- Care home
Seabank House
Report from 19 April 2024 assessment
Contents
Ratings
Our view of the service
The service is a residential home providing care and support for up to 9 Autistic people and people with a learning disability, at the time of assessment the provider was supporting 7 people. The last on-site inspection was undertaken 09 December 2019 and was rated good in all key lines of enquiry. The service assessment was prompted by information of concern received and feedback from partners. The service was assessed on the 14 May 2024 using the new single assessment framework, we focused the inspection activity based on the two key questions of safe and well-led. The first day on-site assessment was unannounced, we announced our next on-site activity and visited on 16 May 2024. Due to the concerns we found on the 14 and 16 May, we completed another visit on-site which was unannounced on the 21 May 2024. We identified concerns with the service management that resulted in a breach of Regulations 9, 11, 12, 13, 17, 18 and 19 of the Health and Social Care Act 2008 (Regulated Activities), including a breach of regulation 4 and 7 of the Health and Social Care Act 2008 (Regulated Activities). Service improvements were needed regarding ensuring people's care plans were up to date and accurately reflected their needs and support requirements to also include risk assessments where required. The management of medicines and equipment was not safe. We found the provider's governance systems were inadequate for addressing safeguarding concerns and incidents that are required to be reported to the Care Quality Commission which were not reported, there was a lack of identifying and driving up improvements to the service such as quality monitoring, staff training and supervision, health and safety governance of the property and grounds, safety systems which also included infection prevention and control. You can find more details of the concerns we raised and found in this report.
People's experience of this service
The overall feedback provided from people was that they like the people that cared and supported them, they liked their bedrooms, they enjoyed undertaking tasks in the house and going out to the local shop and being able to come and go outside. What we found regarding peoples experiences while undertaking the assessment was that the provider did not ensure and follow the guidance and principles of right support, right care, right culture which is a guidance published by CQC for providers who are caring for, autistic people and/or people with a learning disability. The guidance outlines three key factors that providers should consider: right support, which means the model of care and setting should maximise people’s choice, control and independence; right care, which means the care should be person-centred and promote people’s dignity, privacy and human rights; and right culture, which means the ethos, values, attitudes and behaviours of leaders and care staff should ensure people using services lead confident, inclusive and empowered lives.