Random inspection report
Care homes for older people
Name: Address: Haven Rose Rest Home 33 Landguard Road Southampton Hants SO15 5DL zero star poor service 04/08/2009 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: Mick Gough Date: 2 8 1 0 2 0 0 9 Information about the care home
Name of care home: Address: Haven Rose Rest Home 33 Landguard Road Southampton Hants SO15 5DL 02380322999 02380366228 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Shahnaaz Joommun Type of registration: Number of places registered: Conditions of registration: Category(ies) : Haven Rose Residential Care Home Limited care home 16 Number of places (if applicable): Under 65 Over 65 0 0 16 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 16 16 0 The maximum number of service users to be accommodated is 16 The registered person may provide the following category of service only: Care home only (PC)to service suers of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Mental disorder, excluding learning disability or dementia (MD) Dementia (DE) Date of last inspection
Care Homes for Older People 0 4 0 8 2 0 0 9 Page 2 of 9 Brief description of the care home Haven Rose is a large detached property situated in Languard Road in Southampton. It is located in a quiet residential area and is close to local shops and amenities. The registered provider is Haven Rose Residential Care Home Limited and the registered manager is Mrs Shahnaaz Joommun. There are 8 single rooms and 4 double rooms and the home is registered to provide accommodation for up to 16 older people both male and female who have mental health and dementia problems. Care Homes for Older People Page 3 of 9 What we found:
We undertook a Random Inspection of Haven Rose Rest Home on the 28 October 2009. The reason for our visit was to follow up on the requirements made at the last key inspection, which took place on 4 August 2009. Following our previous visit the registered manager sent us an improvement plan that we asked for. We looked at the information in the improvement plan and checked to see if appropriate action had been taken to address the issues raised. During our visit we had the opportunity to speak with 6 residents 3 members of staff, one visiting health care professional and also the homes registered manager. The home is registered to accommodate 16 people and at the time of our visit there were 11 people living at the home. We looked at the care records for 3 users of the service and these were the same 3 people whose care plans we looked at on our previous inspection. The care plans seen had been reviewed and generally we saw good information on what support the service user needed and there was information for staff on how the service user would like their care to be given. For example; one plan stated needs support with washing and dressing and the plan went on to explain to staff exactly what type of support was needed. The plan also went on to tell staff what they should do if the person refused support. This enabled staff to offer the correct level of support. Another care plan we looked at had information that the person was prone to urine infection. The plan gave staff information on how they could identify if the person may have an infection and also what action they should take. Although we saw that improvements had been made to care plans there was still more work to be done to ensure that there was a consistent standard maintained. One plan seen gave staff information to inform the GP or Community Psychiatric Nurse if the persons mental health deteriorated, but there was no information recorded on how staff could identify any changes. There was no information on what the persons normal behaviour was so that staff could monitor any mental health issues. We saw that care plans are reviewed monthly by the homes manager. The reviews included an evaluation of how the care plan was working for the individual and also provided evidence that the service user was involved in the review process. The recording of reviews had improved since our last visit. However we found that one service users plan stated that the person mobilised using a walking frame. But this persons needs had changed and they were now mobilising independently. The manager showed us that this plan had been recently reviewed, but the information was not up to date and we explained the need for the plan to be updated as soon as any identified need had changed. Daily recording has been improved and the recording seen had good information on care delivery. Care plans seen contained risk assessments and these have been updated and reviewed
Care Homes for Older People Page 4 of 9 since our last visit. Those seen had good information for staff on the identified risk and also the action they should take to minimise any risks. All old risk assessments had been removed from care plans and all risk assessment seen had recently been reviewed. There were risk assessments for falls and these generally gave good information for staff on what support the person needed. However we saw one risk assessment for a person who was at risk of falls and this lacked sufficient information on how staff should support the person. Although risk assessments have improved the home needs to ensure that all risk assessments are of a consistent standard to enable staff to identify and minimise risks to all service users. The safe handling of medicines was assessed by a Commission specialist pharmacist inspector. They looked at the medication records and medicine supplies for all of the people living in the home and the care plans for six people. The standard of record keeping has improved since the last inspection on 4 August 2009. The records and medicine supplies were now able to show us that people were receiving their medicines as they were prescribed by their doctors. People who are prescribed medicines that are to be given only when needed had care plans to guide staff in how to decide when to give the medicines. Care plans were also available when medicines were prescribed to be given at a variable dose such as one or two tablets. People have their medicines given to them by the care staff. Staff have recently been trained in the safe handling of medicines. Staff have access to written procedures on the safe handling of medicines. All medicines were stored securely for the protection of people who use the service. Medicines needing cool storage were kept in a locked container within a domestic fridge. Medicines that can be misused, known as Controlled Drugs, were not stored correctly. The manager informed us that a Controlled Drugs cupboard was on order and that she was chasing up the order. During our visit we looked around the home and found that the refurbishment in the laundry room had been completed and surfaces were easy to clean. There was a clear policy and procedure for washing any soiled items. There was a daily cleaning routine for the laundry area and the manager carries out weekly checks. Hand washing facilities were clearly sign posted and hand washing gel was available to help prevent the spread of infection. At out last visit we found that there was a hot water boiler in the kitchen that was not secured. This has now been removed and this has been replaced by an electric kettle. We looked at training records and we were able to see that training for staff on how to manage challenging behaviour was carried out on 15 September 2009. Training for staff on Mental Health issues was carried out on the 23 September 2009. We spoke to 3 members of staff and they told us that they felt the training was very useful. Previously the home was keeping some services users money in the homes bank
Care Homes for Older People Page 5 of 9 account. The manager of the service told us that the home no longer manages the finances of any residents. One of the residents identified at the last visit has now moved out of the home and the other service user has their money managed by their solicitor. At the last visit we made 6 requirements to improve the quality of service provided. At this visit we found that the home had either fully complied or had made progress in meeting the requirements made. We noted that care planning and risk assessments had improved but more work was still required to ensure that the minimum standards required were consistently met. In order to ensure that improvement is maintained we will continue to monitor progress at the home. 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 Older People Page 6 of 9 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 9 13 All Controlled Drugs, including Temazepam, must be stored in a cabinet that meets the requirements of The Misuse of Drugs (Safe Custody) Regulations 1973 In order to comply with the law 04/11/2009 Care Homes for Older People Page 7 of 9 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 Care Homes for Older People Page 8 of 9 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 Older People 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 Older People Page 9 of 9 - 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!
