Inspection on 09/05/07 for The Haven

This inspection was carried out on 9th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 23/02/09

The Haven 07/06/06

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE The Haven 17 Church Road Tovil Maidstone Kent ME15 6QX Lead Inspector Debbie Sullivan Key Unannounced Inspection 9th May 2007 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 DS0000066703.V338139.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 DS0000066703.V338139.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Haven Address 17 Church Road Tovil Maidstone Kent ME15 6QX 01622 686865 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) havencarehome@btconnect.com Mr Karim Bhanji Rozita Heshmati-Bhanji Karen Denise Warford Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places The Haven DS0000066703.V338139.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th June 2006 Brief Description of the Service: The Haven is a large detached property that has been converted to a residential home from a vicarage. The home has 29 single rooms and one double room. Accommodation is on two floors and there is a stair and a shaft lift. Each room has a call bell; only one room does not have en-suite facilities; there are two bathrooms. The home has four lounges and a dining room, and a well kept garden that is accessible to service users surrounds the property. The home is located approximately two miles from Maidstone town centre, there is a bus stop nearby and local shops and other facilities are within easy walking distance. Care, senior care, domestic and maintenance staff are employed. The majority of staff hold an NVQ in care qualification. Residents have opportunities to take part in some activities provided by the service if they choose. The current weekly fee is £405.00; extras are hairdressing, chiropody, papers and toiletries. The Haven DS0000066703.V338139.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection site visit took place over six and quarter hours. During the visit time was spent with residents, three of whom were case tracked, staff, relatives who were visiting and the senior carer who was in charge on the day. The premises were toured and a range of records and documentation was read. Lunchtime was partially observed. The home has now been under new ownership for over a year and the new providers have made improvements to the service. Throughout the day staff were helpful in providing information and the atmosphere in the home was welcoming and friendly. The senior carer in charge is to be commended for providing a large amount of time and information on a very busy day in the manager’s planned absence. What the service does well: What has improved since the last inspection? Environmental improvements have been made including new dining room flooring, redecoration of some bedrooms, fencing and paving in the garden and repairs to the flooring in some ensuites. The Haven DS0000066703.V338139.R01.S.doc Version 5.2 Page 6 Medication procedures are improved as a new larger medication trolley has been purchased and when hand written entries are made on medication record sheets the reason is being recorded. All staff are now CRB checked and evidence of this is available for 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 summary of this inspection report can be made available in other formats on request. The Haven DS0000066703.V338139.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 DS0000066703.V338139.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective residents and their families are able to visit the home and spend time there before a decision is made on taking up a place. Fully up to date written information on the service is not currently available. EVIDENCE: At the last key inspection the new providers had just taken over and were revising the written information about the service, although at this Key inspection an up to date Statement of Purpose and Service User’s Guide were not available in the home. The Haven DS0000066703.V338139.R01.S.doc Version 5.2 Page 9 The manager undertakes a needs assessment before agreement is given to an admission and offers are confirmed in writing. Two visiting families spoken with said that they had chosen the home for their relative having compared it with others, and a resident said that their children had also visited other homes before choosing The Haven. During the site visit the senior carer received enquiries about vacancies, one from a care manager, and said that some relatives had looked at the home recently, visits to view it are welcomed. At the time of the inspection there were five vacancies. Respite and assessment periods are available and can help people make a decision on moving in permanently. Residents and relatives said that the home met needs well and one resident who had recently settled at the home and was satisfied with the service hoped that their partner could join them there. Each resident has a contract with the home on his or her care plan. The Haven DS0000066703.V338139.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of residents are well met and their privacy and dignity respected. Medication procedures can be further improved upon. EVIDENCE: Each resident has a care plan, information is held on file and on computer being downloaded at intervals. Care plans include a daily log completed three times daily by Senior staff. Written information needs to be kept more securely in indexed files, as it is loose and not always easily accessible or in order. The Haven DS0000066703.V338139.R01.S.doc Version 5.2 Page 11 The care plans of three case tracked residents were read, each contained information on health, personal care needs, social and leisure interests and needs are regularly reviewed with changes being well recorded. The home maintains good links with health and other professionals a District Nurse visited twice during the site visit. One District Nurse said that the home had been responsive to action needed regarding pressure areas. A care manager also visited and met with the Senior carer as the needs of a resident had changed in terms of mobility, the home had been using strategies to assist the resident who had been having falls, and the provision of some specialist equipment to improve their safety was being looked into. Care plans contained records of contact with other professionals such as psychiatrists, chiropodists, physiotherapists