath was working at the inspection. Inspectors said people were at risk of avoidable harm.

    “People were at risk of unsafe care as strong systems were not in place to ensure people were kept safe from the risk of avoidable harm.” from the report
  • Medicines management

    serious

    Medicines storage was unsuitable and records did not always include photographs or guidance for medicines prescribed for use when needed.

    “Medicines were not all managed safely.” from the report
  • Cleanliness and building condition

    serious

    Some areas, furniture, carpets and equipment were dirty. The building needed repairs and refurbishment, and some bedrooms were cold or poorly arranged.

    “The provider failed to maintain an appropriate level of hygiene around the building.” from the report
  • Personalised care records

    serious

    Care records did not give staff enough information about people's history, preferences, routines and support needs. Daily records were also not always completed.

    “Records did not provide guidance for all staff to provide person-centred and consistent care to people.” from the report
  • Limited activities

    needs fixing

    People had few activities, outings or opportunities for engagement. Inspectors saw people left without activities while staff were busy.

    “There were limited activities, entertainment and opportunities for engagement for people, including people who lived with dementia.” from the report
  • Communication with relatives

    needs fixing

    Some relatives said communication was poor and were not kept informed about changes. The home was asked to strengthen its communication and feedback systems.

    “We recommend that systems to communicate with relatives are strengthened to ensure people and relatives are kept up to date with changes being introduced and to gather their feedback.” from the report
Questions to ask them, based on this report
  1. 01Have all bedrooms now got working nurse call bell cords, and are the shower and bath facilities working safely?
  2. 02What has changed about medicines storage, medicines records and guidance for medicines used when needed?
  3. 03How have you repaired and cleaned the building, equipment, carpets and bedrooms, and how do you check that standards stay at that level?
  4. 04How are care plans now recording each person's preferences, routines, communication needs and daily support?
  5. 05What activities and outings are now available, and how are relatives kept informed about changes and invited to give feedback?

The inspection began as a focused follow-up to concerns about care, staffing, management and culture, then widened into a comprehensive inspection covering all five key questions; the previous ratings were from 2018. This explanation was written from the published report of 18 August 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.

An earlier report, explained

What inspectors found, March 2021

Seahaven Care Home: targeted inspection found safe staffing, training and infection controls; the previous Good rating remained in place.

This was a targeted inspection on 10 February and 25 February 2021. Inspectors checked concerns about staffing, staff knowledge, nutrition monitoring, and infection control during the COVID-19 pandemic.

Inspectors found enough suitably checked and trained staff. People's needs were reviewed regularly. They also found that staff monitored people's weight, involved health professionals when needed, and supported people with food and drink.

The home had infection control arrangements that inspectors were assured about, including PPE, testing, hygiene, social distancing and outbreak planning. One weakness was that conversations with staff about lessons from incidents were not always fully recorded.

The service was inspected but not rated in this visit. Its previous overall rating of Good, published in May 2018, remained unchanged. This report did not assess every part of the service.

What inspectors praised
  • Staffing and recruitment

    Inspectors found enough skilled staff, and recruitment checks were completed for permanent and agency workers.

    “Staffing levels were safe. People had their dependency assessed monthly and the registered manager ensured there were enough skilled and qualified staff available to support people.” from the report
  • Staff training

    Staff received regular training and new workers had induction, competency checks and shadowing before providing care.

    “New staff received an induction, which included training, competency assessments and shadowing sessions, before delivering care to people.” from the report
  • Nutrition support

    People were offered meal choices and alternatives. Their weights were monitored and other health professionals were involved when necessary.

    “People's weights were monitored for any changes and healthcare professionals were involved when necessary if people were losing weight or had difficulty eating or drinking.” from the report
  • Infection control

    Inspectors were assured about the home's arrangements for PPE, testing, hygiene, social distancing and managing possible outbreaks.

    “We were assured that the provider's infection prevention and control policy was up to date.” from the report
What inspectors were concerned about
  • Incomplete incident records

    needs fixing

    The home shared lessons from accidents and incidents verbally, but it did not always record these discussions fully. This could make it harder to confirm what staff had been told and what actions were agreed.

    “The registered manager updated staff verbally with outcomes and actions from investigations. These conversations were not always fully recorded.” from the report
Questions to ask them, based on this report
  1. 01How do you now record that staff have been told about lessons and actions following accidents or incidents?
  2. 02How often will my relative's needs and the staffing level needed to support them be reviewed?
  3. 03How will you monitor my relative's weight and respond if they lose weight or have difficulty eating or drinking?
  4. 04What infection control, testing and visiting arrangements are currently in place?
  5. 05What parts of the service will be reviewed at the next comprehensive inspection?

This was a targeted inspection of specific concerns about Safe and Effective care, including infection control; it did not reassess the other key questions or change the previous Good ratings. This explanation was written from the published report of 20 March 2021 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 Marine Park View

5 rated inspections over 7 years: the service has slipped, from Requires improvement to Inadequate.

  1. August 2023Inadequatecurrent rating
    Safe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read what inspectors found at Marine Park View →

  2. March 2021Inspected but not rated
    Safe: Inspected but not ratedEffective: Inspected but not rated

    Read what inspectors found at Marine Park View →

  3. May 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. August 2017Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. January 2017Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. May 2016Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  7. October 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  13. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  14. July 2011

    Registered with the Care Quality Commission on 6 July 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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