Beach Lawns Residential and Nursing Home

Updated 30 July 2021

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 Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection team consisted of two inspectors 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

Beach Lawns Residential and Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service did not have a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. The manager at the service had submitted an application to become the registered manager.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection.

During the inspection

We spoke with ten people who used the service and two relatives about their experience of the care provided. We spoke with seven members of staff including the regional manager, manager, deputy manager, a member of the nursing staff and care workers.

We reviewed a range of records. This included six people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 30 July 2021

About the service

Beach Lawns Residential and Nursing Home is a residential care home providing personal and nursing care to 53 people aged 65 and over at the time of the inspection. The service is divided into three residential units, one of which provides support for people living with dementia, and one nursing unit. The service can support up to 82 people.

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

People told us they felt well-cared for at the service. People had good relationships with staff and were positive about staff attitudes. The service had systems in place to protect people from the risk of abuse and staff had received training on how to recognise and report any concerns. People were supported by sufficient staff who had been safely recruited. However, people we spoke with told us they had missed out on activities since the start of the Covid-19 pandemic. The manager told us a new activities coordinator had been recruited and the service would be resuming organised activities.

Staff carried out assessments to determine risks to people and their care needs. Where risks had been identified, either individually or within the environment, action had been taken to reduce these risks. People had clear care plans which guided staff on how people liked their care to be delivered. Care plans were person-centred and contained information about people’s personalities and history. Staff received regular training and supervision. Staff supported people to be as independent as possible and to choose, as far as possible, how to live their lives.

The provider had an effective system in place to monitor the quality and effectiveness of the service. People told us they were confident they could raise any concerns or complaints and were happy with the quality of the service. Staff said their morale was good and they felt able to speak up. Staff at the service worked with other professionals to meet people’s healthcare needs and liaised with families as needed.

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.

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 requires improvement (published 03 April 2020) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

The inspection was prompted in part due to concerns received about possible institutionalised practice.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective and well-led sections of this full report.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

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.

The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

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

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.