Marine View Lodge

Updated 19 May 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

This 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

Marine View Lodge 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 who was going through the registration process with the Care Quality Commission. This means that the provider is 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 health and social care professionals who work with the service. 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 used all of this information to plan our inspection.

During the inspection-

We spoke with one relative about their experience of the care provided, and we spoke with three members of staff including the manager.

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 also 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 also spoke with five family members on the telephone.

Updated 19 May 2021

About the service

Marine View Lodge is a purpose-built nursing care home providing personal and nursing care to 28 people aged 65 and over at the time of the inspection. The service can support up to 80 people. Marine View Lodge has four units that provide support for those with residential and nursing needs.

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

Medicines were not managed safely, staff competencies to be able to safely administer medicines were not always assessed appropriately, and the monitoring information for people living in the home was not always completed fully. This meant that although the risks to people had been assessed, the daily monitoring was not regularly recorded so risk assessments could be inappropriate. The systems in place to monitor the quality and safety of the service were not always used effectively as they had not identified the issues found during the inspection.

Care plans and risk assessments were in place that reflected people’s needs. Risks to people's health and safety had been assessed and mitigated and equipment had been serviced and maintained.

The environment was clean and welcoming. Infection control was managed safely and we observed appropriate visiting practices were in place during the COVID-19 pandemic, meaning relatives were able to safely visit their family members living in the home.

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.

Complaints, accidents and incidents were recorded and managed appropriately, and referrals were made to other professionals in a timely manner when people living in the home were identified as in need.

The provider employed activities co-ordinators and people were able to choose and access meaningful activities that were person centred. People’s dietary needs were catered for.

Staff were recruited safely, received supervisions, regular training and attended staff meetings.

Rating at last inspection

The last inspection was a focused inspection to review the key questions of Safe and Well-Led only, the rating for this service was ‘inspected but not rated’ (published 19 November 2020) with both key questions rated as requires improvement.

The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection enough improvement had not been made or sustained and the provider was still in breach of regulation

Why we inspected

The inspection was prompted in part due to concerns received about provision of care, staffing and falls. A decision was made for us to inspect and examine those risks.

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.

We have found evidence that the provider needs to make improvements. Please see safe and well-led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.