Inspection on 21/03/07 for The Haven

This inspection was carried out on 21st March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

Other inspections for this house

The Haven 12/03/09

The Haven 08/02/06

The Haven 08/08/05

The Haven 02/03/05

The Haven 19/08/04

The Haven 05/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 The Haven Hackthorpe Penrith Cumbria CA10 2HT Lead Inspector Mrs Margaret Drury Unannounced Inspection 21st March 2007 2:15 The Haven DS0000022592.V333686.R01.S.doc Version 5.2 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 The Haven DS0000022592.V333686.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 Adults 18-65. 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. The Haven DS0000022592.V333686.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Haven Address Hackthorpe Penrith Cumbria CA10 2HT 01931 712155 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) Mrs Rowena Gibson Mrs Rowena Gibson Care Home 2 Category(ies) of Dementia - over 65 years of age (1), Learning registration, with number disability (2), Learning disability over 65 years of places of age (1) The Haven DS0000022592.V333686.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 2 service users to include: up to 2 service users in the category of LD (Learning disability) up to 1 service user in the category of LD(E) (Learning disability over 65 years of age) 1 named service user in the category of DE(E) (Dementia over 65 years of age) 8th February 2006 Date of last inspection Brief Description of the Service: The Haven is a care home registered with The Commission for Social Care Inspection to provide accommodation for two adults with a learning disability. The Haven is owned by Mrs Rowena Gibson who is also the main carer. No care staff are employed in the home. The Haven is in Hackthorpe village approximately 5 miles between Shap and Penrith. Mrs Gibson aims to provide support to residents in a domestic, family type environment and the accommodation is suitable to meet this aim. Accommodation is provided in a large property, which is in keeping with the neighbouring premises. Accommodation for residents is provided in the form of two single bedrooms and a walk in shower and toilet. Shared accommodation is provided in the form of a kitchen, dining room, two sitting rooms and a large, well maintained garden. The Haven is registered as a care home and subject to inspection against the Care Home Regulations 2001 and National Minimum Standards for Adults (1865) 2nd Edition. The Haven provides permanent accommodation and respite care when accommodation is available. The Haven DS0000022592.V333686.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit, which forms part of the annual key inspection, took place over one afternoon in March. During the visit the inspector discussed the running of the home with the registered owner/manager and a tour of the premises was undertaken. The two service users were at home for part of the visit and were able to speak to the inspector. Care plans were examined and the policies and procedures already in place were discussed. What the service does well: What has improved since the last inspection? What they could do better: There were no requirements or recommendations made as a result of this visit and the registered provider should continue to provide the high level of care and support already given to those living in The Haven. The Haven DS0000022592.V333686.R01.S.doc Version 5.2 Page 6 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. The Haven DS0000022592.V333686.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Haven DS0000022592.V333686.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has procedures and care practices in place to ensure all individual needs are assessed and appropriately met. EVIDENCE: All prospective residents are fully assessed prior to admission to The Haven. This is in addition to the social work assessment provided by Social Services. All those wishing to live in the home are invited to visit on a number of occasions before any decision is made about moving in. Opportunities are given for new residents to meet those already living in the home as well as other members of the family. The registered provider is careful to ensure that any new resident will be able to mix with those already living in the home the admission process follows a pace suitable to all concerned. There is always a settling in/trial period before the placement is made permanent. All residents have a contract that is renewed and signed annually. The Haven DS0000022592.V333686.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ needs are well met and high levels of independence are achieved. EVIDENCE: Each resident has a plan of care drawn up by the registered provider soon after admission to the home. The care plans were examined by the inspector and found to be informative and relevant to the care required to meet the assessed needs. The residents are encouraged to make their own decisions, wherever possible, about their lives and how to spend their time. This has resulted in personal development and a growing sense of self-confidence. There are risk assessments in place to assist with the independent lifestyle the home is currently providing. The Haven DS0000022592.V333686.