Inspection on 08/08/05 for The Haven

This inspection was carried out on 8th August 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 12/03/09

The Haven 21/03/07

The Haven 08/02/06

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 Paula Banham Unannounced 08 August 2005 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 F58 F10 s22592 the haven v235897 080805 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Haven Address Hackthorpe Penrith Cumbria CA10 2HT 01931 712155 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 Rowena Gibson Care Home 2 Category(ies) of LD - Learning Disability registration, with number of places The Haven F58 F10 s22592 the haven v235897 080805 ui stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Bedrooms measuring less than 12 sq m must not be used to accommodate service users who are confined to a wheelchair. Date of last inspection 02 March 2005 Brief Description of the Service: The Haven is a care home registered with The Commission for Social Care Inspection to provide accommodation to 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 services provided at The Haven are the same as services registered as Adult Placement Schemes in other areas in England. As Cumbria County Council does not have an Adult Placement Scheme The Haven is registered as a care home and subject to inspection against the Care Home Regulations 2001 and National Minimum Standards for Adults (18-65) 2nd Edition The Haven provides permanent accommodation and respite care when accommodation is available. The Haven F58 F10 s22592 the haven v235897 080805 ui stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced, carried out on 8th August 2005. The inspection focussed on how well the home meets the needs of people using the service. This was assessed by speaking to the resident living in The Haven, speaking to Mrs Gibson, observing activity in the home and examining the records which care homes are required to hold. What the service does well: What has improved since the last inspection? 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 F58 F10 s22592 the haven v235897 080805 ui stage 4.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection The Haven F58 F10 s22592 the haven v235897 080805 ui stage 4.doc Version 1.40 Page 7 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3 and 4. Admissions to the home are well managed and residents and their families know that the services provided will meet their assessed needs. EVIDENCE: The home’s admissions procedure includes prospective residents needs being assessed to ensure that these can be met by the services provided. Prospective residents and their families are invited to visit the home to assess the service before making a decision to stay there. Mrs Gibson is knowledgeable about the range of needs which the home is able to meet. The Haven F58 F10 s22592 the haven v235897 080805 ui stage 4.doc Version 1.40 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7, 9 and 10. Residents’ needs are identified and they receive the support they require in the manner which they prefer. Information about residents is stored securely and their confidentiality is maintained. Residents are supported to make decisions about their lives and the choices they make are respected. EVIDENCE: Residents’ needs and preferences are recorded in confidential files. Residents are supported to attend activities of their choosing which give them opportunities to take controlled risks and to increase their independence and life skills. Residents make choices about their lives and the activities they follow in and away from the home. The Haven F58 F10 s22592 the haven v235897 080805 ui stage 4.doc Version 1.40 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15, 16 and 17. Residents benefit from taking part in a variety of activities which they enjoy. Residents are supported to make decisions about their lives and their skills and independence are maintained. Residents receive a varied and nutritious diet. EVIDENCE: The services in The Haven promote residents’ independence and support them to maintain control of their lives. Residents follow activities of their choosing in the home and local community. Residents said they enjoy the activities they follow. Residents are encouraged to self care and to make decisions about their lives and their independence and skills are maintained. Meals are well managed and provide a varied and nutritious diet which takes into account individual preferences. Residents maintain contact with their friends and families in and away from the home. The Haven F58 F10 s22592 the haven v235897 080805 ui stage 4.doc Version 1.40 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 and 20. Residents receive the support they require and their assessed needs are met. Medication is handled safely in the home and residents’ health and welfare are maintained. EVIDENCE: Residents are supported to live independently and to maintain responsibility for their own care. Residents receive health care support from a range of local health care services including specialist services as they require. Medication is handled and stored safely and residents’ health is maintained. The Haven F58 F10 s22592 the haven v235897 080805 ui stage 4.doc Version 1.40 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23. Residents are protected from harm in The Haven. EVIDENCE: Procedures are in place to ensure that residents are protected from abuse and that their safety and welfare are maintained. Mrs Gibson is aware of the procedure to follow if she is concerned about a resident’s welfare and of appropriate agencies from whom advice and support can be obtained. The Haven F58 F10 s22592 the haven v235897 080805 ui stage 4.doc Version 1.40 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25 and 30. The Haven provides a safe, clean and comfortable environment for residents to live in which is suitable to meet their needs. EVIDENCE: Accommodation for residents is provided in Mrs Gibson’s family home. The premises are domestic in character and provide comfortable and homely accommodation to the people living there. Residents have private use of their bedrooms and shared used of communal areas including outdoor space. The premises are in keeping with neighbouring properties and are accessible to the residents living there. The property is clean and well maintained and provides a safe environment for residents to live in. The Haven F58 F10 s22592 the haven v235897 080805 ui stage 4.doc Version 1.40 Page 13 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards are not applicable to The Haven. These standards do not apply to The Haven as no care staff are employed in the home. EVIDENCE: The Haven is Mrs Gibson’s family home and she is the sole carer. No care staff are employed in the home and these standards do not apply. The Haven F58 F10 s22592 the haven v235897 080805 ui stage 4.doc Version 1.40 Page 14 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 40, 41, 42 and 43. The Haven is well managed and residents’ rights, safety and welfare are protected. EVIDENCE: Mrs Gibson has a clear sense of purpose for The Haven which focuses on promoting residents’ independence and including residents in decisions about their care. Mrs Gibson has produced a range of appropriate records, policies and procedures for the home which safeguard residents’ safety and welfare. Advice has been taken from appropriate authorities including the local fire officer and environmental health authority regarding providing a safe environment for residents to live in. The Haven F58 F10 s22592 the haven v235897 080805 ui stage 4.doc Version 1.40 Page 15 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score N/A N/A N/A N/A N/A N/A CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Haven Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 F58 F10 s22592 the haven v235897 080805 ui stage 4.doc Version 1.40 Page 16 Not applicable 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 F58 F10 s22592 the haven v235897 080805 ui stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP 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. 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