Background to this inspection
Updated
29 April 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was undertaken by one inspector and an Expert by Experience who carried out phone calls. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Ocean Breeze Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
Some people were not able to fully share with us their experiences of using the service. Therefore, we spent time observing interactions between people and the staff supporting them in communal areas. We spoke with one person and eight relatives. We reviewed a range of records. This included care records for four people and multiple medicine records. We looked at five staff files in relation to recruitment and observed a medicines round. A variety of records relating to the management of the service, including policies and procedures were also reviewed. We spoke to the registered manager and deputy manager.
After the inspection
We continued to seek clarification from the registered manager to validate evidence found. We looked at training data and quality assurance records. We received feedback from five staff members.
Updated
29 April 2021
About the service
Ocean Breeze is a residential care home providing personal care to 20 people, some who may be living with dementia, aged 65 and over at the time of the inspection. The service can support up to 24 people.
People’s experience of using this service and what we found
Overall, improvements had been made to the systems in place to monitor the quality and safety of the service provided. However, further improvement was required to fully embed these systems into practice to ensure that people were consistently kept safe from harm.
People felt safe living at Ocean Breeze Residential Care Home and they were very much at the heart of the service. We received positive feedback from people and their relatives about the care provided.
Staff had received training in safeguarding adults and knew how to identify, prevent and report abuse. There were enough staff to keep people safe.
The risks to people were minimized through risk assessments. There were plans in place for foreseeable emergencies and fire safety checks were carried out.
Relevant recruitment checks were conducted before staff started working at the service to make sure they were of good character and had the necessary skills. However, we did find one staff member had not provided a full employment history. This was addressed at the inspection.
People were supported with their nutritional needs. People received varied meals including a choice of fresh food and drinks.
People were cared for by a motivated staff team, who always put people first. Staff received regular support and felt valued and listened to by management.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 27 September 2019) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.
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 requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Ocean Breeze Residential Care Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.