Background to this inspection
Updated
18 November 2016
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.
We carried out an unannounced comprehensive inspection at Haven Care Home on 18 and 19 October 2016.
The inspection was carried out by two inspectors.
Before the inspection we checked the information we held about the service, including data about safeguarding and statutory notifications. Statutory notifications are information about important events which the provider is required to send us by law.
We spoke with 15 people who used the service and four relatives who were visiting the service on the day of the inspection. In addition we spoke with three care workers, one senior care worker, three domestics, the chef and the maintenance person. We also spoke with the activity person, two nurses, one senior sister, the deputy manager, the operations manager and the registered manager.
We reviewed the care records of six people who used the service to ensure they were reflective of people’s current needs. We examined five staff files and other records relating to the management of the service including medication administration record sheets, staff rotas, training records and quality auditing records.
Updated
18 November 2016
The inspection was unannounced and took place on the 18 and 19 October 2016.
Haven Care Home provides nursing care for up to 40 people, some of whom maybe living with dementia.
At the time of our inspection 34 people were using the service.
The service had a registered manager. 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 and associated Regulations about how the service is run.
People felt safe. Staff had been provided with training to enable them to recognise signs and symptoms of abuse and knew how to report any concerns. People had risk assessments in place to enable them to maintain their independence and minimise any unnecessary restrictions on their liberty.
Adequate staff with the appropriate skill mix were available to support people with their needs. Effective recruitment procedures were in place to ensure suitable staff were employed to work with people using the service.
Systems were in place to ensure that medicines were managed safely. This ensured that people received their medicines at the prescribed times.
Staff received appropriate training, supervision and support to enable them to carry out their roles and responsibilities effectively. People’s consent to care and treatment was sought in line with the principles of the Mental Capacity Act (MCA) 2005 legislation.
People were able to make choices about the food and drink they had and to maintain a healthy and balanced diet. If required, staff supported people to access a variety of health professionals including the dentist, optician, chiropodist, dietician and the speech and language therapist.
People and their relatives commented positively about the standard of the care provided. Staff provided care and support in a meaningful manner; and knew about people’s preferences and personal histories.
People’s views were listened to and they were actively encouraged to be involved in their care and support. Staff ensured that people’s privacy and dignity was upheld. Any information about people was respected and treated confidentially.
People’s needs were assessed before coming to live at the service and the care plans reflected how their needs were to be met. There was a complaints procedure to enable people to raise complaints.
There was a culture of openness, transparency and inclusion at the service amongst staff and people using the service. A variety of audits were carried out, which were used to drive continuous improvement.