14 November 2023
During an inspection looking at part of the service
Regents View Care Home is a residential care home providing personal and nursing care for up to 50 people. At the time of our inspection there were 48 people using the service.
People’s experience of using this service and what we found
There were not enough staff on duty to meet people’s needs. The provider had not ensured risks to people had been assessed, monitored and managed. Recruitment processes had not been safely managed.
The provider's fire risk assessment was over 12 months old and although action was taken to address this after the inspection, the provide'rs own quality assurance systems had not identified this.
The home required refurbishment. Many areas of paintwork, flooring and furniture were worn. Curtains and blinds were missing from windows. The manager sent us a refurbishment plan after the inspection detailing the refurbishment to be carried out and timescale for completion.
Some quality monitoring systems were ineffective as they did not identify the areas of concern we found during this inspection.
Most people and relatives said they felt safe at the service and staff were kind and caring. However, some relatives did raise concern about some staff ignoring people or being rude.
People received support with their medicines and there were measures in place to prevent the spread of infections.
Accidents and incidents were well managed, with procedures in place to learn from these.
The provider had an open, transparent culture. People and staff all had opportunities to provide feedback about the service which was used to drive continuous improvement. Staff enjoyed their jobs and were all keen to deliver high-quality care. The manager and staff worked alongside other professionals to help ensure people received effective care and support.
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.
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 11 July 2023).
Why we inspected
The inspection was prompted in part due to concerns received about the overall management of the service, limited activities, and the safety of care of people who use the service. A decision was made for us to inspect and examine those risks. We undertook a focused inspection to review the key questions of safe and well-led only.
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. This is based on the findings at this inspection. Please see the full report for further details.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Regents View Care Home on our website at www.cqc.org.uk
Enforcement
We have identified breaches in relation to safe care and treatment and the provider's oversight and management of the service.
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.