Inspection on 24/01/06 for The Haven

This inspection was carried out on 24th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 22/07/08

The Haven 25/05/07

The Haven 02/11/06

The Haven 07/06/05

The Haven 31/01/05

The Haven 29/06/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE The Haven 191 Havant Road Drayton Portsmouth Hampshire PO6 IEE Lead Inspector Drew Gurney Unannounced Inspection 24th January 2006 09:30 X10015.doc Version 1.40 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 DS0000011671.V272940.R01.S.doc Version 5.0 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 Older People. 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 DS0000011671.V272940.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Haven Address 191 Havant Road Drayton Portsmouth Hampshire PO6 IEE 023 9237 2356 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 S M Spencer Mrs T Hall Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places The Haven DS0000011671.V272940.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th June 2005 Brief Description of the Service: The Haven is registered with the Commission for Social Care Inspection (CSCI) to provide care and support for 20 elderly persons and is situated in a pleasant residential area of Drayton, a suburb of the City of Portsmouth. A detached property, the home is accessed via a short driveway. There is parking at the front of the home for approximately 8 cars. The home is situated close to the local shopping area and amenities and provides a homely environment for the service users who live there. There are 18 single bedrooms and one double room. All bedrooms provide en-suite facilities. There is a large garden at the rear of the property, which is laid to lawn. A ramp for wheelchair users and steps with handrails, provide further access for service users. The Haven DS0000011671.V272940.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during a period of 4.5 hours and was unannounced. On the day of the inspection the registered manager and also the registered provider were at the home and assisted the inspector during the inspection. The home is registered for 20 service users and on the day of the inspection the home was fully occupied. Speaking with 12 service users, two visitors, 2 members of staff, the registered provider and the registered manager provided evidence for this report. The inspector also had the opportunity to read and inspect records, tour the home and observe the interaction between staff and service users. Please refer to inspection report dated 7th June 2005 for key standards not inspected on this occasion. What the service does well: What has improved since the last inspection? Since the last inspection, routine maintenance and re-decoration has continued within the home. This has included the replacement of carpets in two bedrooms and the office; a new boiler system has been fitted; several radiators have been replaced; new office chairs and four new armchairs have The Haven DS0000011671.V272940.R01.S.doc Version 5.0 Page 6 been provided for the lounge area. All staff have attended a medication administration update provided by a visiting pharmacist. What they could do better: 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 Haven DS0000011671.V272940.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Haven DS0000011671.V272940.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: The Haven DS0000011671.V272940.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8 and 9. Service users’ health, personal and social care needs are set out in a plan of care. Service users’ health care needs are fully met. There is an appropriate well-documented medication procedure. EVIDENCE: The home has admitted nine service users since the previous inspection. All service users and a visiting spouse spoken to, were satisfied with the care that is provided and stated that health care needs are fully met. Care plans were seen for three service users recently admitted and these were simple and contained information on personal and social care needs. Care plans are reviewed monthly, signed and dated and annual reviews are undertaken. Staff was observed interacting with service users and were seen to knock on service users’ doors and await an answer before entering. Service users were full of praise for care staff and stated that they were treated with dignity and respect and that their privacy was maintained at all times. The Haven DS0000011671.V272940.R01.S.doc Version 5.0 Page 10 Throughout the inspection, two visiting opticians were occupied testing service users’ eyesight and assisting with the choice of new spectacle frames from a wide range of different shapes and sizes. Opticians confirmed that an annual visit took place and that due to regular contact with the home, had become familiar with several service users resident over a period of time. Records indicate that one service user visits a local dentist independently for treatment. Dental treatment is arranged as necessary. Information recorded on files demonstrated that several service users receive chiropody treatment from the chiropodist who visits the home every six weeks. It was also noted that service users are referred by a district nurse for audiology tests at the Queen Alexandra Hospital. The manager confirmed that no service users are currently being treated by the community nursing team for pressure sores. Staff confirmed that skin integrity is part of personal care observation. Recorded information was available confirming that support and advice is provided by a nurse for continence concerns. During a discussion, staff confirmed that information had been sought from the Internet and library with regard to specific diets including gluten free, diabetic and low fat diets. The inspector viewed printed information on specific diets. The inspector viewed the medication procedure. The medication for two service users was checked and found to be accurate. One service user currently self-administers medication and the available risk assessment is reviewed on a monthly basis. The medication is maintained in a lockable cupboard in the service user’s bedroom. Satisfactory information was viewed regarding a recent community pharmacist visit when a full check was undertaken of the home’s system, recording practices and conditions under which medication is maintained. The registered manager and five members of the staff team have successfully completed a distance learning medication administration course. Information was available confirming that the remainder of the team have been provided with refresher medication administration training. The Haven DS0000011671.V272940.