and opticians. Risk assessments are in place and are reviewed as necessary, some broadening of the assessments would give staff a clearer understanding of how to prevent and manage any risks. There was contact with GP’s during the site visit and residents keep their own GP’s as long as their surgery will cover the area. Relatives said that the home communicates well with them if there are any health concerns and are prompt in summoning medical attention. One comment was “ We are very satisfied with the way --- is looked after”. One resident manages their own medication and this option is offered, another had chosen to pass the responsibility to staff having initially self-medicated. Medication procedures had improved with the reason for any hand written entries on MAR sheets being recorded, and a larger medication trolley had been purchased. The trolley is still located in the dining room and it continues to be recommended that it be relocated as it encroaches on communal space. The drugs fridge is also located in the dining area near to the kitchen in an area that can get very warm. Currently the drugs fridge temperatures are not being recorded although it was in range on the site visit. Staff attended to the residents respectfully and personal care is given flexibly. Staff spoken with had a good understanding of individual needs and were keen to meet needs in the way that residents preferred. The home endeavours to support residents near the end of their lives as long as needs can be met alongside health professionals. The Haven DS0000066703.V338139.R01.S.doc Version 5.2 Page 12 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. 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 using available evidence including a visit to this service. Residents are able to make choices about their daily lives and contact with friends and families is well supported. The activity programme and dining arrangements need to be reviewed. EVIDENCE: The interests of residents are recorded on care plans. The home offers activities such as exercise sessions, quizzes, films and trips out can be arranged. A volunteer arranges activities once a week; otherwise staff on in the afternoons provide them. During the site visit residents chose a video to watch, some others read and one was knitting. One resident spoken with said they went out independently, and others that they accessed the garden if it was fine. The Haven DS0000066703.V338139.R01.S.doc Version 5.2 Page 13 The home has four lounges and residents can choose to be in a quiet area, their rooms, or rooms with TV or music on. The views of residents varied on the activities from feeling there were not enough in general, or not enough outings, to being happy with what was on offer or not wishing to take part in any arranged activity but to spend time in their rooms or with others. One resident had fitted out their room with all they needed in terms of equipment for their entertainment and really enjoyed spending time there. There is a monthly religious service. The Senior carer said that they hoped some outings could be arranged for the summer although take up could be variable. Several visitors arrived during the day, those spoken with said they are always made very welcome. There is no dedicated visitors room although due to the number of sitting areas private space can usually be found. Residents are supported in making choices and in maintaining independence, for example in terms of personal care and daily routines such as time of getting up and gong to bed. Meals are varied with a daily choice available, a resident on a special diet said that they were well catered for. Meals are freshly cooked, due to the size of the dining room there are two lunch sittings. At the last key inspection it was recommended that due to the rather rushed feeling at the first sitting, dining arrangements be reviewed. This has not taken place, although the senior carer identified a need for a resident who was slow with their meal at the first sitting to move to the later one if they wished. Residents observed at lunchtime enjoyed their meal and those needing any help with eating were assisted appropriately. Residents asked about meals said they were satisfied with them, one comment being meals are “well balanced”. There is new flooring in the dining room. The Haven DS0000066703.V338139.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17 and 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents and their relatives can be confident that any concerns and complaints will be listened to and taken seriously. Residents are not wholly protected from abuse by the home’s policies and procedures. Staff awareness would be improved upon by the provision of regular Adult Protection training. EVIDENCE: The home has a complaints procedure that is on display. No complaints had been recorded since the last key inspection. Information on an advocacy service was displayed on the notice board. Residents and relatives spoken with said they felt able to approach the manager or other staff with any concerns and that they would be listened to. One resident said when they had needed to ask the manager about a concern this had been dealt with swiftly and to their satisfaction. The home has an adult protection policy. The Haven DS0000066703.V338139.R01.S.doc Version 5.2 Page 15 All staff are CRB checked and evidence that checks have been undertaken is now held on the premises. A CRB was identified as outstanding for one staff member but they were chasing this up and did not work alone. There are no adult protection alerts in relation to the service as was the case at the last Key inspection. There had been no recent adult protection training provided; it is recommended that training be updated for all staff. The Haven DS0000066703.V338139.