Seaview Nursing Home

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• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Although improvements had been made and the Registered Manager had introduced new practices into the home, systems and governance still needed to be embedded into everyday practice. Audits and quality checks had been carried out regularly but lacked detail and the analysis to plan robust actions which could promptly improve the quality of care. Staff were positive about the management team and felt supported and encouraged to increase their knowledge and skills. Staff performance was monitored closely and action taken where necessary to support staff and improve practice. Care plans had improved to be more person-centred, however the daily care notes did not always reflect personal preferences and choices offered.

This service scored 50 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Although the senior management team demonstrated a good knowledge of governance, there were still improvements to be made in respect of the service’s quality assurance systems to ensure they were adequately robust. Shortfalls had not been clearly identified in a way to ensure improvements could be implemented quickly and effectively. Issues raised by us during the assessment had been immediately dealt with by the end of the assessment process. The Registered Manager was able to discuss and account for the actions, behaviours and performance of staff and how they supervised and monitored staff performance with monthly supervisions yearly appraisals. The Registered Manager was enthusiastic regarding introducing new practices into the home and shared her vision for the service -she was proud of the achievements of staff and that it was a new staff team.

Although the provider had made enough improvement to systems they used to assess and monitor their service, more time was needed to embed these improvements. The registered manager had used data and information from records to continually plan improvement in the quality of care. These had been shared with CQC during 2023. The organisations' quality assurance systems demonstrated there were still improvements to be made in respect of the collection of data to ensure that shortfalls were acted on in an effective way with an action plan. For example the need to expediate necessary improvements to the environment. Such as replacement flooring, essential repairs to the communal bathrooms and showers and the overall upgrade of bedrooms which had impacted on the overall cleanliness. Whilst care plans and risk assessments had been improved to be person centred, daily notes had not and lacked the information that ensured people were receiving the care and social needs they wanted or required. As already discussed under the safe question, some audits for equipment was misleading. Events and incidents had been analysed for patterns and trends to ensure lessons were learned and shared with staff. The service followed robust arrangements for the confidentiality of data, records and data management systems. The service had implemented quality frameworks based on recognised standards, best practices or equivalents to improve equity in experience and outcomes for people using services and tackle known inequalities. Staff had regular individual supervision which they felt were helpful and supportive. Management monitored and managed staff performance, and acted quickly to improve skills or conduct. The staff were positive about the management team and could see improvements in the home. Staff were encouraged to improve their practice through additional training and development of their skills.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.