We carried out a review of the data available to us about Haven247 Healthcare Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Haven247 Healthcare Limited, you can give feedback on this service.
Haven 247 is a domiciliary care agency that provides personal care to people living in their own houses and flats. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is to help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. At the time of the inspection four people were receiving personal care.
People’s experience of using this service and what we found
People and their relatives told us people were safe and that staff treated them well. The registered manager completed risk assessments for each person using the service about their health and well-being. Staff administered people’s medicines safely and protected people from the risk of infection. People were supported by effectively deployed staff and the registered manager monitored visits. The provider carried out comprehensive background checks of staff before they started work. The provider had a system in place to monitor accidents and incidents.
People’s care plans reflected their current needs. People knew how to make a complaint. The registered manager knew what to do if someone required end-of life care.
Systems and processes to assess, monitor and improve the quality and safety of the service were in place. There was a clear management structure in place and staff were aware of the roles of the management team.
Rating at last inspection and update
The last rating for this service was requires improvement (published 15 November 2019) and there were multiple 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 the provider 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, responsive and well-led which contained those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion 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 Haven 247 on our website at www.cqc.org.uk.
Haven 247 is a domiciliary care agency looking after people in their own homes. At the time of the inspection the service supported four people with their personal care. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People's experience of using this service
Recruitment checks were not always robust as the provider had not carried out checks of staff members previous work history and experience . Staff were not supported through regular supervisions. People’s end of life care wishes were not recorded in their care files. The providers electronic call monitoring system was not effective. The provider's quality monitoring systems were not effective. Internal audits did not always identify the issues we found at this inspection.
People said they felt safe and that their needs were met. There were appropriate safeguarding systems in place to protect people from the risk of abuse. People were protected against the risk of infection. Accidents and incidents were appropriately managed and learning from this was disseminated to staff. Sufficient numbers of suitably skilled staff were deployed to meet people's needs. Medicines were safely managed.
Staff were supported through induction and training. Staff had the skills, knowledge and experience to support people appropriately. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were supported to eat a healthy and well-balanced diet if required. People had access to healthcare services when required to maintain good health and their independence was promoted.
People and their relatives (where appropriate) had been consulted but their care and support needs. There was an effective complaints system to manage people concerns in a timely manner. The provider worked in partnership with the local authority to ensure people's individual needs were planned.
Rating at last inspection and update
This service was registered with us on 8 September 2018 and this was the first inspection.
Why we inspected
This inspection was part of our routine scheduled plan of visiting services to check the safety and quality of the care people received.
Enforcement
We found one breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to good governance.
Please see the action we have told the provider to take at the end of this report. Full information about CQC's regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
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 any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.