Seaview Nursing Home

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• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

The provider ensured people were involved in the planning and reviews of their care and support. People were informed of healthcare appointments and with agreement, were supported by staff to attend. Relatives told us they felt well informed about changes and events concerning their family member. Staffing, although adequate to keep people safe, did not allow time for staff to simply spend time with people and chat, and people told us they wanted this.

This service scored 64 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People told us how they felt involved in the planning of their care and support. One person said, “They sit and talk to me about my pills and my wishes. I’ve told them what I need and they give me what I want.” A relative we spoke with told us, “I helped write the care plan for [relative] and think it’s what she wishes. [Relative] doesn’t have the capacity, so I do it.”

Staff told us how they keep people informed of any medical appointments. One said, “We always get consent and involve them as much as possible.” They also told us, “People can change quickly and we then adapt their care accordingly with help from family, friends and our staff.” The registered manager was committed to ensuring people were involved in their care and said, "we have really worked hard to change culture and make sure people are consulted and receive the care they want , need and deserve, we know that daily notes still need to be more specific and person centred, but we are working hard to address this.”

We observed staff were too busy to spend time with people. Staff were seen to be supporting people to get up and dressed for most of the morning which meant people were not up and ready to enjoy social time or activities. We saw a member of the domestic team being called away from their duties to accompany a person to hospital.

We did not look at Care provision, Integration and continuity during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Providing Information during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Listening to and involving people during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Equity in access during this assessment. The score for this quality statement is based on the previous rating for Responsive.

People and relatives we spoke with told us staff treat them fairly and without discrimination. People said they wished staff had more time to talk with them and they felt staff were usually very rushed and too busy to stop and chat. Relatives told us they had been asked for their views through annual surveys, and some had attended relative meetings where they discussed the service and progress that was being made with improvements.

Staff told us they had completed training about equality and diversity and they could explain how they ensured people were treated equally. Staff told us there are not enough staff to provide social stimulation and activities to people, which means people were not receiving activities that would be meaningful to them individually.

All staff had received equality and diversity training. The provider had a policy in place to support the ethos at the home in which everyone was treated with fairness and were protected from any form of discrimination. Care plans were person centred and considered people’s differences and equality characteristics. Regular ‘residents’ meetings had been held to give people opportunities to provide feedback about their care and support and the service. Discussions were held regularly with people to review their menu choices and activities. People received a survey on a regular basis to enable the management team to formally review their experiences. Records showed that people were generally positive about the care and support they receive. The staffing rota showed there were not enough staff deployed to provide meaningful activity time with people generally, and especially those who were unable to access communal areas. We discussed this with the management team, and they informed us recruitment was underway for activity staff, and staffing was adjusted immediately during the assessment to add a further member of staff to the team.

We did not look at Planning for the future during this assessment. The score for this quality statement is based on the previous rating for Responsive.