CQC report explained · a residential care home
What the CQC found at The Views
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected by staff who understood their risks, safeguarding duties and medicines protocols. There had been a short period of medicines errors after a storage change, but extra training and oversight had been introduced and no further errors of that type had occurred.
- Effective?
- Good
- Staff had specialised training and worked with health and social care professionals. People's nutrition, hydration, mobility, communication and health needs were supported.
- Caring?
- Good
- Inspectors observed warm relationships, laughter and positive interactions. Staff promoted people's dignity, privacy, independence and involvement in decisions.
- Responsive?
- Outstanding
- Support was highly personalised. Staff used creative communication methods, meaningful activities and individual plans to help people express choices, maintain relationships and achieve goals.
- Well-led?
- Good
- The home had supportive leadership, a positive team culture and regular checks on care, incidents, complaints and records. Managers sought feedback and worked with other professionals to improve support.
What inspectors found, March 2020
The Views was rated Good overall; inspectors found exceptionally responsive, caring support, with a short period of medicines errors that had been addressed.
Inspectors visited on 24 February 2020. They observed care, activities and mealtimes, reviewed care and medicines records, checked staff files and spoke with staff, relatives and professionals. They could not speak directly with residents because of their complex communication needs.
The home was rated Good for Safe, Effective, Caring and Well-led. Inspectors found enough trained staff, safe medicines practice, good support with health and nutrition, kind relationships and strong management oversight.
Responsive care was rated Outstanding. Staff used creative communication tools, personalised plans and activities to support people's choices, independence, relationships and goals. The overall rating stayed Good, the same as at the previous inspection in 2017, while Responsive improved from Good to Outstanding.
Personalised communication
Staff went beyond basic communication support and helped people obtain and use tools suited to them, including specialised technology, picture cards and social media.
“They were passionate about providing people with the tools they needed and preferred, to communicate.” from the report
Choice and independence
People were supported to make choices, take part in everyday tasks and develop skills. Individual plans reflected their wishes, interests and future goals.
“The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion.” from the report
Meaningful activities
Activities were based on people's interests and helped them take part in the community, build confidence and maintain relationships.
“Staff worked creatively to provide people with activities that met their preferences and interests.” from the report
Kind and respectful care
Inspectors saw positive relationships between staff and residents. Staff respected privacy and dignity and encouraged people to be as independent as possible.
“There was a positive atmosphere in the home.” from the report
Safe staffing and risk support
There were enough staff, including familiar agency staff when needed. Staff knew people's risks and acted quickly when concerns arose.
“There were always enough staff to meet people's needs and they were recruited safely.” from the report
Support at the end of life
Staff had made strong efforts to follow people's wishes and help them stay connected to important people and beliefs at the end of life.
“At the end of their life they had constant support, they were never on their own.” from the report
Previous medicines errors
needs fixingThere was an increase in medicines errors for a short period after medicines changed from monitored dosage systems to individual boxes. The home added retraining and extra oversight, and inspectors found no further errors of this type.
“For a short amount of time, there had been an increase in medicines errors, following this change.” from the report
- 01How will you make sure medicines supplied in individual boxes are checked and given safely?
- 02Which communication tools and methods would you use for my relative's specific needs?
- 03How would you support my relative to build independence and work towards personal goals?
- 04How do you make sure agency staff know people's routines and risks?
- 05How are you developing people's end of life care plans and involving them in decisions?
This was a planned inspection of all five CQC questions; inspectors could not speak directly with residents because of their complex communication needs, so they used observation, records and feedback from others. This explanation was written from the published report of 20 March 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.
What inspectors found, August 2017
The Views was rated Good; inspectors found safe, kind and personalised care, and said earlier checks on quality had improved.
This was an unannounced comprehensive inspection on 30 June 2017. Inspectors observed care, spoke with care workers, relatives and health professionals, and checked care records, medicines records, staffing, training, complaints and quality checks.
The home supported up to six people with a learning disability, with three people living there during the inspection. Inspectors found people were protected from abuse, had enough suitable staff, received their medicines safely and had access to healthcare, suitable food and activities.
Inspectors found care was kind, respectful and centred on each person's needs. Staff supported people to make choices, followed guidance about communication and health risks, and helped people raise concerns. All five areas were rated Good.
At the previous inspection in 2014, checks on care quality and feedback from relatives and professionals were not effective. This inspection found that the provider and manager had addressed those issues and had suitable checks in place.
Safe staffing and medicines
Inspectors found enough staff to support people safely, including with appointments, community access and activities. Medicines records were completed accurately and checked regularly.
“Sufficient numbers of care workers continually deployed at the service ensured people received safe care.” from the report
Kind and dignified care
Staff knew people well and supported their choices, privacy and dignity. Inspectors observed calm and respectful interactions.
“Staff respected people's privacy and promoted their right to confidentiality and to be treated with dignity.” from the report
Improved oversight
The provider and manager had addressed the earlier problems with quality checks and feedback. Audits were being used to identify and make improvements.
“There were appropriate arrangements in place to consistently audit the quality of the service and to obtain the views of health and social care professionals and relatives.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you support my relative's specific health risks, such as PEG feeding, choking, bleeding or mobility needs?
- 02How do you check that medicines are given, recorded, stored and reviewed safely?
- 03How will you involve my relative, their family and health professionals when care plans need to change?
- 04How do you gather and act on feedback from relatives and health and social care professionals?
- 05What staffing levels are normally in place, including when staff are absent or people need to attend appointments and activities?
This was an unannounced comprehensive inspection covering all five CQC questions, and it found that the home's previous Good rating had been maintained. This explanation was written from the published report of 8 August 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.
Every inspection of The Views
3 rated inspections over 5 years: the service has held its Good rating throughout.
- March 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- August 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- April 2012
Registered with the Care Quality Commission on 1 April 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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19 live-in carers within about an hour of East Sussex
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,000 to £1,400 a week. 13 can care for a couple. 10 years' experience on average.
“When he point blank refused to go into hospital for a life saving blood transfusion she talked him through the situation and agreed to go in the ambulance with him and stayed until he was settled.”
“Una felt safe, secure and loved in her time with Debbie which is a gift that I am eternally grateful for.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.