- Care home
Marina View Care Home
Report from 23 May 2024 assessment
Contents
Ratings
Our view of the service
This was the first inspection and was undertaken between 12 June 2024 and 18 June 2024. The service had several managers since opening and a new manager had just commenced. Prior to the inspection we received concerns about staffing, training levels, admissions and responding to residents health and wellbeing needs. During the inspection we found 3 breaches of regulation in managing medicines safely, recruitment, and governance. People were kept safe through safeguarding policies and health and safety procedures. The home was kept clean and comfortable, and was decorated and furnished to a high standard. Staff could access care plans and updated people's care notes on electronic devices. Staff monitored people's outcomes such as falls and knew what to do. People were supported to eat and drink and all food was prepared on the premises. We received some poor feedback from stakeholders and relatives about how well staff worked with other health services to make sure care was delivered effectively. We saw that staff were kind and caring towards people, and we received positive feedback from relatives. Relatives told us that permanent staff knew people and their needs well, however agency staff less so. An activities co-ordinator was recently appointed; relatives told us they thought people should be supported with activities and to go out more often. We found gaps in some aspects of end of life care, and this was being addressed by the interim and new manager. Staff were starting to seek feedback from people and their relatives to help them make improvements. We found gaps in the governance of the service. An interim manager had been appointed to address this and new manager was due to take over. We found that some audits were adhoc had not been utilised to identify and make improvements, for example around medicines management and care plans. Some statutory notifications had not been made.
People's experience of this service
We asked people and their relatives about their views of the service and feedback was a mixture of positive and negative experiences. People told us they had poor experiences regarding the quality of the admission process. Some people did not have the correct medicines or equipment when they first moved to the service. We found that not everyone had received a pre-admission assessment. Some people thought staff did not have the right training or experience to meet people's complex needs. Relatives felt that communication with other health services could be better. Some people had made their own arrangements for appointments as they had lost confidence in the previous manager to arrange or follow things up. One relative said, "There are discrepancies in what is stated and what's available. For example, having all the equipment on hand, having optician visits, dental services and initially podiatry. I've had to organise everything except for access to the GP." People and relatives felt that staff did not have the right amount of training to be able to do their jobs effectively. Some relatives said they had to ask staff to make sure people were supported to have a shower or bath. Some relatives were not part of the assessment process and felt staff would know the needs of people better if they had been included. Relatives felt that some agency staff did not know the needs of people as well as the permanent staff, and thought that people would be supported with activities and going out of the care home more regularly. Relatives said the staff were kind and caring and the home was clean and comfortable. A relative told us, "[My relative] eats all her meals well. The meals are nutritious and well balanced. It's good home cooked food."