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CQC report explained · a nursing home

What the CQC found at Shoreline Nursing Home

Goodpublished 21 July 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 safe and risks were well managed. Medicines, infection control and staffing arrangements were found to be safe, although records of checks on some agency staff had gaps.
Effective?
Good
This area was not looked at during this focused inspection. Its rating was carried forward from the previous comprehensive inspection.
Caring?
Good
This area was not looked at during this focused inspection. Its rating was carried forward from the previous comprehensive inspection.
Responsive?
Good
This area was not looked at during this focused inspection. Its rating was carried forward from the previous comprehensive inspection.
Well-led?
Good
Management systems had improved and leaders were open and transparent. Quality checks were effective, although the records did not yet include enough detail.
The latest report, explained

What inspectors found, July 2020

Shoreline Nursing Home rated Good; inspectors found safe, caring support and major improvements, but agency staff checks and audit records still needed attention.

This was an unannounced focused inspection on 30 June 2020. One inspector spoke with people, relatives and staff, observed care, and checked care, medicines, staffing and management records.

The home was rated Good overall. Safe and well-led were both rated Good. Inspectors found that risks were managed, medicines were handled safely, infection control was good and there were enough staff to support people.

The home had improved from Requires Improvement at the previous inspection. It was no longer in breach of Regulations 12 and 17. Inspectors found that the action plan had led to better risk records and stronger checks on the quality of care.

This was not a full review of all five areas. The inspection looked only at Safe and Well-led. The ratings for Caring, Effective and Responsive were carried forward from the previous comprehensive inspection.

What inspectors praised
  • Risks were managed

    Inspectors found that staff knew people well and responded quickly when needs changed. Risk records had significantly improved since the previous inspection.

    “Risks to people were well managed at the home. Staff knew people well and they responded quickly when people's needs changed.” from the report
  • Medicines were safe

    Medicines records were up to date. Staff had completed the required training and their competence checks were current.

    “Medicines were safely managed. Good procedures were in place to ensure people had access to their medicines.” from the report
  • Infection control

    The home was clean and had protective equipment in place. Inspectors found that government guidance about COVID-19 had been followed.

    “Government guidance in relation to Covid-19 had been followed. Regular checks were taking place to make sure protective equipment was worn correctly.” from the report
  • Improved leadership

    The provider's action plan had led to improvements in oversight and communication. Staff said they felt more supported and that the home was better run.

    “The provider had continued oversight of the home. Action plans had been effective in making continued improvements.” from the report
What inspectors were concerned about
  • Agency staff checks

    needs fixing

    Some records did not show all the checks needed to confirm agency staff had the right training and could work at the home. The provider introduced new procedures after the inspection.

    “There were some gaps in the checks which were recorded to make sure staff had the right training and eligibility to work at the home.” from the report
  • Audit records lacked detail

    minor

    The home's quality checks were effective, but the records did not give enough detail about what had been checked.

    “The scope of recording within these checks needed to be further developed to show the detail of checks completed.” from the report
Questions to ask them, based on this report
  1. 01How do you now check agency nurses' training, experience and eligibility before they work in the home?
  2. 02What extra detail is now recorded in your quality and safety audits?
  3. 03How do you make sure risk records remain up to date when a person's needs change?
  4. 04How will you show that the improvements found at this inspection have been maintained?
  5. 05What were the ratings for Effective, Caring and Responsive at the previous comprehensive inspection?

This was a focused inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive were carried forward from the previous comprehensive inspection. This explanation was written from the published report of 21 July 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 2020

Rated Requires Improvement; care had improved and was kind, but risks and quality checks were not managed well enough.

Inspectors made an unannounced, comprehensive inspection visit on 9 and 10 March 2020. They spoke with 12 people, two relatives and 11 staff. They also checked care records, staff files, training information and management records.

The home had improved since its previous Inadequate rating. Inspectors rated Effective, Caring and Responsive as Good. They found enough trained staff, kind care, better communication, good activities and improved support with food, health needs and consent.

Safe and Well-led were rated Requires Improvement. Risk records and information sharing were not always good enough, and quality checks did not give managers enough oversight. The home remained in breach of Regulations 12 and 17, but it was no longer in special measures.

What inspectors praised
  • Enough trained staff

    Inspectors found enough well trained and experienced staff to care for people safely. Recruitment procedures had also improved.

    “There were enough well trained and experienced staff on duty to care for people safely.” from the report
  • Kind and respectful care

    People were treated with dignity and staff knew their needs. Staff encouraged independence and involved people in decisions about their care.

    “People received good care from staff who had good knowledge of their needs.” from the report
  • Better outcomes and support

    Support with nutrition, healthcare, consent and activities had improved. People had access to social contact and personalised care.

    “People had good access to activities to maintain their social contact.” from the report
  • Improved leadership culture

    Managers were more visible and approachable. Staff morale and communication had improved since the previous inspection.

    “The culture of the service had improved.” from the report
What inspectors were concerned about
  • Risk management

    serious

    The home did not always record, review or share information about risks well enough. This included risks such as falls, choking and weight loss, increasing the risk of harm.

    “There were gaps in record keeping and information sharing around these behaviours.” from the report
  • Quality checks and records

    serious

    Quality assurance systems did not provide enough oversight of risk or care records. CQC said further improvement was needed and the home remained in breach of Regulation 17.

    “Further improvements were needed to effectively manage the quality of the service.” from the report
  • Medicines records

    needs fixing

    Medicines were stored and given safely, but records for when-required medicines and medicine photographs were not always complete or consistent. CQC recommended that these records be reviewed.

    “Consistency with the completion of medicine records was needed.” from the report
Questions to ask them, based on this report
  1. 01How are risks such as falls, choking and weight loss recorded, reviewed and shared with every member of staff?
  2. 02What checks now make sure required safety checks are completed on time?
  3. 03How do you make sure records for when-required medicines and medicine photographs are complete?
  4. 04What action has been taken to improve quality assurance and oversight since this inspection?
  5. 05How will you show families that the improvements following the previous Inadequate rating have been maintained?

This was an unannounced comprehensive inspection covering all five key questions and reviewing improvements after the previous Inadequate rating and warning notice. 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.

The story over the years

Every inspection of Shoreline Nursing Home

6 rated inspections over 5 years: the service has held its Good rating throughout.

  1. July 2020Goodcurrent ratingup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Shoreline Nursing Home →

  2. April 2020Requires improvementup from Inadequate
    Safe: Requires improvementWell-led: Requires improvement

    Read what inspectors found at Shoreline Nursing Home →

  3. January 2020Inadequatedown from Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  4. October 2018Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. August 2017Requires improvementdown from Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. April 2015Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  7. June 2014

    Registered with the Care Quality Commission on 9 June 2014.

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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