Random inspection report
Care homes for older people
Name: Address: The Haven 6 - 10 North Terrace Seaham Durham SR7 7EU 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: Janet Long Date: 0 1 0 3 2 0 1 0 Information about the care home
Name of care home: Address: The Haven 6 - 10 North Terrace Seaham Durham SR7 7EU 01915816305 01915130377 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Manager Post Vacant Type of registration: Number of places registered: Conditions of registration: Category(ies) : Haven Hommes 2003 Ltd care home 43 Number of places (if applicable): Under 65 Over 65 0 36 dementia old age, not falling within any other category Conditions of registration: 7 0 The maximum number of service users who can be accommodated is: 43 The registered person may provide the following category of service: Care home only Code PC To service users 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 - Code OP, maximum number of places: 36 Dementia - Code DE, maximum number of places: 7 Date of last inspection Care Homes for Older People Page 2 of 10 Brief description of the care home The Haven is a registered care home providing personal care and accommodation for up to 43 older persons. The home is not registered to provide nursing care however community nursing services visit people who have these needs. The home is owned by Haven Hommes 2003 Ltd which is a private limited company. The home can provide services for up to seven people who have dementia type illness. But the home is not suitable for those people who have advanced dementia or complicated care needs. The Haven is a two storey building located on the main street in Seaham, close to local amenities. Peoples bedrooms are provided on both floors and there is a lift so that people can get access to the upstairs easily. The lounge and dining areas are on the ground floor along with other areas such as the kitchen laundry. There is a patio and garden area located to the rear of the property. It costs £412 per week to live at this home (given in november 2009) The costs of newspapers, hairdressing, private chiropody and toiletries are not included in the fees. Fees may vary depending on peoples circumstances, further details can be found in the homes Service User Guide or through Durham County Council . Care Homes for Older People Page 3 of 10 What we found:
The medication policy still needs to be reviewed. A general policy was available but in many cases additions or amendments were required to reflect what happens in the home. This is necessary so that staff have information on current legislation and guidance to make sure that safe practices are followed. The home now keeps a copy of monthly prescriptions but when asked no record could be found for an antibiotic prescribed mid month. There is now a record of staff authorised to administer medicines, however one member of staff who had signed on the current Medication Administration Record (MAR) was not included in the list. The recording of medicine administration is poor; there were a number of gaps on the MAR charts and an audit of current stock and records show that medicine had been signed for but not given. For one person medication was signed for on the MAR but was still remaining in the blister packaging supplied by the pharmacy. Records for inhaler administration also were found to be inaccurate. There is inconsistency in the recording of the quantity of medication carried forward and which is supplied after the start of the MAR. This means it is difficult to have a complete record of medication within the home and to check if medication is being administered correctly. One box of medication which had been marked on the MAR chart as carried forward could not be found on the day of the inspection and was not recorded as returned to the pharmacy. All MAR charts now have a current photograph for each person. One person self administers their medication however the risk assessment did not contain enough information to check that the person was able to safely administer their medication as intended by the prescriber. Medicines are stored securely either in locked trolleys or locked cupboards. The temperature of the medication storage room and fridge are now monitored regularly and records show that medication is stored at temperatures recommended by the manufacturer. What the care home does well: What they could do better:
Medication should be given as prescribed and a record must be made at the time that it is given. An accurate record should be kept of medication received into the home and carried over from the previous month. This helps to confirm that medication is given as prescribed and when checking stock levels. The medication policy needs to be updated so that staff understand how to handle and
Care Homes for Older People Page 4 of 10 administer medicines safely. 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 5 of 10 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 8 12(1) Make proper provision for 07/02/2010 peoples care and treatment to ensure that their assessed needs are met and that their health and welfare is maintained at all times. THIS LEGAL REQUIREMENT IS OUTSTANDING FROM 07/02/10. FURTHER ACTION IS BEING TAKEN. 2 9 13(2) Put in place effective arrangements for the recording, safekeeping and safe administration of all medicines received into the care home. Put in place effective arrangements to ensure that medication records at the home are accurately maintained at all times Put in place effective arrangements at the home to ensure that any omissions or variations in the administration of prescribed medication and the reasons for these are clearly, legibly and promptly recorded. Put in place effective 18/01/2010 Care Homes for Older People Page 6 of 10 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 arrangements in the home to ensure that all medication is administered as prescribed. Put in place effective arrangements in the home to ensure that all medication is stored at the correct temperature at all times. Put in place effective arrangements to ensure that an accurate record is kept of all medication received into the home THIS LEGAL REQUIREMENT IS OUTSTANDING FROM 18/01/10. FURTHER ACTION IS BEING TAKEN. 3 19 23(2) Ensure that all parts of the home are kept in a good state of repair. THIS LEGAL REQUIREMENT IS OUTSTANDING FROM 07/02/10. FURTHER ACTION IS BEING TAKEN. 4 26 13(6) Make arrangements, to include staff training, to prevent and protect people from being harmed or suffering abuse. Follow up and report all allegations and incidents of abuse promptly.
Care Homes for Older People Page 7 of 10 07/02/2010 07/02/2010 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 THIS LEGAL REQUIREMENT IS OUTSTANDING FROM 07/02/2010. FURTHER ACTION IS BEING TAKEN. Care Homes for Older People Page 8 of 10 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 9 of 10 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 10 of 10 - 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!
