Inspection on 07/06/05 for The Haven

This inspection was carried out on 7th June 2005.

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 24/01/06

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 1EE Lead Inspector Michael Gough Unannounced 7 June 2005 - 10:00am 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 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 H54 S11671 The Haven V231157 070605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Haven Address 191 Havant Road Drayton Portsmouth Hampshire PO6 1EE 023 9237 2356 Telephone number Fax number Email 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 CRH 20 Category(ies) of OP - OP Old age (20) registration, with number of places The Haven H54 S11671 The Haven V231157 070605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31 January 2005 Brief Description of the Service: The Haven is registered with the Commission for Social Care Inspection to provide care and support for 20 elderly persons and is situated in a pleasant residential area of Dratton, a suburb of the City of Portsmouth. The Haven is a detached property and is accessed via a short driveway and there is parking at the from 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 are en-suite, there is a large rear garden which is laid to lawn and provides a ramp for wheelchairs and also steps with handrails for service users. The Haven H54 S11671 The Haven V231157 070605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 3.5 hours and was unannounced. On the day of the inspection the homes 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 there were 19 service users living at the home. Speaking with 12 service users, 3 members of staff, the homes owner and also the manager obtained evidence for this report. Questionnaires have been received from 10 service users and from 7 relative’s/visitors and the inspector also had the opportunity to read and inspect records, tour the home and observe the interaction between staff and service users. 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 inspection and service users found this question hard to answer as they felt that the home was already providing a good quality service. The Haven H54 S11671 The Haven V231157 070605.doc Version 1.30 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 Haven H54 S11671 The Haven V231157 070605.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Haven H54 S11671 The Haven V231157 070605.doc Version 1.30 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 standard(s) 3, 4 & 6 Each service users has a needs assessment carried out before they move into the home and The home is able to meet the individual needs of service users at the home. EVIDENCE: The manager or registered provider carries out an individual needs assessment prior to service users moving into the home and records of assessment were available in service users files along with social service assessments where appropriate. All service users spoken to felt that their individual needs were met by the home and individual needs were documented. Staff was observed supporting service users appropriately. Intermediate care is not provided at the home. The Haven H54 S11671 The Haven V231157 070605.doc Version 1.30 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 standard(s) 7 & 10 Service users health, personal and social care needs are set out in a plan of care and service users are treated with dignity and respect at all times and there right to privacy is upheld. EVIDENCE: All of the service users spoken to were entirely satisfied the care that they are receiving and stated that their health care needs are fully met. Care plans were seen for 3 service users and these were simple and gave information on personal and social care needs, care plans are reviewed monthly 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 the care staff and stated that they were treated with dignity and respect and that their privacy was maintained at all times. The Haven H54 S11671 The Haven V231157 070605.doc Version 1.30 Page 10 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 standard(s) 13, 14 & 15 Service users are able to keep contact with family and friends and visitors are always welcome. The home respects service user wishes on whom they do or do not wish to see. Service users exercise their own choice and have control over their own lives. Meals at the home are wholesome and appealing and provide a well balanced diet. EVIDENCE: There is a notice in the entrance hall at the home, which gives clear information on visiting and are no restrictions, the sign states that the wishes of service users will be respected regarding who they wish or do not wish see. The visitor’s book was inspected and it was noted that there have been 32 visitors to the home in the past 7 days. Service users spoken to confirmed that they are able to exercise control and choice in their day-to-day lives and made their own decisions on what, if any activities they wished to take part in. Service users are encouraged to bring their own possession into the home and appropriate records are kept. Records about the food provided to service users are kept and the home operates a four-week rolling menu, which is changed regularly. Staff was observed consulting residents about the choices available and all service users spoken to stated that the food was good and that portions were ample. Lunch on the day of the inspection was chicken lattice with roast and mashed potatoes, cauliflower, carrots and green beans. The Haven H54 S11671 The Haven V231157 070605.doc Version 1.30 Page 11 The Haven H54 S11671 The Haven V231157 070605.doc Version 1.30 Page 12 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 standard(s) 16 & 18 There is a simple, clear and accessible complaints procedure, which includes timescales for the process and any complaints are logged and responded to appropriately. The home protects Service users from any form of abuse. 