Haven Care Home

Updated 6 May 2023

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 Health and Social Care Act 2008.

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

This inspection was carried out by 2 inspectors. An Expert by Experience carried out calls to people’s relatives during the inspection. 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

Haven Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Haven Care Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed the information we received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.

During the inspection

We spent time observing staff supporting and interacting with people. We spoke with 14 people that used the service. We spoke with 7 family members and 2 visitors over the phone. We received feedback from 2 health and social care professionals. We spoke with 12 staff including the registered manager, chef, registered nurses, nursing assistants and care staff.

We reviewed 7 people’s care plans and multiple medication records. We reviewed documents relating to quality assurance and feedback received by the service from people, relatives and staff. We reviewed 2 staff files in relation to recruitment.

Updated 6 May 2023

About the service

Haven Care home provides personal and nursing care for up to 36 older people living with a range of health care needs. Haven Care home is registered to support up to 40 people however, four bedrooms were no longer being used as double rooms. At the time of our inspection, 34 people were living at the home.

People’s experience of using this service and what we found

People were protected from the risk of abuse and avoidable harm by the systems and processes in place. Risks to people were identified and managed by staff. People were supported by staff that knew them well and how to keep them safe. Staff were recruited safely and there were enough staff appropriately deployed to support people. The home was clean and hygienic and staff practices reduced the risk of infection. Medicines were stored, managed and administered safely. There were effective processes to check that medicines were safe.

People's needs and choices were assessed in line with standards, guidance and the law. People's needs were assessed before they moved into the home and assessments formed the basis for people's care plans. Care plans provided sufficient detail for staff on how people chose to be supported. Staff received a thorough induction, training and supervision to carry out their role effectively.

People were supported to eat and drink enough to maintain a balanced diet and people were positive about the food. Staff worked in partnership with health and social care professionals to provide joined up care for people.

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.

Leaders and managers promoted an open and honest culture focused on empowering people. People and relatives told us the atmosphere of the home was calm and friendly. The registered manager had worked hard to make improvements to the home since the last inspection. Relatives and staff told us that things had improved and they were happy with the changes. Quality assurance and feedback systems were robust and enabled continuous learning and improvements to be made to the service.

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 8 September 2021).

Why we inspected

This inspection was prompted by a review of the information we held about this service. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.