Random inspection report
Care homes for older people
Name: Address: The Haven 6 - 10 North Terrace Seaham Durham SR7 7EU zero star poor service 23/03/2010 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: 2 1 0 6 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 2 3 0 3 2 0 1 0 Care Homes for Older People Page 2 of 8 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 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 8 What we found:
The reason for this inspection was to assess compliance with the requirements made in a Statutory Requirement notice, dated 18th January 2010, which had been previously unmet. The service was required by 18 January 2010 to 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 reason for these are clearly, legibly and promptly recorded. Put in place effective arrangements in the home to ensure that all medication is administered to service users 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. From this visit it is clear that action has been taken to meet most of the requirements of the statutory requirement notice. The requirement to put in place effective arrangements in the home to ensure that all medication is stored at the correct temperature at all times had been met previously but temperature record charts for May and June 2010 show that the temperature of the medication room had exceeded twenty five degrees centigrade on a number of occasions. The home also had a requirement to put in place effective arrangements to ensure that an accurate record is kept of all medication received into the home. Copies are kept of prescriptions supplied as part of the regular monthly cycle but on the day of the visit a copy of the prescription for medication supplied by the pharmacy mid cycle for two people could not be found. The prescription is the authority for the staff to administer medication to the person. The date of opening of medicines with a limited use once open was recorded, however one person had eye drops applied from a bottle which had been open for longer than recommended by the manufacturer. Medication administration records (MAR) contain very few gaps and an audit of medication records and stock of medicines available in the home showed that people were getting medication as prescribed. Care Homes for Older People Page 4 of 8 Ther is now greater consistency in handwritten entries and changes made to medication. The quantities of medicines received into the home and brought forward each month are now clearly entered on each persons MAR making it easy to check whether sufficient quantities are always available. 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 5 of 8 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 19 23 Refurbishment of all areas on 30/09/2010 the first floor which are to be used by residents must be completed. This is to make sure that the home is well maintained, comfortable and suitable for the people who live there. Care Homes for Older People Page 6 of 8 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 2 13 13 Copies of prescriptions supplied by the pharmacy mid cycle must be kept as the authority to administer to the person. A system must be in place to check expiry dates of medicines and to add a date of opening when necessary. This makes sure medication is safe to administer. The temperature of the medication room should be regularly monitored and action taken to prevent temperatures exceeding that recommended by the manufacturer. This makes sure that medicines are being stored at the temperature recommended by the manufacturer. 3 13 Care Homes for Older People Page 7 of 8 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 8 of 8 - 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!
