Lyme Bay View Residential Home

Updated 26 January 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

The inspection was carried out by an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Lyme Bay View Residential Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Kinross Residential Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We sought feedback from health and social care professionals at a weekly meeting to discuss Adult Social Care Services in East Devon. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 10 people who used the service and one relative about their experience of the care provided. We spoke with 9 members of staff including the registered manager, team leaders, care staff, housekeeping, maintenance and catering staff. We also spoke with an agency carer working at the home.

We also spoke with the provider’s nominated individual (the nominated individual is responsible for supervising the management of the service on behalf of the provider).

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included 2 people’s care records and multiple medicine records. We looked at 2 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including maintenance records, residents and staff meetings, quality assurance records and quality monitoring audits.

We contacted 4 healthcare professionals and received a response from 3 of them.

Updated 26 January 2023

About the service

Lyme Bay View Residential Home is a large detached period property on the outskirts of Seaton overlooking the sea. The house has a large landscaped garden which people can access with support. They are registered to provide accommodation with personal care for up to 30 older people with long term medical conditions or memory loss. At the time of our inspection there were 24 people using the service. Four of these people were receiving respite care.

People’s experience of using this service and what we found

People told us they were happy living at the service and felt safe.

Medicines were managed safely. There were safe systems of recruitment in place. Staffing levels had been increased to make sure people's needs were met at all times.

Staff received safeguarding training and knew what to do if they thought someone was at risk.

Risks to people and the environment were identified and well managed.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People and staff said the service was well led and they felt their opinions were sought and listened to. The registered manager worked alongside the staff and was very visible, they knew people well and focused on delivering person centred care.

The provider had systems in place to monitor the service and improve outcomes for people. The registered manager monitored accidents and incidents and identified any actions that needed to be taken to prevent future occurrences.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update the last rating for this service was good (published 3 October 2019).

Why we inspected

The inspection was prompted in part due to the length of time since we last undertook an inspection and a new registered manager was in post. As a result, we undertook a focused inspection to review the key questions of safe and well led only.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has remained good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Lyme Bay View Residential Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.