Seaview Haven

Updated 14 January 2022

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.

Inspection team

The inspection was carried out by two inspectors, a medicines 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

Seaview Haven 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 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 was unannounced.

What we did before the inspection

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 the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with five people who used the service and ten relatives about their experience of the care provided. We spoke with eleven members of staff including the Director of Care, registered manager, deputy manager, senior care workers, care workers, housekeeping staff and the cook.

We reviewed a range of records. This included four 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. We spoke with a professional who regularly visits the service.

Updated 14 January 2022

About the service

Seaview Haven is a residential care home providing personal care for up to 44 people. At the time of the inspection there were 33 people living there. The home accommodates people across three different floors, each of which has separate adapted facilities. One of the floors specialises in providing care to people living with dementia.

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

A new Director of Care and a new registered manager had been employed immediately following the previous inspection. They carried out regular audits to monitor the quality of care. The new Director of Care role provided a clinical and overall oversight of the whole service, including the registered manager on behalf of the provider. They and their staff team had worked hard to ensure that the breaches found at the previous inspection had been addressed and robust systems embedded into practice. The provider was supportive and there had been investment to further promote good quality care at Seaview Haven.

People were safe at the service. Staff had been trained to safeguard people from abuse and understood how to manage risks to people to keep them safe.

There were enough staff to support people and the staff worked well as a team. Recruitment checks had been undertaken on staff to make sure they were suitable to support people.

People had a choice of comfortable spaces to spend time in at the service. The provider had adapted the premises when needed to meet people's needs.

The premises were clean and tidy. Staff followed current hygiene practice to reduce the risk of infections with new effective systems in place. Visitors to the service were given information to help them reduce the risk of catching and spreading infection. Health and safety checks of the premises and equipment were carried out at regular intervals.

People's care and support needs were assessed prior to them using the service. Their care plans set out for staff how these needs should be met.

Staff understood people's needs and how they should be supported with these. They received relevant training to help them to do this. Staff were supported by the registered manager to continuously improve their working practices to help people achieve positive outcomes.

Staff were calm, kind and respectful of people. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were supported to stay healthy and well. Staff helped people eat and drink enough to meet their needs, to take their prescribed medicines and to manage their healthcare conditions.

People and staff's feedback indicated that since the previous inspection there had been great improvement in the way the service was run. People and relatives generally were satisfied with the quality of care and support they received.

The registered manager reviewed accidents, incidents and complaints to identify how the service could improve.

People were encouraged to have their say about how the service could improve. The registered manager used their feedback along with regular audits and checks, to monitor, review and improve the quality and safety of the support provided.

The service worked with other agencies and healthcare professionals. The provider and management team acted on their recommendations to improve the quality and safety of the service for people.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Seaview Haven on our website at www.cqc.org.uk.

Rating at last inspection

The last rating for this service was inadequate (published 11 March 2021) and there were multiple 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 relating to safe care and treatment, safeguarding service users from abuse and improper treatment, staffing and good governance. This service has been in Special Measures since 11 March 2021. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

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 Safe, Effective and Well-led which contain those requirements. We also 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 coronavirus and other infection outbreaks effectively.

Follow up

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