Beachview

The provider's recruitment process included references and DBS checks to help ensure suitable staff were employed.

“The provider had a recruitment system that ensured only suitable staff were employed.” from the report

People's rooms reflected their interests and belongings. The lounge was also described as spacious and pleasantly decorated.

“Peoples' rooms were personalised and individually decorated with things important to them, for example TV's, gaming equipment, pictures and photographs.” from the report

Records showed staff had training in areas including safeguarding, learning disabilities, person-centred care, medicines and mental capacity.

“Records showed staff had received training in topics including learning disabilities, person-centred care, safeguarding and protection of adults, medication, documentation and record keeping, MCA and DoLS.” from the report

People who needed help with meals were supported by staff, although inspectors found confusion about some people's food and drink needs.

“People who needed help with their meals were supported by staff.” from the report

Care plans did not consistently explain how to manage risks. Staff gave conflicting advice about moving and handling, including whether a person should use a hoist.

“Systems were either not in place or robust enough to demonstrate risk was effectively managed. This placed people at risk of harm.” from the report

Staffing levels were not always enough to meet people's needs. One person had to wait in wet clothing because two staff were needed and were not available.

“The provider had failed to ensure there were sufficient numbers of staff deployed. This placed people at risk of harm.” from the report

Medicine stocks did not always match the records. Storage checks and recording of medicines were also inconsistent, so inspectors could not be assured that medicines were always given as prescribed.

“However, we were not assured that medicines were always administered as documented, due to the number of medicines within the service, not always matching recorded stock balances.” from the report

Inspectors heard concerns about verbal abuse and about people not always receiving suitable personal care. Staff did not always feel safe reporting concerns.

“At this inspection we found people were exposed to the risk of harm and abuse including verbal abuse.” from the report

There was no registered manager, with frequent changes in managers. Staff described low morale and a blame culture, while audits failed to identify important gaps.

“The provider's systems and processes were ineffective and failed to identify concerns found on this inspection.” from the report

Staff were unclear about choking risks, food textures and thickened drinks. Inspectors found that important information was not always communicated consistently.

“There is confusion to what textures [Name] can have, so they're coming in tomorrow.” from the report