Archived: Haven Lodge

Updated 18 March 2022

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.

As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 1 February 2022 and was announced. We gave the service one days’ notice of the inspection.

Updated 18 March 2022

This comprehensive inspection was unannounced and took place on the 5 and 6 September 2018.

At the last inspection carried out on the 19 April 2017 three breaches of regulatory requirements were identified in relation to Regulation 12 [Safe care and treatment], Regulation 17 [Good governance], and Regulation 20 [Duty of Candour]. The service was not rated as this was a focused inspection. In line with our methodology at the time we did not award a rating or change the previous rating because we were not able to make judgements about all aspects of the service

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve.

At this inspection, we found improvements had been made and the service is rated as ‘Good’ across all domains.

Haven Lodge is a care home which provides accommodation, personal care and nursing for up to 50 older people who may also be living with dementia. 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 care home accommodates up to 50 older people including people living with dementia in one adapted building comprising of two units. One of the units specialises in providing care to people living with dementia and mental health needs whilst the other provided for people who were physically frail and or receiving palliative, end of life care. At the time of our inspection there were 36 people living at the service.

There was 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 2008 and associated Regulations about how the service is run.

People said they were safe and had no concerns about the care and treatment they received. Staff were trained in adult safeguarding procedures and knew what to do if they considered people were at risk of harm or if they needed to report any suspected abuse.

Risks to people’s safety had been assessed and guidance provided for staff with steps to take to mitigate the risk of harm.

Effective recruitment processes reduced the risk of unsuitable staff being employed. There were enough staff available to meet people’s needs. Training and supervision systems provided staff with the support, knowledge and skills they needed to carry out the role for which they were employed.

People's nutritional needs were met and people were supported to have enough to eat and drink. A range of external health care professionals worked with the staff team to support people to maintain their health and well-being.

People were supported to have choice and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.

Care plans were personalised and gave staff guidance on the care and support each person needed. People were encouraged to participate in a range of varied group and personalised activities.

People and relatives spoke positively about the management team. A number of audits and checks were used to ensure the effectiveness, safety and quality of the service.

People and their relatives were given opportunities, such as meetings and annual satisfaction surveys to give their views about the service and comment on how it could be improved.

Further information is in the detailed findings below.

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