Inspection on 29/08/06 for The Haven

This inspection was carried out on 29th August 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 21/06/10

The Haven 11/06/10

The Haven 12/03/10

The Haven 01/03/10

The Haven 14/09/09

The Haven 26/11/08

The Haven 04/06/08

The Haven 19/06/07

The Haven 21/11/06

The Haven 19/09/05

The Haven 10/12/04

The Haven 27/05/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE The Haven The Haven 6 - 10 North Terrace Seaham Durham SR7 7EU Lead Inspector Stephen Willcock Unannounced Inspection 29th August 2006 10:00 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 DS0000046459.V310081.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 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 DS0000046459.V310081.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Haven Address The Haven 6 - 10 North Terrace Seaham Durham SR7 7EU 0191 5816305 0191 5130377 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) Haven Hommes 2003 Ltd Leslie Dean Serteece Care Home 43 Category(ies) of Dementia - over 65 years of age (7), Old age, registration, with number not falling within any other category (36) of places The Haven DS0000046459.V310081.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th September 2005 Brief Description of the Service: The Haven is a two storey building situated near the seafront at Seaham. It is a well established care home and can accommodate people over the age of 65 years (36) with the addition of a smaller unit for people over the age of 65 years with dementia (7) making a total of 43 places. Accommodation is provided within single rooms (37) and double rooms (3) each containing washbasins. Toilet and bathing facilities are conveniently distributed with easy access from communal and private areas. There are a number of pleasant lounge and dining areas and access to a closed courtyard to the rear with sea views and a promenade walkway to the front across a main road. An activities co-ordinator is employed and offers a variety of activities such as knitting, quizzes, bingo and decorative plaster making. The facilities provided are suitable to meet the needs of older people. The current provider is Haven Hommes 2003 Limited. The current cost of living at the home ranges between £364 and £417 and does not include hairdressing, chiropody and toiletries. The Haven DS0000046459.V310081.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on 29/08/06 over a period of 5 hours. Time was spent looking at records and documents and a tour of the building. Service users and staff members were spoken to, including the manager of the home. What the service does well: What has improved since the last inspection? Since the last inspection a programme of redecoration and refurbishment has been started and included the fitting of en-suite facilities to the bedrooms and new carpets and chairs for the lounge. Several bedrooms had already been complete to the satisfaction of the service users who are accommodated in them. The manager has recently achieved the Registered Managers Award and is progressing towards NVQ4 in care. The Haven DS0000046459.V310081.R01.S.doc Version 5.2 Page 6 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 DS0000046459.V310081.R01.S.doc Version 5.2 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 DS0000046459.V310081.R01.S.doc Version 5.2 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): 3, standard 6 is not applicable. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. A procedure is in place to assess the needs of service users prior to admission to the home. EVIDENCE: A number of service users’ case files were looked at and found to contain evidence of pre-admission assessments being carried out. Social workers assessments were also included where these were available. The assessments were used to form the basis of individual care plans to ensure the home could meet the service user’s needs. The manager of the home completed further assessment when other needs were identified. The Haven DS0000046459.V310081.R01.S.doc Version 5.2 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, 9 and 10 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Care plans are regularly updated and evaluated to address any identified change in need. The home has a robust system for the administration of medication. Personal care is offered and provided in a dignified and respectful manner. EVIDENCE: A number of care plans were looked at and they were found to contain relevant information about social and health care needs. The plans included details of how care was to be provided and showed evidence of regular review and evaluation to include any new areas of care required as they became identified. There was satisfactory evidence of service users’ health care needs being addressed. Contacts with doctors and district nursing staff were recorded and The Haven DS0000046459.V310081.R01.S.doc Version 5.2 Page 10 care plans were updated to reflect any advice or change in care suggested by health care professionals. The handling and recording of medication was carried out well. A staff member, who had responsibility for the management of medication, was able to demonstrate a good knowledge of the medications in use and any side effects that may occur. A number of staff members had undergone training with a local college and completed a course on the safe handling of medication. Currently one service user had retained responsibility for their own medication and the home had enabled this to take place using a risk assessment process and consultation with the service user’s doctor. In discussion, service users said they felt respected at the home and staff always carried out personal care in a dignified manner, in the way that the service user wished their care to be given. One service user said, “My care is given in the way that I want it”. The Haven DS0000046459.V310081.R01.S.doc Version 5.2 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, 13, 14, and 15 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home offers opportunities to engage in various activities and to maintain contact with family and friends. Service users are encouraged to retain control over their lives. Meals served at the home meet the needs of service users. EVIDENCE: The home had employed an activities co-ordinator to provide a number of activities for service users to do. Most activities were planned for mid-week and were looked forward to by service users. One service user said, “I look forward to the bingo and the quizzes” and “The activities are just right”. Spiritual needs were also attended to as the home had invited local church people to provide services. A service user commented that they looked forward to the services and attended them about once a month. Visitors to the home were welcomed at anytime. In discussion, a service user said, “My family are always made welcome”. Another service user spoke of his The Haven DS0000046459.V310081.R01.S.doc Version 5.2 Page 12 trips out of the home to walk along the seafront or to a local pub where he could meet his friends. He said, “I often go out, but I always let the staff know