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to make choices about their life style and are supported to develop their life skills EVIDENCE: Residents are assisted to have a good quality of life and have access to a number of life, educational and social experiences supported by the registered manager. Arrangements are in place for individual support and care, with other family members maintaining close contact with the residents. Both residents attend day services provided by Eden Mencap including “Bake it”, “Grow it” and one spends 4 days at the “Eddington Centre” enjoying a variety of activities that are helping to improve independence. The other resident works as a volunteer at a local day centre for older people and told the inspector that she really enjoys her time “helping to provide meals and snacks”. Various leisure activities are organised by the owner with one of the favourites being “walks with the 2 family dogs”. The Haven DS0000022592.V333686.R01.S.doc Version 5.2 Page 11 Mealtimes are planned and arranged to suit individual needs and both residents told the inspector how much they enjoyed their food. The Haven DS0000022592.V333686.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health care needs are well managed through established links with local healthcare professionals. Residents benefit from a high standard of personal support. EVIDENCE: Mrs Gibson has personal experience in the care of people with a learning disability and is able to provide the high standard of care and support required to maintain the residents’ health and well being. She makes sound judgements and keeps accurate records of prescribed medication, both of which ensure all the assessed healthcare needs are met. Support from the local doctors, opticians, dentists and chiropodist are available when required. Emotional needs are met on a daily basis with the registered provider working closely with the residents to ensure support in this area is always available. She ensures any prospective residents visit the home several times to meet the other people living in The Haven and that sufficient “settling in “ time is given before any placement becomes permanent. The Haven DS0000022592.V333686.R01.S.doc Version 5.2 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to express their concerns knowing action will be taken to deal with them. They are protected from abuse and have their rights protected. EVIDENCE: The home has a satisfactory complaints procedure with both residents able to express any concerns they may have about life in the home, knowing these will be acted upon. The atmosphere in the home during the visit was relaxed and warm, evidencing the ease with which they related to the registered provider and other family members. Mrs Gibson demonstrated a good awareness of the different forms of abuse and the rights of the individual and encourages the residents to have regular contact with people outside the home and to maintain relationships with their own family members. The Haven DS0000022592.V333686.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and lay-out of the home enables residents to live in a safe, well-maintained and comfortable environment. EVIDENCE: The Haven provides a physical environment that is warm, safe, friendly and family orientated. It is well maintained and provides an extremely pleasant place in which to live. Communal space is available through the residents’ lounge/dining room and a large garden to use in the warm weather. All bedrooms are for single occupation and the two residents share bathing and toilet facilities. The bedrooms are well furnished and individual to each resident and have personal washing facilities. The bedrooms are large enough to provide personal and private space if required. The home was extremely clean on the day of the inspection and one resident told the inspector she liked to make her own bed and tidy her room. The Haven DS0000022592.V333686.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (excellent, good, adequate or poor) This judgement has been made using available evidence including a visit to this service. EVIDENCE: As Mrs Gibson is currently the main/sole carer these standards do not apply. The Haven DS0000022592.V333686.R01.S.doc Version 5.2 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in a way that is appropriate to family living and for the benefit of those living there. EVIDENCE: Mrs Gibson has considerable experience in the care of people with a learning disability and, therefore, has the competencies and qualities to meet the needs of the residents. She has a clear understanding of the key principles involved in supporting this client group and ensuring all the assessed needs are met. The home’s domestic style of living encourages open and close relationships and where residents feel they can freely express their own views and concerns. During the visit both residents were able to speak with the inspector and said how happy they were and how much they enjoyed living in the home. Observations evidenced that conversations flowed freely between the provider The Haven DS0000022592.V333686.R01.S.doc Version 5.2 Page 17 and the residents and both told the inspector how much they liked Mrs Gibson’s son. Close contacts are also maintained with members of the residents’ families. The home has all the required policies and procedures and complies with fire and environmental health requirements. British Gas maintains all domestic equipment under annual service agreements. The Haven DS0000022592.V333686.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 3 5 4 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X The Haven DS0000022592.V333686.R01.S.doc Version 5.2 Page 19 x Are there any outstanding requirements from the last inspection? 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Haven DS0000022592.V333686.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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 The Haven DS0000022592.V333686.R01.S.doc Version 5.2 Page 21 - 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!