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CQC report explained · a residential care home

What the CQC found at Seabreezes

Goodpublished 10 April 2020, 6 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 avoidable harm and there were enough staff to support them. Medicines were managed safely, but one safeguarding allegation was still under investigation and ventilation in a wet room was insufficient.
Effective?
Good
People's needs were assessed and reviewed, and staff had relevant training. People were supported with food, health appointments, communication and decisions about their care.
Caring?
Good
Staff were kind, affectionate and respectful. People were supported with privacy, dignity, independence and everyday choices.
Responsive?
Good
Care plans and activities reflected people's preferences and communication needs. Activity planners were being reviewed to improve people's experiences and skills development.
Well-led?
Good
The manager and staff were described as open and supportive. Regular audits, monitoring visits and feedback were used to check and improve the service.
The latest report, explained

What inspectors found, April 2020

Rated Good; inspectors found safe, kind and personalised care, with a wet room ventilation issue and one safeguarding allegation still under investigation.

This was an unannounced, planned inspection by one inspector on 25 February 2020. The inspector spoke with people living in the home, staff, the manager, relatives and a health professional. They also checked care plans, medicines records, staff records and quality checks.

The home supported five people at the time. Inspectors found all five areas rated Good: Safe, Effective, Caring, Responsive and Well-led. People appeared calm and relaxed with staff who knew them well. Relatives spoke positively about the care.

The home had enough staff, medicines were managed safely, and people were supported with health care, meals, communication, choices and activities. The home was clean and well maintained overall, although ventilation in one ground-floor wet room was not sufficient.

The overall Good rating means inspectors found the service met the legal requirements and provided a consistently good standard of care at the time of the visit. The rating was unchanged from the previous inspection, published in April 2017.

What inspectors praised
  • Staff knew people well

    People appeared calm and relaxed with staff who had supported them for many years. Staff understood people's communication methods and preferences.

    “We observed people to be calm and relaxed with staff who knew them well and had supported them for many years.” from the report
  • Kind and respectful care

    Staff supported people with affection and kindness, while respecting privacy, dignity, routines and choices about personal care.

    “Staff showed affection and kindness towards people and cared about changes that may affect them.” from the report
  • Choice and independence

    People were encouraged to do things for themselves, including cooking, domestic tasks and making drinks. They were involved in everyday decisions and care reviews.

    “People were encouraged to do things for themselves as much as possible.” from the report
  • Good oversight

    The home used regular audits, monitoring visits and feedback to check standards and act on shortfalls.

    “A range of quality checks and audits were undertaken each week and month to ensure standards were maintained.” from the report
What inspectors were concerned about
  • Safeguarding matter still open

    serious

    The local safeguarding adults team was still investigating one allegation involving an incident between two people using the service. The report says other alerts had been investigated and dealt with appropriately.

    “The local safeguarding of adult's team was still investigating one remaining allegation that involved an incident between two service users.” from the report
  • Wet room ventilation

    needs fixing

    The home was clean and odour free in most areas, but ventilation in a ground-floor wet room was insufficient. The manager said they would raise this with the maintenance team.

    “The service was clean and odour free in most areas apart from a wet room on the ground floor.” from the report
  • Recent staff turnover

    minor

    There had been recent staff turnover. Shifts were still covered where possible, including by staff from other services who knew people's needs.

    “In spite of recent staff turnover, shifts continued to be covered where possible from within the staff team.” from the report
  • Activities were being reviewed

    minor

    The manager was reviewing activity plans to improve people's life experiences. Staff also recognised that large gatherings could be difficult for some people.

    “Activity planners were currently under review by the registered manager who was keen to enhance people's life experiences through the activities they chose.” from the report
Questions to ask them, based on this report
  1. 01Has the ventilation problem in the ground-floor wet room been fixed, and how is it checked now?
  2. 02What was the outcome of the safeguarding investigation involving an incident between two people using the home?
  3. 03How many permanent staff currently work here, and how do you maintain continuity after the recent staff turnover?
  4. 04What activities are now available for my relative, and how are their interests and skills reflected in the plan?
  5. 05How will my relative be involved in decisions about their care, activities, meals and daily routine?

This was an unannounced, planned inspection of the whole care home and all five key questions; the overall rating and each key question rating remained Good from the previous inspection. This explanation was written from the published report of 10 April 2020 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, April 2017

Rated Good; inspectors found safe, kind and person-centred care, with improvements since the previous inspection.

This was an unannounced inspection on 9 March 2017. One inspector observed care, spoke with everyone living in the home, and spoke with staff and a social care professional. Records about care, medicines, staffing, training, risks and quality checks were also reviewed.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines systems, suitable care plans, respectful support and activities matched to people's choices.

The previous inspection in March 2016 found some regulations were not met and that improvement was needed. At this inspection, inspectors found that improvements had been made, including better staffing and improvements to cleanliness and the environment.

What inspectors praised
  • Safe medicines

    Medicines records had no gaps, staff were trained and medicines were checked regularly.

    “People received their medicines safely and when they needed them.” from the report
  • Enough skilled staff

    Staffing was planned around people's needs and activities. Staff received training, supervision and competency checks.

    “There were enough staff with the right skills and knowledge to meet people's needs.” from the report
  • Kind and respectful care

    Staff knew people well and protected their privacy, dignity and independence.

    “Throughout our inspection we saw people were treated with respect and staff took appropriate action to protect people's privacy and dignity.” from the report
  • Individual support

    Care plans included people's communication styles, preferences, routines and behaviour support needs. Activities were offered in the home and the local community.

    “There was a strong, visible person-centred care culture.” from the report
  • Improved environment

    The home was clean and hygienic, and work had been completed to address earlier cleanliness and infection control concerns.

    “The service was clean and hygienic; where particular floorcoverings and alterations were required to address previous infection control concerns, these had been completed.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you support my relative's particular communication needs and recognise signs of anxiety or distress?
  2. 02How do you make sure there are enough staff if people's needs change or staff are absent?
  3. 03How are behaviour support plans reviewed when a person's needs change?
  4. 04How would my relative be supported to choose activities and maintain contact with family and friends?
  5. 05How will you continue the improvements made since the previous inspection?

This was an unannounced inspection of the overall service, covering all five areas; inspectors observed care, spoke with each person and reviewed care, staffing, medicines, training, risk and quality records. This explanation was written from the published report of 14 April 2017 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 Seabreezes

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

  1. April 2020Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Seabreezes →

  2. April 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Seabreezes →

  3. May 2016Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2012

    Registered with the Care Quality Commission on 30 January 2012.

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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