Inspection on 10/01/08 for Haven Homes

This inspection was carried out on 10th January 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Haven Homes 06/02/09

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Haven Homes 48 Hill Rise Luton Beds LU3 3EE Lead Inspector Andy Green Unannounced Inspection 10th January 2008 10:30 Haven Homes DS0000070179.V357642.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Haven Homes DS0000070179.V357642.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Haven Homes DS0000070179.V357642.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Haven Homes Address 48 Hill Rise Luton Beds LU3 3EE 01582 513899 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Haven Homes Supported Care Limited Mr Marlon Bridgeman Care Home 2 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (2) of places Haven Homes DS0000070179.V357642.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service: Care Home - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding learning disability or dementia - code MD Date of last inspection N/A Brief Description of the Service: Haven Homes is registered to provide care and support for two residents with mental health needs. The home is located in a residential part of Luton in Bedfordshire, in close proximity to local shops and facilities with good local public transport links. The home was registered with CSCI on 29th August 2007. There are two bedrooms, office, lounge/dining area, kitchen, WC, bathroom and large garden to the rear of the property. The weekly charge is £625. Haven Homes DS0000070179.V357642.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. CSCI carried out this unannounced key inspection on 10th January 2008. The inspector met with the manager. This was the first inspection of the home since it was registered on 29th August 2007. It should be noted that there are no residents living in the home at present so not all of the National Minimum Standards could be fully assessed. When the home is fully occupied a more thorough inspection will be able to be undertaken. A variety of procedures and policy documents were inspected including assessment/care planning, the medication policy, health and safety policies and complaints and safeguarding adults. A tour of the building was also undertaken. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Haven Homes DS0000070179.V357642.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Haven Homes DS0000070179.V357642.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a variety of information to assist residents in making a choice about living in the home. An assessment process is in place. EVIDENCE: The home has a Statement of Purpose and a Resident Information Pack. Detailed assessment procedures are in place to ensure that sufficient information is received prior to admission. The manager stated that a variety of information would be obtained from care professionals and relatives to ensure that the home would be able to meet the assessed needs of the individual concerned. The assessment process could not be evidenced in practice as there have been no admissions made to the home. It is anticipated that these standards will be assessed in more detail at the next inspection when the home is fully occupied. Haven Homes DS0000070179.V357642.R01.S.doc Version 5.2 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A care planning process is in place to ensure that resident’s needs can be met. EVIDENCE: The home has a care planning and risk assessment process in place to ensure that residents assessed needs can be met. Care plans could not be evidenced in practice as no admissions have been made to the home. Care plans will be assessed more fully at the next inspection when it is anticipated that the home will have full occupancy. Haven Homes DS0000070179.V357642.R01.S.doc Version 5.2 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A range of activities and educational opportunities will be available to residents. EVIDENCE: The manager stated that residents would have access to a variety of activities dependent on their individually assessed needs. There are local facilities including a nearby college and a MIND drop in service. The manager stated that residents would be encouraged to take a full part in the running of the home including cleaning and shopping with staff assistance where required. Activities and meals could not be evidenced in practice as no admissions have been made to the home. It is anticipated that these standards will be assessed in more detail at the next inspection when the home is fully occupied. Haven Homes DS0000070179.V357642.R01.S.doc Version 5.2 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents will have access to appropriate health and personal care. EVIDENCE: The manager stated that residents would have access to local healthcare services including ; GPs, CPNs and psychiatrists. It is anticipated that residents will be referred from local mental health services and would therefore receive continuing input in line with the Care Programme Approach organised by the individuals Care Coordinator. The manager stated that there would be a weekly meeting with residents to discuss social and house issues to ensure that resident’s take a full part in the running of the service. Residents will be encouraged to improve their life skills with input from staff. It is anticipated that residents will look after their own medication and a locked facility is available in both bedrooms. A medication cabinet is also available in the office for individual residents who would prefer not to administer there own medication. Haven Homes DS0000070179.V357642.R01.S.doc Version 5.2 Page 11 It is anticipated that these standards will be assessed in more detail at the next inspection when the home is fully occupied. Haven Homes DS0000070179.V357642.R01.S.doc Version 5.2 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a complaints policy in place. EVIDENCE: The home has a complaints policy in place to ensure that residents would have any concerns or issues appropriately dealt with. The manager stated that he had recently received POVA training via the local authority and would include the local authority Safeguarding Adults policy within the home’s policies. As there are no residents at present in the home the complaints and protection standards could not be fully assessed. It is anticipated that these standards will be assessed in more detail at the next inspection when the home is fully occupied. Haven Homes DS0000070179.V357642.R01.S.doc Version 5.2 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is suitable for the needs of residents. EVIDENCE: The home is decorated and furnished to a good standard. There is a well presented lounge incorporating a music system and television. A dining room is adjacent to the lounge. There are two well decorated and furnished bedrooms. The manager stated that residents would be encouraged to personalise their bedrooms and redecorate them if they so wished. There is shared kitchen, bathroom and separate WC. There is a large garden to the rear of the property which is maintained by the provider/manager. As there is a no smoking policy in the home the manager will be making one of the outbuildings available to those residents who wish to smoke. Haven Homes DS0000070179.V357642.R01.S.doc Version 5.2 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Plans are in place to provide sufficient staff to meet resident’s needs. EVIDENCE: The home will be staffed by the manager and two of his relatives all of whom have considerable professional experience in the mental health field. CRB checks were also in evidence for both relatives. The manager and his wife live next door to the home and will be providing on call arrangements. The home will be staffed during normal office hours and there will be no staff in the premises overnight. However there is an intercom system so that residents will be able to seek assistance when required. The manager stated that he will be organising a training and supervision programme for staff that may be employed by the home in the future. He will also be implementing a staff application form in readiness for future staff employees. He is due to commence NVQ 4 in Management later this year at one of the local colleges. A staff handbook is in place Haven Homes DS0000070179.V357642.R01.S.doc Version 5.2 Page 15 It is anticipated that these standards will be assessed in more detail at the next inspection when the home is fully occupied. Haven Homes DS0000070179.V357642.R01.S.doc Version 5.2 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Suitable management processes are in place. EVIDENCE: There are suitable management processes in place to ensure that the home will be efficiently run. One of the managers relatives has administrative experience and she will be providing ongoing support. There are contracts in place for the maintenance of the fire system and electrical systems. As there are no residents at present in the home it is not possible to assess how the management in the home will impact. It is anticipated that these standards will be assessed in more detail at the next inspection when the home is fully occupied. Haven Homes DS0000070179.V357642.R01.S.doc Version 5.2 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 2 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 X X X X LIFESTYLES Standard No Score 11 X 12 2 13 2 14 X 15 X 16 X 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 X 2 X 2 X X X X X X Haven Homes DS0000070179.V357642.R01.S.doc Version 5.2 Page 18 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Haven Homes DS0000070179.V357642.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Inspection Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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