9 May 2022
During an inspection looking at part of the service
Solent Cliff's is nursing home registered to provide personal and nursing care for up to 40 older people who may be living with dementia. At the time of our inspection 33 people were using the service.
People’s experience of using this service and what we found
We could not be assured people always received the correct dosage of medicine. Medicine was not always stored safely.
The provider had assessed people's needs; however, risk was not always explored sufficiently with regards to skin care and swallowing difficulties.
We could not be assured the culture within the home was always inclusive and dignified.
Staff were knowledgeable about abuse and were confident any concerns were investigated and dealt with properly.
Staff were sufficiently deployed to meet people's needs at all times and relatives and people told us staff were trained appropriately.
The provider had effective measures in place to reduce the possibility or spread of infection.
Relative's, people and staff were complimentary about the leadership in the home and told us any concerns were dealt with in good time.
The registered manager had implemented effective governance systems which highlighted areas of improvement that were required. Some of the issues we identified during our inspection were known and recorded by the registered manager. They had already started taking action to address the concerns.
The provider had effective systems in place for monitoring accidents and incidents and action was taken to drive improvement.
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.
Why we inspected
We received concerns in relation to the management of medicines, leadership, culture of care and safety. We were also advised staff did not share important information with external organisations including relatives. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection. We carried out an unannounced comprehensive inspection of this service on 26 November 2018 and published the report on 22 January 2019.
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 identified a breach in relation to the management of medicines at this inspection. Please see the action we have told the provider to take at the end of this report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Solent Cliffs Nursing Home on our website at www.cqc.org.uk.