where I am”. Food served at the home appeared appetising and wholesome. Service users spoken to were in agreement that the food was good. One service user said, “The food is very good” and added, “I used to be a cook so I should know”. Service users had the choice of dining in the dining room but some preferred to take their meals in their own bedroom. Staff members were observed assisting service users to take their meals, in a respectful and dignified manner. The Haven DS0000046459.V310081.R01.S.doc Version 5.2 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 and 18 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. A complaints policy and procedure is in use at the home. Service users are protected from abuse. EVIDENCE: A complaints policy and procedure was displayed in the home. Service users spoken to said they were aware of the policy and would know how to complain if they had any concerns. Service users were keen to say that they had “no complaints” but would speak to the manager if they did. One complaint had been received since the last inspection and this had been address by the owner of the home. In interview, a staff member was able to demonstrate good knowledge of adult protection issues and abuse awareness. However, one staff member was not as confident about Adult Protection issues and was willing to find further information on the subject. Training courses had been carried out to ensure staff members were aware of aspects of abuse and the procedures to be followed in the event of an incident occurring. All staff members had undergone a Criminal Records Bureau check to ensure the safety of service users. The Haven DS0000046459.V310081.R01.S.doc Version 5.2 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 and 26 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home has a good standard of décor and maintenance but building work needs to be completed. A good standard of cleanliness is maintained. EVIDENCE: The home was undergoing a programme of refurbishment and redecoration and included the fitting of en-suite facilities to each bedroom. This had required service users to move to other bedrooms while the work was being done and one side of the home was effectively closed. One service user said, “The work was not a disruption” but was “looking forward to it being finished”. Another service user who had recently had her room decorated said it was, “beautiful”. The lounge had been redecorated with new seating provided and was light and airy. Bathrooms and toilet facilities were still in need of refurbishment but the manager said that these would be improved as part of The Haven DS0000046459.V310081.R01.S.doc Version 5.2 Page 15 the home’s general refurbishment. It was advised that the manager develop a building programme schedule indicating when the work was to be carried out and finished as currently no plan was in place. The home does not employ domestic cleaners but has developed a system within the care staff numbers for general cleaning. It was noted that the communal areas in the home were clean, tidy and free from odour. The Haven DS0000046459.V310081.R01.S.doc Version 5.2 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): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Staff members are employed in satisfactory numbers and receive training to meet the needs of service users. Training is ongoing to meet the needs of service users. A satisfactory recruitment and selection procedure is in use at the home. EVIDENCE: On the day of the visit to the home, staffing levels met the needs of service users. Duty rotas were looked at and found to be satisfactory. There had been some turnover of staff occurring but most staff members had been employed at the home for a long time. All of the care staff members had achieved NVQ level 2 or 3 in care and they had also completed courses in the handling of medication. Staff members had undertaken a course in Customer Care and further training in epilepsy, diabetes and dementia training were being organised. The Haven DS0000046459.V310081.R01.S.doc Version 5.2 Page 17 A number of staff files were looked at and showed that a thorough recruitment and selection process was carried out. References and Criminal Record Bureau checks had been obtained. The manager had arranged a number of training courses for staff using the services of outside training agencies and local colleges. Further training in Moving and Handling had been organised and was due to start shortly. The Haven DS0000046459.V310081.R01.S.doc Version 5.2 Page 18 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): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The manager runs the home in the best interest of service users. Service users’ financial interests and health and safety are safeguarded where required. EVIDENCE: The registered manager has a number of years of experience in a care setting with the current client group and has recently completed the Registered Managers Award. However, further study is to be arranged to achieve NVQ 4 in care. The manager carries out regular review of the service in the form of an audit to ensure the home is run in the best interests of service users. Checks are The Haven DS0000046459.V310081.R01.S.doc Version 5.2 Page 19 made of medication and care planning. The manager said relatives and service users have the opportunity to meet at any time to discuss the running of the home, individually or during house meetings. It was advised that a formal quality assurance audit be carried out in the form of surveys and questionnaires so that service users and their relatives can express their opinions of the service and that the results of the survey are published. The manager said that currently the home does not look after service users financial interests and that service users and their families are encouraged to retain their financial control. However if this service were required, a system would be available to safeguard and protect their financial affairs especially personal allowances. Risk assessments were in place to minimize any hazards that could occur for the protection of service users, staff and visitors to the home. Records of maintenance were available and maintenance certificates were in place covering disability equipment and fire protection systems. The Haven DS0000046459.V310081.R01.S.doc Version 5.2 Page 20 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 The Haven DS0000046459.V310081.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? NO 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 OP19 Good Practice Recommendations The manager should develop a building and refurbishment programme showing when the current work is to be carried out and completed. The manager should undertake study leading to the achievement of NVQ4 in care. The manager should introduce effective quality assurance measures and publish the results. 2. 3. OP31 OP33 The Haven DS0000046459.V310081.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 DS0000046459.V310081.R01.S.doc Version 5.2 Page 23 - 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. 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