About the service: Marine View Rest Home is a residential care home providing personal care to a maximum of 19 people in an adapted building combining two terraced houses over three floors. At the time of the inspection 13 people were living at the home. The people living there have a range of health and mental health needs including people living with dementia and degenerative conditions.
People’s experience of using this service:
• The provider led by example in providing person centred care and interacting warmly with everyone at the home and their relatives and visitors. However, there were shortfalls in the provider’s understanding of their responsibilities to notify the Care Quality Commission (CQC) of changes to their statement of purpose in relation to supporting people with specialist needs of all ages and changing the provider’s sole trading status.
• The provider with the support of a consultant and senior care staff was working to an action plan to ensure their quality assurance promoted a culture of improvement.
• Systems have improved in relation to the recording of incidents and accidents. They were monitored and analysed over time and action taken to improve care and risk assessments in response to any emerging trends and themes.
• People’s needs, choices and preferences were known by staff and their care plans were personalised and benefitted from improved guidance that detailed how staff should support their specialist needs.
• There were improvements in how staff received the training, competencies and support they required to respond to people’s specialist needs and the provider identified future training needs in response to referrals and people’s changing needs.
• The outcomes for people were personalised and reflected the caring values of the people supporting them.
• People and their relatives told us they felt safe. One person told us, "It feels safe here to me, it’s like a second home and the staff are very good.” Another person told us, “My things are safe in my room, and I get my inhaler when I need it.” A relative told us, “The staff are very good, they wanted to know about my relative and understand things like their medicines. They set about sorting this out with the GP straight away.”
• People were safe from the risk of abuse. Guidance enabled staff to provide the care and support that people living with complex needs who may be at risk of self-neglect needed in relation to their health and emotional wellbeing.
• People were cared for in a clean and hygienic environment that had benefitted from redecoration throughout the building. The provider had worked hard at involving people in this process and people spoke highly of the improvements and how they enjoyed being able to access the building and local community independently. One person told us, “New carpets, freshly painted it’s amazing it’s really improved. It’s brilliant what they have done.”
• People were comfortable with staff and we saw caring relationships had developed between people and staff. Staff and managers were approachable and knew people well.
• People were being supported to make decisions in their best interests and this was reflected in care planning.
• When new staff were recruited the provider had processes in place to ensure staff were recruited safely. Checks were also undertaken to ensure staff were safe to work within the care sector.
• People were encouraged to express their views. People said they felt listened to and any concerns or issues they raised were addressed. One person told us, “The staff are all very nice and I get on with all of them, anything that needs doing will help and I’m free to come and go which is important.”
• Staff were asked for their opinions on the service and these were acted on. Staff told us they felt supported within their roles.
• People were supported to maintain a healthy nutritious diet and had access to healthcare services and professionals as and when needed. One person told us, “I always have a choice of food. If I don’t like something I can always have an omelette or something else.” Another person told us that their keyworker had arranged a GP visit and helped arrange for special cream for their legs.
• People had access to their local community and had access to range of activities that met their interests and reflected their diverse needs and culture.
Rating at last inspection:
Requires improvement. (Last inspection report published 10 May 2018). This was the second consecutive time the service had been rated Requires Improvement. The service was rated as Good at this inspection.
Why we inspected:
This was a planned comprehensive inspection based upon the previous rating. Because of the
last inspection rating we asked the provider to complete an action plan to demonstrate how they would meet the shortfalls at the home. We inspected to review this action plan and any improvements made. Improvements had been made to the service people received since our last inspection.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk