Random inspection report
Care homes for adults (18-65 years)
Name: Address: Haven Residential Rehabilitation Alcohol Dependency Unit The The Haven 5-7 Marshall Avenue Bridlington East Yorkshire YO15 2DT one star adequate service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Steve Baker Date: 0 1 0 6 2 0 0 9 Information about the care home
Name of care home: Address: Haven Residential Rehabilitation Alcohol Dependency Unit The The Haven 5-7 Marshall Avenue Bridlington East Yorkshire YO15 2DT 01262400329 Telephone number: Fax number: Email address: Provider web address: havenalcoholinfo@yahoo.co.uk Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Cyril Herbert Dennis Marsburg care home 10 Number of places (if applicable): Under 65 Over 65 0 past or present alcohol dependence Conditions of registration: Date of last inspection Brief description of the care home 10 The Haven is a residential facility for up to ten people who have alcohol dependency problems. It is situated in the centre of Bridlington close to all main community facilities and the public transport network. The staff team currently consists of the registered provider, the manager (not registered with the commission), a qualified counsellor and one care worker. The double fronted property has two floors. There are ten single bedrooms. None have en suite facilities. The property does not have a passenger lift and is consequently not suitable for people who have mobility problems. There are no gardens to the property. Permit car parking is available outside. Otherwise there is a car park near by.
Care Homes for Adults (18-65 years) Page 2 of 7 Brief description of the care home The home provides a programme of recovery and rehabilitation for people who have made a positive decision to stop drinking alcohol. Nursing care or medical detoxification is not provided. People are given a copy of the service users guide when they contact the serivice. The inspection report is also available for anyone who wishes to see it. The manager said on the day of the site visit that the current weekly fees are 450 pounds. People pay extra for their personal toiletries. Care Homes for Adults (18-65 years) Page 3 of 7 What we found:
During the visit we examined the medication policy & procedures, three current and three older medication administration record (MAR) charts, and the medication ordering, storage and handling arrangements. The medication procedures we were shown are not comprehensive or up to date. The manager was not available during this visit to show us what progress has been made in producing new medication procedures. Clear medication procedures based on current legal and professional guidance help staff to work consistently and may reduce the risk of medication error. Although some recent training has taken place, further staff training, regular competency assessments and spot checks of practice would ensure all staff worked consistently in line with current professional best practice guidance. There are very few administration gaps on the MAR charts meaning that people living in the home can expect to receive their prescribed medicines correctly. Medicines are stored securely in a locked cupboard in an office which is locked when not in use. The temperature of this office was suitable for medication storage at the time of this visit, but written records of the room temperature should be kept to demonstrate that this is always the case. Consideration should be given to obtaining a controlled drugs register in case of future need. Arrangements should be put in place to enable staff in the home to see the monthly prescriptions before a supply is made to each person living in the home. The prescription is the authority for the staff to administer medication to each person. This also provides an opportunity to check if any new medicines or dose changes have been added. Problems with prescriptions can be addressed at this point rather than after the supply has been made. The checking of prescriptions is an important part of the management of medication. We were told that a staged programme of self-medication within a managed risk framework is under development. This move towards further independence is to be welcomed. Individual medication care plans should now be developed to reflect the personal preferences and lifestyle choices of people living in the home. This reduces the likelihood of people refusing medicines or of doses being missed. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 4 of 7 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 20 13(2) The registered provider must 30/06/2008 make sure all staff administering medication have accredited medication administration training so people know their medicines are being safely administered. Evidence of this should be sent to the CSCI. 2 23 23 The registered provider must 31/07/2008 make sure all staff receive regular and updated safeguarding adults training, with an external organisation where possible, so people know they are protected from risk of abuse or harm. He must also maintain a safeguarding register/log and keep any issues raised or discussed in a more confidential format. Care Homes for Adults (18-65 years) Page 5 of 7 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 20 Competency assessments and spot checks of practice should be carried out and recorded so that all staff are seen to be working in line with current best practice. Regular, monthly prescriptions should be seen and checked before medicines are received from the pharmacy. This makes sure a check can be made that all the medicines required have been prescribed and that any additions or changes are recorded. Storage temperatures should be monitored in order to show that medicines are being kept at temperatures and conditions recommended by the manufacturer. Individual medication care plans should be developed and agreed which reflect the personal preferences and expressed lifestyle choices of people living in the home. These care plans should be regularly reviewed in line with changes in peoples medication, health and wellbeing. The medication policy and procedures should be updated in line with current professional guidance so that staff understand how to handle and administer medicines safely.
Page 6 of 7 2 20 3 20 4 20 5 20 Care Homes for Adults (18-65 years) Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 7 of 7 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