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 Service users are happy in the home and are encouraged to continue an active lifestyle, including social, cultural and religious interests. EVIDENCE: The inspector spoke with many service users during the course of the visit and also with visitors to the home. One service user is encouraged to continue to attend church independently and was observed to leave the home to visit the shops. Many of those service users spoken to, confirmed that they had enjoyed the Christmas celebrations when relatives had visited the home prior to Christmas and enjoyed tea and participating in various games and organised raffles and activities including bingo. Information is displayed in various areas of the home, including the lift, of arranged activities including the current art sessions where service users are encouraged to colour dragon fly cut outs from a purchased flat pack. Part of the lounge wall is covered with decorated hats made by service users. A hairdresser visits the home every week and from the diary booking system viewed by the inspector, it is evident that hairdresser services are very popular. The Haven DS0000011671.V272940.R01.S.doc Version 5.0 Page 12 During the morning, many service users were sitting in groups, knitting, reading newspapers or watching morning television. Staff were observed to be attentive and responsive to their needs. The Haven DS0000011671.V272940.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 There is a simple, clear and accessible complaint procedure including timescales for the process. Complaints are logged and responded to appropriately. EVIDENCE: Service users spoken to were confident about raising any concerns they may have and stated that they were sure that the homes management would deal with any complaints fairly and promptly. Visitors to the home also agreed that they would feel happy raising any concern directly with the management. The home has a policy and procedure for dealing with any complaints and this contains all of the required information and provides details of how to contact CSCI. Staff members spoken to were aware of the complaint procedure. The home has a log for recording any complaints. One complaint has been raised directly with CSCI since the previous inspection and this had been logged and had been responded to appropriately. The Haven DS0000011671.V272940.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26 Regular on-going maintenance is undertaken at the home to maintain a safe environment for service users. All bedrooms viewed were comfortable, the décor was pleasant and rooms reflected the personal taste of their occupants. The home throughout is well maintained, clean, pleasant and free from offensive odours. EVIDENCE: The home includes a maintenance/handyman on its staff, who undertakes routine and ongoing work on the establishment. The home’s interior and exterior presents a well-maintained appearance. Presentation of the home indicates that regular decoration is carried out. On the day of the inspection, there was no visual sign of any outstanding maintenance required. Several radiators have been replaced since the previous inspection and are covered for safety reasons. Door guards have been fitted to most bedroom doors, providing choice for service users who may dislike having their doors The Haven DS0000011671.V272940.R01.S.doc Version 5.0 Page 15 closed. Call alarm cords were seen to be placed in easy access of service users. Additional safety includes a CCTV system, with cameras in three areas to the exterior of the home including the front and side of the building. The monitor is in the manager’s office. Most bedrooms were viewed by the inspector during the visit and were equipped with comfortable furnishings. The décor is tasteful and all carpeting throughout is of a good quality. All rooms were personalised and included recorded furnishings, pictures, photographs, hobbies and interests of the occupants. All areas visited throughout the home including bathroom, toilet areas and ensuite facilities were clean, and no offensive odours were detected. The Haven DS0000011671.V272940.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 New staff are employed following robust recruitment practices and this protects service users. EVIDENCE: Three new appointments have been made since the previous inspection. The inspector viewed each individual file containing recruitment information and observed appropriate information. Recruitment information includes application forms, medical information, two satisfactory references, satisfactory CRB information, photographs, proof of identity and a contractual employment agreement. A record of individual recruitment interviews was not available and it is recommended that the management develop this procedure to justify how decisions are reached. One of the newly appointed employees spoke with the inspector and confirmed that induction procedures had been undertaken. Staff spoken to felt well supported by management. The Haven DS0000011671.V272940.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 Service users are encouraged to control their own money and records and receipts are available to demonstrate financial procedures. EVIDENCE: The registered provider deals with all financial aspects concerning The Haven. Service user records were viewed and examples of recorded details include information with regard to transactions concerning personal requirements, weekly newspaper accounts, hairdresser accounts and chiropody visits. Receipts were included and cross checks undertaken with hairdresser visits, for example, tallied accurately. A financial sheet was viewed for each service user. An audit of the home’s accounts takes place annually. The Haven DS0000011671.V272940.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 x 3 X X X X 3 X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X 3 X X x The Haven DS0000011671.V272940.R01.S.doc Version 5.0 Page 19 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. 1 Refer to Standard OP2929 Good Practice Recommendations That interviews are recorded and are available for viewing. The Haven DS0000011671.V272940.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 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 DS0000011671.V272940.R01.S.doc Version 5.0 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!