Background to this inspection
Updated
23 October 2020
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 one adult social care inspector.
Service and service type
2 Seymour Terrace is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had 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.
Notice of inspection
This inspection took place on 9 September 2020 and was announced. We announced the inspection the day before we visited to discuss the safety of people, staff and inspectors with reference to the Covid 19 pandemic.
What we did before the inspection
Before the inspection we reviewed information we held about the service, including notifications we had received. Notifications are changes, events or incidents the provider is legally required to tell us about within required timescales. We also asked the provider to complete a Provider Information Return (PIR). The PIR is information we require providers to send us at least once annually to give us some key information about the service, what the service does well and improvements they plan to make. We used this information to plan the inspection.
During the inspection
We spoke with one person living at the home, the registered manager and a member of the providers senior management team. We asked the local authority, who commission care services from the service, for their views on the care and support provided.
To help us assess and understand how people's care needs were being met we reviewed three people’s care records. We also reviewed a number of records relating to the running of the service. These included infection control, staff training, and records associated with the provider's quality assurance systems.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at quality assurance records and received feedback from two relatives, and two staff members.
Updated
23 October 2020
About the service
2 Seymour Terrace is a small care home that provides accommodation, personal care and support to a maximum of four people of working age who are experiencing severe and enduring mental health conditions. At the time of the inspection there were four people living at the home.
People’s experience of using this service and what we found
Not everyone living at the service wanted to share their views with us. One person described 2 Seymour Terrace as their home, they told us they felt safe, supported and had developed positive relationships with staff they trusted. Relatives we spoke with continued to express their confidence in the service, the staff and registered manager.
Whilst improvements had been made following the previous inspection in April 2019, the providers governance systems had not been effectively implemented in order to identify concerns or drive improvements. We have recommended the provider review its governance systems.
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; however, we found one person’s care records did not support this practice fully as they contained inaccurate/misleading information. We have recommended the provider review all documentation to ensure that any restrictions placed on people living at the service have the appropriate legal authority in place.
Risks associated with people’s care needs and the environment had been appropriately assessed and staff had been provided with information on how to support people safely.
People were supported to access a range of health professionals to enable them to live healthier lives.
Staff continued to receive the training and support they required to do their job.
People, relatives and staff had confidence in the registered manager and told us the service was well led.
We were assured the service were following safe infection prevention and control procedures to keep people safe. The service had ongoing monitoring arrangements to ensure all aspects of infection control followed best practice guidance.
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 26 July 2019) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do to improve and by when. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating. We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Effective and Well-led which contain those requirements.
As part of this inspection we also looked at the infection control and prevention measures in place. This was conducted as part of our Thematic Review of infection control and prevention in care homes.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. 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 2 Seymour Terrace on our website at www.cqc.org.uk.