Mulroy's Seaview Nursing Home

Updated 25 March 2023

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 Health and Social Care Act 2008.

This was a targeted inspection to check on a concern we had about the management of risk and safety of the premises.

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

An inspector carried out this inspection.

Service and service type

Mulroy’s Seaview Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Mulroy’s Seaview Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

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 (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 3 members of staff including the registered manager. We reviewed a range of records. This included 8 people’s care records. We also made observations around the home.

Updated 25 March 2023

About the service

Mulroy’s Seaview Nursing Home is a residential care home providing personal and nursing care to up to 27 people in one adapted building. The service provides support to adults with mental health conditions. At the time of our inspection there were 26 people using the service.

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

People were exposed to risk as person-centred risk assessments were not always in place or up to date. Fire safety was not appropriately managed in the home. There were not enough staff on duty to ensure all management and administration tasks were completed. The management team did not have robust systems in place to safeguard people from the risk of abuse or to protect people from the risk of infection. Medicines were administered safely by staff who were appropriately trained and assessed as competent. However, medicines stock levels had not been correctly managed.

Safe recruitment processes had been followed when new staff commenced employment. The management team monitored accidents and incidents to ensure lessons were learned when things went wrong.

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, the policies and systems in the service did not support this practice. The registered manager had not ensured people’s capacity to make decisions about their care was always properly assessed or recorded.

Staff supported people to make day to day decisions and choices. Staff training was not fully up to date and not all staff had regular supervision. The premises needed renovation and redecoration. We observed staff providing care in a way which demonstrated skills and knowledge of the people they supported. People were supported to eat a healthy balanced diet that met their needs. People had access to health professionals when required.

The systems in place for checking on the quality and safety of the service were not always effective. Audits and quality monitoring had not been completed on a regular basis. Some documentation was out of date. There was a positive culture within the home. People we spoke with were generally happy with the care they received, and we had good feedback from relatives. Staff and management worked closely alongside other health and social care professionals to achieve good outcomes for people.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 17 December 2019).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

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

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

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

Enforcement and Recommendations

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have made a recommendation about improving the management of medicines stock.

We have identified breaches in relation to safe care and treatment and good governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from 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 continue to monitor information we receive about the service, which will help inform when we next inspect.