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Inspection on 15/01/08 for Haven Lea Residential Care Home

Also see our care home review for Haven Lea Residential Care Home for more information

This inspection was carried out on 15th January 2008.

CSCI found this care home to be providing an Good service.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

A new care plan system has been purchased so that staff can record the person`s needs, care and support accurately and also any risks, which could mean a deterioration in their health. This means that staff will have access to up to date written information about the persons needs and health and how the persons needs are to be met. This helps to promote consistency and means that staff can check that they are supporting the person correctly. Some aspects of the management of medication have been improved to try to reduce the risk of a mistake occurring.Staff have formed an activities committee, which means the provision, and type of activity offered is greatly improved. The people who live at the home are informed of forthcoming activities by a notice board, which is in the lounge. Trips outside the home are occurring more frequently on the homes minibus. Some people who live at the home prefer to have their bedroom doors open for long periods at a time. The service has responded to this by providing specialist door closures so that these bedroom doors will close automatically if the fire alarm sounds. This shows that the service are trying to keep the people who live at the home safe. Four bedrooms have been refurbished which shows a commitment by the owners of the home to invest money to keep furnishings and furniture of a good standard. In past visits a number of breaches in the care home regulations had been identified. Two were identified during this visit, which is a significant improvement. The manager was also aware of these shortfalls and had already developed plans to address them, which shows that she is in control of the service and is aware of what is going on. The people who live at the home are being consulted more regularly about their opinion of the home through regular " `residents meetings". Feedback is given by the manager at the next meeting on any concerns raised. The service employs 24 care staff. 23 of these staff have achieved a national vocational qualification in care and the last staff member is working towards this award. This is excellent practice and means that all staff will soon have a recognised care qualification to enable them to meet the needs of the residents.

What the care home could do better:

Records need to be developed of all medication that leaves the premises. This will mean that a full audit trail will be available to show when drugs arrive, if they have been administered and if not what happened to them. Staff should ensure that they recommence checking the medication fridge and room temperature on a daily basis to ensure that medications are being stored at the correct temperature. Storing medications at the wrong temperature can affect how medication works. Staff should also recommence testing the temperate of the bath water as it leaves the tap to reduce the risk of scalding if the water is too hot.Generally the home is maintained to a good standard however the enamel to the bath in the second floor bathroom was chipped and required repair. This must be addressed as the areas without enamel could store bacteria and possibly spread infection between people who live at the home. The manager needs to consider developing audits to ensure that the home remains a safe place to live and that staff are undertaking their duties correctly. Areas to consider should be care plans, the environment, Health and Safety and medications. People who live at the home are supported to manage their finances safely however this practise could be improved by ensuring that two staff sign to witness all transactions. Fire safety is managed safely by the home and the home is fully equipped to fight fire, however the manager should consider introducing practice fire evacuations so that staff and the people who live at the home feel confident of what to do if a fire should occur.

CARE HOMES FOR OLDER PEOPLE Haven Lea Residential Care Home Shaw Lane Prescot Knowsley Merseyside L35 5BS Lead Inspector Mrs Joanne Revie Key Unannounced Inspection 9:00 15th January 2008 X10015.doc Version 1.40 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 Lea Residential Care Home DS0000021472.V349182.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 Older People. 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 Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Haven Lea Residential Care Home Address Shaw Lane Prescot Knowsley Merseyside L35 5BS 0151-430-8434 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) misslbrown@hotmail.com York Valley Limited Mrs Linda Brown Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability (2), Physical disability of places over 65 years of age (30) Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service Users to Include up to 30 (OP) and up to 30 (PD(E)) Service users in category of physical disability must be at least 55 years of age Date of last inspection Brief Description of the Service: Haven Lea is a purpose built home which provides personal care to thirty Older People. It is registered to provide care to service users who have physical disabilities. It is owned by a company called York Valley ltd. Accommodation is on two floors. It has its own private garden and is situated close to Whiston hospital. Public transport links are good therefore it is easy to reach. Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. Prior to the site visit taking place the manager was asked to complete a document called an AQAA. This is a document, which gives information about the services strengths and weakness, and future plans for the service to develop further. Once the AQAA was received, surveys were sent out to the people who live at the home and the staff who work there. Four of these were returned completed to CSCI. During the site visit, discussions were held with people who live at the home, and their visitors. Their views have been included within the report. The site visit was unannounced .The manager was in charge at the home so discussions were also held with her. A variety of records were viewed which refer to the health and welfare and care received by the people who live at the home. This review also included viewing staff records. Observations were carried out to assess how well staff interact with the people who live at the home and how staff deliver care. Examples of care and support were observed which showed that the manager and the staff team have good understanding of how to treat people as individuals and how to meet their diverse needs. The cost of living at the home ranges from £341.00 to £343.00 per week. What the service does well: Every person who moves into the home has their needs assessed so that the manager can ensure that the staff team can meet the person’s needs and that they should be happy at the home. The service also provides an emergency care service and in this instance the manager has an agreement that if someone decides they are unhappy or if the staff team are unable to meet their needs the rapid response team will quickly find somewhere else for the person to stay. The manager and the staff team go beyond what would ne expected to ensure that someone is happy in the home. Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 6 An example of this is the manager stayed with one person until 3:45 in the morning when they were distressed until they felt content and well again. This is very good practice and this kind of care is greatly appreciated by the relatives who visit the home. The people who live at the home believe they are well looked after and relatives agree with this. Comments from people who live at the home included” “ The staff are fantastic- they try really hard to keep” persons name” happy. And” they always phone me- I’m involved in everything- I visit at different times and eveyrtine I come and “ Persons name” is always spotless and happy- I’ve never had any complaints and she’s not easy to please so that says a lot”. “ I take my hat off to them they’re marvellous” and “ Nothings too much trouble- They’re a nice bunch – always have a smile and a kind word”. The service employs a cook who provides a range of home cooked meals as well as choices at each mealtime so that people can eat what they feel like. People commented that “ the foods good- nothings too much trouble- If I feel like something different they try and get it for me and if they haven’t got any in the staff will go to the shops and buy it for me- I’m very happy- no complaints here” The staff team are good at recognising peoples diverse needs and supporting them with these needs. This means that the people who live at the home are treated as individuals. The manager and the staff team also have a good understanding of how to protect people’s rights and how to support and empower them. This is done through involving the person’s social worker and at times involving advocacy services. People who live at the service agreed that they feel safe and trust the staff. What has improved since the last inspection? A new care plan system has been purchased so that staff can record the person’s needs, care and support accurately and also any risks, which could mean a deterioration in their health. This means that staff will have access to up to date written information about the persons needs and health and how the persons needs are to be met. This helps to promote consistency and means that staff can check that they are supporting the person correctly. Some aspects of the management of medication have been improved to try to reduce the risk of a mistake occurring. Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 7 Staff have formed an activities committee, which means the provision, and type of activity offered is greatly improved. The people who live at the home are informed of forthcoming activities by a notice board, which is in the lounge. Trips outside the home are occurring more frequently on the homes minibus. Some people who live at the home prefer to have their bedroom doors open for long periods at a time. The service has responded to this by providing specialist door closures so that these bedroom doors will close automatically if the fire alarm sounds. This shows that the service are trying to keep the people who live at the home safe. Four bedrooms have been refurbished which shows a commitment by the owners of the home to invest money to keep furnishings and furniture of a good standard. In past visits a number of breaches in the care home regulations had been identified. Two were identified during this visit, which is a significant improvement. The manager was also aware of these shortfalls and had already developed plans to address them, which shows that she is in control of the service and is aware of what is going on. The people who live at the home are being consulted more regularly about their opinion of the home through regular “ `residents meetings”. Feedback is given by the manager at the next meeting on any concerns raised. The service employs 24 care staff. 23 of these staff have achieved a national vocational qualification in care and the last staff member is working towards this award. This is excellent practice and means that all staff will soon have a recognised care qualification to enable them to meet the needs of the residents. What they could do better: Records need to be developed of all medication that leaves the premises. This will mean that a full audit trail will be available to show when drugs arrive, if they have been administered and if not what happened to them. Staff should ensure that they recommence checking the medication fridge and room temperature on a daily basis to ensure that medications are being stored at the correct temperature. Storing medications at the wrong temperature can affect how medication works. Staff should also recommence testing the temperate of the bath water as it leaves the tap to reduce the risk of scalding if the water is too hot. Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 8 Generally the home is maintained to a good standard however the enamel to the bath in the second floor bathroom was chipped and required repair. This must be addressed as the areas without enamel could store bacteria and possibly spread infection between people who live at the home. The manager needs to consider developing audits to ensure that the home remains a safe place to live and that staff are undertaking their duties correctly. Areas to consider should be care plans, the environment, Health and Safety and medications. People who live at the home are supported to manage their finances safely however this practise could be improved by ensuring that two staff sign to witness all transactions. Fire safety is managed safely by the home and the home is fully equipped to fight fire, however the manager should consider introducing practice fire evacuations so that staff and the people who live at the home feel confident of what to do if a fire should occur. 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 Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service does not provide intermediate care therefore standard 6 was not assessed The home reduces the risk of people not having their needs met by carrying out an assessment whenever possible and gathering written information, which provides details of the persons needs. EVIDENCE: The home provides an emergency care service by securing the use of two bedrooms to the rapid response team. This enables people to be admitted quickly to the home in an emergency. In this situation the manager and staff are unable to carry out their own assessments prior to admission taking place. Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 11 However the manager has an agreement with the rapid response team that if the home is unable to meet a person’s needs then the person will be moved to a more suitable placement within 48 hours. The rapid response team faxes written information to the home about a persons needs so that the staff know what their needs are and what care they will need. Other people who have time to view the home receive a full assessment by a senior member of staff before admission takes place. The four surveys received agreed that these people had received enough information about the home to enable them to make a choice to move there. Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live at the home receive a good standard of care from staff that understands their individual needs. EVIDENCE: A requirement was following the last key inspection regarding care planning. After some exploration the manager realised that staff were experiencing difficulties in keeping clear, up to date records due to the layout of the records. The management of the home have responded to this by purchasing a new care plan system. This was viewed and if completed fully will give a good overview of the persons needs, care likes and dislikes. This is an important part of the persons care as staff need clear accurate written instructions to refer to regarding persons care and support so that care is delivered in the right way and in a way that the person chooses. Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 13 Some progress has been made in completing the new plans and the manager has given a timescale to the staff team of one week for all documentation to be completed fully. Personal histories and risk assessments regarding the person’s health had been completed fully and were in place within the new plans. Staff are keeping daily records in the old plans of the care they have delivered. All the people who live at the home who were spoken with and their relatives were full of praise for staff’s ability to care for them. One relative revealed that the manager had stayed with her relative until 3:45 in the morning when he was distressed. Both relatives confirmed that they are informed of any changes in the persons care straight away. Four people who live at the home agreed that the staff are quick to call for medical advice if they were unwell. A daily diary was viewed which showed that health care professionals such as chiropodist, Doctors and district nurses are regular visitors to the home. During discussions with the people who live at the home and their relatives, they were asked if they believed staff respected their privacy and dignity. All agreed that staff did do this by ensuring they were never exposed unnecessarily and by ensuring their bedroom door were closed when staff were delivering personal care. Comments were also made that the staff at the home were always polite to them. People were seen to be dressed nicely and appeared tidy in their appearance. The homes medication storage systems were viewed. Mediation administration records contained signatures to show that medications had been given at the right time and that people were refusing give when required drugs at times that they didn’t wish to take them. Staff are recording the amounts of medication received into the home but are not keeping a record of any drugs that are returned. The manager was aware of this shortfall and discussed her plans to rectify the situation. The home receives 3 monthly compliance visits from a local pharmacist who also supplies all medication wherever possible in blister packs. This reduces the risk of a mistake occurring. Only senior carers are allowed to administer medication and only if they have undertaken a medicines management training course through the local PCT. Staff had been recording the temperature of the medications fridge and the room that medicines are stored in on a daily basis but this practice appears to have lapsed. This should be recommenced so that staff can ensure that medications are being stored at the correct temperature. Procedures are in place to enable people to self-administer their own medication if they desire with staff support if necessary. Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides activities, support and meals, which meets the expectations and the needs of the people who live there. EVIDENCE: Since the last inspection an activities board has been purchased to display in the lounge at the home. However residents are informed of what is happening on a daily basis on a white board near the dining room. People who had completed the surveys believed that enough activities are offered. This is a significant improvement since the last inspection. Three staff member have formed an activities committee and the manager stated that they were enthusiastic about their role and had organised several trips outside the home as well as activities inside. The staff at the home understand how to support diverse needs of some of the people who live at the home. One person who is visually impaired is supported Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 15 to receive talking tapes from the weekly visiting library and tapes from local council, which inform the listenener of what is going on in the local community. Discussions with two relatives and the manager revealed that people are supported to go out on trips in the homes mini bus and to visit their relatives at home. Both relatives stated that they could visit the home whenever they choose and that staff always made them feel welcome. One person stays overnight on a weekly basis with a relative. Another person revealed that members of the local church visit them on a weekly basis and the manager confirmed that communion is offered every Monday morning within the home. Copies of the homes menu were viewed, which showed that a variety of home cooked meals, are offered on a daily basis with other choices available if people don’t feel like eating what’s on offer. Discussions with people who live at the home and with relatives confirmed this to be true. The home has a separate dining room, which is nicely furnished with nice table settings although people can take