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. The home has a policy and procedure for dealing with any complaints and this contained all of the required information and gave details of how to contact the CSCI. Staff members spoken to were aware of the complaints procedure. The home has a log for recording any complaints and the one complaint that had been logged had been responded to appropriately Staff have received training on adult protection and the home has a whistle blowing policy and also a copy of the Hampshire Adult Protection procedure. Staff spoken to were aware of their responsibilities in this area and knew what to do should they suspected any form of abuse had taken place. The Haven H54 S11671 The Haven V231157 070605.doc Version 1.30 Page 13 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 standard(s) 26 The home is well maintained, clean, pleasant and free from offensive odours. EVIDENCE: The utility room at the home has been fitted with domestic appliances and these are replaced regularly and washing machines are able to wash clothing at appropriate temperatures. There is a contract for dealing with clinical waste and suitable protective clothing is available for staff. The home was seen to be clean and well maintained and there were no offensive odours. The Haven H54 S11671 The Haven V231157 070605.doc Version 1.30 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 & 29 Service users at the home are supported by staff in sufficient numbers and with the skills required to meet their needs and service users are in safe hands. New staff are employed after robust recruitment practice’s have been carried out and this protects service users. EVIDENCE: The homes staffing rota showed that there are a minimum of 4 staff members on duty between 8am and 3pm, 3 staff on duty between 3pm and 6pm and 2 staff are on duty from 6pm to 8 am, this is in addition to the homes manager who is at the home for 35 hours per week and the registered provider who visits the home on a daily basis. The home also employs domestic staff to cover cleaning duties in the home and a cook is also employed. Service users stated that staffing levels met their needs and that if they called for staff they arrived promptly. Staff members spoken to stated that they were not rushed and had sufficient support to carry out their duties. Of the 21 care staff employed at the home 7 have already obtained their NVQ qualifications. At present the senior carer is undertaking NVQ4 and completing the registered managers award and 1 staff member is currently undertaking the NVQ2 qualification. The home has an effective recruitment policy and suitable procedures are in place. Staff records were seen for 3 staff members and these contained all of the required information, including 2 references and details of CRB checks. The Haven H54 S11671 The Haven V231157 070605.doc Version 1.30 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, & 38 The home is run in the best interests of service users and the homes manager is experienced, of good character and is able to effectively run the home. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: The manager is a qualified Nurse and has appropriate management qualifications and has been managing the home for the past 6 years. Regular staff meetings are held and minuets are taken. Service users at the home are consulted on a one to one basis and there is also a residents committee, which meets every 2 months and the committee acts on behalf of the service users and has input into the day to day running of the home. Service user surveys are conducted by means of a questionnaire and any concerns or suggestions The Haven H54 S11671 The Haven V231157 070605.doc Version 1.30 Page 16 are acted upon. The registered provider undertakes regulation 26 visits as appropriate and visits the home on a daily basis and takes an active part in the running of the home. Certificates were seen for annual tests of fire fighting equipment, fire alarms, boilers, and electrical equipment and for the lift and these were all in date. The fire log was inspected and all relevant training and testing is carried out within the specified timescales. The Haven H54 S11671 The Haven V231157 070605.doc Version 1.30 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 x x x x 3 The Haven H54 S11671 The Haven V231157 070605.doc Version 1.30 Page 18 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. 1. 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 Good Practice Recommendations The Haven H54 S11671 The Haven V231157 070605.doc Version 1.30 Page 19 Commission for Social Care Inspection 4 Floor, Overline House Blechynden Terrace Southampton Hampshire 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 H54 S11671 The Haven V231157 070605.doc Version 1.30 Page 20 - 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!