Archived: Bay View Nursing and Residential Home

Updated 8 August 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 6 June 2017 and was unannounced. The inspection was undertaken by two inspectors and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

When the service was last inspected in April 2016 we found three breaches of the regulations of the Health and Social Care Act 2008. During this inspection we checked that the improvements required by the provider after our last inspection had been made. It was rated as ‘Requires Improvement.’

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

We reviewed the information we held about the service. This included previous inspection reports, statutory notifications (issues providers are legally required to notify us about) other enquiries from and about the provider and other key information we hold about the service.

We spoke with seven people, one relative, eight members of staff and the registered manager. We also observed the lunchtime experience and the activities undertaken by people.

We reviewed the care plans and associated records of five people and a sample of the Medicines Administration Records (MAR). We also reviewed documents in relation to the quality and safety of the service, staff recruitment, training and supervision.

Updated 8 August 2017

This inspection took place on 6 June 2017 and was unannounced. When the service was last inspected in January 2016 we found three breaches of the regulations of the Health and Social Care Act 2008. The breaches related to staffing, person-centred care and good governance. These breaches were followed up as part of our inspection.

You can read the report from our last comprehensive inspection, by selecting the 'All reports' link for Bay View Nursing and Residential Home, on our website at www.cqc.org.uk

Bay View Nursing and Residential Home is registered to provide accommodation and nursing care for up to 40 people. At the time of our inspection there were 22 people living at the service.

A registered manager was in post at the time of inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. The registered manager is also the sole provider of the service.

At our previous inspection the provider was not consistently responsive to people’s needs. People did not have up to date care plans that reflected their current care needs. At this inspection insufficient improvements had been made. The quality and content of care plans was variable. Care plans were not person centred and not always descriptive of people’s needs.

At our previous inspection the provider had ineffective quality assurance processes in place that would help drive forward improvements. At this inspection insufficient improvements had been made. The provider did not have effective systems and processes for identifying and assessing risks to the health, safety and welfare of people who used the service.

The provider had inadequate arrangements for reporting and reviewing incidents and accidents.

The risks associated with people’s care were not consistently managed safely. There was not always sufficient guidance for staff on how to keep people safe because the plans contained limited information.

Medicines were not consistently managed safely.

People were not cared for in a safe, clean and hygienic environment.

People's rights were not consistently upheld in line with the Mental Capacity Act (MCA) 2005. This is a legal framework to protect people who are unable to make certain decisions themselves.

Staff were not consistently supported through a regular supervision programme. Supervision is where staff meet one to one with their line manager.

People’s nutritional needs were assessed and care plans provided guidance for staff on how to meet these needs. Food and fluid monitoring charts had been completed, but it was unclear how these were monitored.

When asking people if they felt well cared for we received mixed feedback. During our observations we observed some positive interactions. The maintenance person demonstrated an excellent rapport with people. However, a number of interactions between staff and people using the service were often task focussed rather than person centred.

At our previous inspection the provider was not deploying sufficient numbers of staff to ensure they could meet people’s care and treatment needs. At this inspection we found sufficient improvements had been made.

Records showed that a range of checks had been carried out on staff to determine their suitability for work. This included obtaining references and undertaking a Disclosure and Barring Service (DBS) check.

Staff had undertaken safeguarding training. They understood their responsibilities with regard to safeguarding people from abuse.

New staff undertook an induction and mandatory training programme before starting to care for people on their own.

People had access to on-going healthcare. Records showed that people had been reviewed by the GP, the community nutrition nurse, the mental health team and specialist nurses such as a tissue viability nurse.

Relatives were welcomed to the service and could visit people at times that were convenient to them. People maintained contact with their family and were therefore not isolated from those people closest to them. There was a full time activities coordinator in post. They consulted people about their needs and compiled weekly activity plans.

On the day of the inspection we were informed by the provider that they intended to close the service. The provider has also formally notified the local authority about their closure. The service is currently working with the local authority and relatives to find suitable alternative placements for people. The provider told us that their aim is to close in August 2017. Owing to their impending closure the service will not be placed into special measures.

At this inspection we found four breaches of the regulations of the Health and Social Care Act 2008.