their meals in their own rooms if they choose. A cook is available every day to prepare all meals. People spoken with were positive about the standard of food served and the manager stated that the provision of food is a regular topic at residents meetings Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People believe their concerns will be acted on and trust the staff to keep them safe. EVIDENCE: A simplified version of the homes complaints procedure was displayed at the door of the home. Relatives and people who completed the surveys agreed that they knew how to complain and who to complain too. A copy of the full procedure is available in each of the bedrooms. Records were viewed which showed that the manager addresses any concerns within the specified timescale on the homes policy. Staff have received updating training on how to protect people from abuse and how to raise concerns to interested parties, i.e. social service, police etc since the last inspection. Viewing the homes AQAA and a discussion with the manager showed that the manager has a very good understanding of her role and how to support and protect the rights of the people who live at the home. The manager also understands the importance of using advocates when people are experiencing difficulties. Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is a clean, comfortable place for people to live. EVIDENCE: A tour of the home was carried out. This included viewing all communal areas, bathrooms, toilets and some bedrooms. Four bedrooms have been refurbished since the last inspection and theses presented as pleasant places to stay. All the bedrooms were individual to the person who lived there. Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 18 All areas were found to be clean and tidy however the enamel to the bath of the 2nd upstairs bathroom was chipped and required attention. Tiling of some areas has taken place since the last inspection to reduce the risk of bad smells and cross infection occurring. All areas viewed were decorated to a good standard. Some bedrooms have been fitted with automatic door closures so that people can leave their bedroom doors open but remains safe if the fire alarm sounds in the vent of a fire. The home employs two domestic staff so that a cleaner is available on a daily basis. The home has a small laundry room but an Environmental health officer that has judged it as “workable” has viewed this. Stocks of various plastic bags, disposable gloves and aprons are available for staff to use to reduce the risk of cross infection occurring. All sinks were equipped with paper towels and liquid soap to reduce this risk further. Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have the skills and qualities to enable them to care for the people who live at the home and to promote their health and welfare. EVIDENCE: Off duties showed that the staff team start and finish shifts at a variety times of the day which means that more staff are available during busy times and staff are able to be flexible to meet the needs of the people who live at the home. The atmosphere in the home was quiet and calm and staff were seen to support people in an unhurried manner. Many of the staff have been employed at the home for some time, which helps to promote consistency for the people who live there. The care staff team has 24 members, 23 of whom have achieved a level 2 NVQ in care. The remaining staff member is working towards this award. The manager stated that many staff were now working toward achieving a Level 3 NVQ. Staff files showed that a new induction checklist has been introduced to enable staff to undertake inductions in line with current good practise. Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 20 Staff files showed that the expected necessary checks are carried out on all staff before employment begins. All staff have completed induction standards to care in recent years. Staff files showed that staff have undertaken training to enable them to promote peoples health and welfare. Staff have also undertaken training in Dementia care. The manager has identified that this training occurred two years ago and has planned for all subjects to be revisited by all staff this year. The manager has also identified that staff would benefit from training in specialist subjects and intends to contact the PCT to explore topics available further. Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is a safe place for people to live and people’s opinion is sought about how the home is run EVIDENCE: Everyone spoken with commented positively on the approachability and ability of the manager to manage the home and deal with any concerns that they had. The manager has worked at the home for a very long time and was the assistant manager for a number of years before coming the registered manager. Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 22 The manager has also achieved the registered managers award and is registered with CSCI to manage the service. This means that checks have been undertaken to ensure that she has the qualities and experience to manage the home well. The manager organises meetings for the people who live at the home on a six monthly basis. Staff meetings are also held regularly. Surveys are sent out to people to gain their opinion of the service. Once these have been received the manager collates the information and feedbacks the results and any action taken at the residents meetings to the people who live at the home. The people who live at the home are supported to manage their money safely. Robust systems exist to ensure all monies are accounted for with clear records supporting any actions. The manager signs the record whenever any financial transactions take place. A variety of certificates, contracts and records were viewed which showed that the home complies with Health and Safety legislation by ensuring that the home is a safe place for people to live. Staff receive fire-training 6 monthly however no practice evacuations have occurred. The home is fully equipped to detect and fight fire should one occur. The kitchen was viewed and this was found to be clean and tidy. Temperature checks are carried out on a daily basis in line with Food hygiene legislation. The environmental health officer visited the home last year and made some recommendations, which have now been addressed. Staff were recording the temperatures of water leaving the bath taps but this practise appears to have lapsed. Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X x 3 Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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. 1 Standard OP9 Regulation 13.2 Requirement A record must be made of any drugs that leave the home or are disposed of so that a clear audit trail is available of all medication that enters the home The bath enamel to the 2nd upstairs bathroom must be repaired to reduce the risk of cross infection occurring. Timescale for action 01/02/08 2 OP19 23.1 01/03/08 Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP9 Good Practice Recommendations Staff should return to the practice of monitoring the medications fridge and room temperature on a daily basis to ensure that medicines are being stored at the correct temperature. Two staff should sign for any financial transactions when monies are spent on behalf of residents to safeguard people’s money further. Staff should return to practice of monitoring water temperatures when water leaves bath taps to reduce the risk of a person being scalded. Practice fire evacuations should occur so that staff fully understand what to do if a fire should occur. 2 3 4 OP35 OP38 OP38 Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 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. Extracts may not be used or reproduced without the express permission of CSCI Haven Lea Residential Care Home DS0000021472.V349182.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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