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable, clean, safe and well-maintained environment, however refurbishment in some areas will enhance the premises. Residents’ rooms suit their needs and are personalised. EVIDENCE: The home is clean, well maintained and comfortable. The new providers have made environmental improvements; these include a fence round the garden and a garden path that is safe for residents, the new dining room flooring, The Haven DS0000066703.V338139.R01.S.doc Version 5.2 Page 17 redecoration of some bedrooms and a new lounge carpet for the front lounge is on order. The part time maintenance worker was undertaking minor refurbishment during the site visit. Some parts of the communal areas could do with redecoration where there is wheelchair damage or just general wear and tear and need for the premises to be brightened up. There is equipment available for personal or shared use and a shaft lift and stair lift to the upper floor. The senior carer is responsible for a regular check on each occupied bedroom to see if any improvements or repairs are required, and the manager checks other areas. Due to there being four lounges there is plenty of communal space available. Bedrooms visited were all clean and tidy and personalised with pictures, photos, ornaments and other items. Residents are able to bring furniture with them and those spoken with were happy with their rooms. Two bedrooms had a slight odour; this is being addressed with cleaning and new carpeting. Bedrooms are on the upper and ground floor; the Senior carer discussed the possible need for a resident who had developed some mobility problems to move downstairs. One resident said they “loved their room”. The laundry is well away from any area in which food is prepared or eaten. There is a need for bins in the two downstairs toilets to be replaced with bins with lids to improve infection control and the visitor’s toilet is need of refurbishment. The Haven DS0000066703.V338139.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are well cared for by a staff team who are genuinely interested in the well being of residents and there is consistency of staffing, however the ratio of staff to residents is not always sufficient and must be reviewed. Improvements are required in staff training and the recruitment process to ensure the competence of staff and safety of residents. EVIDENCE: The home employs senior carers, carers, domestic, catering and maintenance staff. Three carers and a senior are on duty on the two daytime shifts and two carers are on duty at night. At the time of the site visit the Registered Manager was temporarily seconded part of the time to oversee the management of an the provider’s second home in Kent, so one of the experienced Senior carers was in charge some of the time. CSCI had been notified of this arrangement. This meant that due to managerial responsibilities the senior carer was unable to devote the majority of her time to residents as would usually be the case, and as the practice of the home is that on each shift one carer is primarily The Haven DS0000066703.V338139.R01.S.doc Version 5.2 Page 19 assigned to assisting with catering duties and not expected to assist on those days with personal care, that the ratio of residents to staff was 12 to one. There were 24 residents at the home, with another in hospital and five vacancies. The Senior carer said that should the home be full more staff would be on duty. It was not apparent that any resident was not attended to promptly and call bells were answered quickly, but the staffing levels in the daytime under these circumstances are insufficient and do not allow for time to spend chatting to residents, more provision of activities, any resident having additional needs and staff were very busy. Staff spoken with said they liked being able to spend time individually with residents and this was possible with more time available in the afternoons. Even when the Manager is at the home full time care staff should not need to assist on a daily basis with catering duties. Staff observed and spoken with were knowledgeable about needs, competant and genuinely interested in residents and in providing a good service, there have been some staff changes in the past year but the majority of care staff are well established at the home. One carer said they “liked getting to know residents”. Staff spoken with liked working at the home and felt well supported, comments were “Good bunch of seniors” and “ I am happy with everything”. Staff are well supported and find senior staff and the manager approachable but no staff meetings were being held and supervision was patchy. The Senior carer said that senior staff meetings are scheduled and it was acknowledged that work must be done to schedule and formalise supervisions. A relative spoken with said there was consistency of staffing and another that “We are away a lot and are content ---is well looked after”. Residents were satisfied with their care. Some staff files were read all staff are now CRB checked and evidence was in place of this, as with care plans staff records are not as secure as they could be and need to be indexed in more secure folders. Not all the files read contained two references, and one for a member of the non care staff had no written references at all. Most of the care staff have gained NVQ 2 in care qualification, two staff members would like to progress to NVQ 3 although funding is an obstacle. Mandatory training in all areas required updating and although dementia training had taken place in late 2006 more service specific training is still needed. Fire safety training was booked for the end of May. Staff said that their induction had been good and they had had plenty of opportunity to shadow experienced staff before working on their own. The Haven DS0000066703.V338139.R01.S.doc Version 5.2 Page 20 The Haven DS0000066703.V338139.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36,37 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The atmosphere in the home is open and friendly and procedures are in place to protect the health, safety and well being of residents and staff whilst a thorough review of policies and procedures is required. Residents are not currently offered enough opportunities to give their views on the service. Improvements are required in staff supervision and the security of record keeping. EVIDENCE: The Haven DS0000066703.V338139.R01.S.doc Version 5.2 Page 22 The home has been under new ownership for over a year, the manager became registered in 2006 having had experience as deputy manager of the home. In the manager’s temporary partial absence the senior carer who had long experience of working at the home was in charge, this was a very recent arrangement and for a limited period only. The atmosphere in the home was open and friendly, a view echoed by visitors. Comments regarding the management of the service were positive. There is a lack of opportunities for residents to offer their views, as although individual views and preferences are explored, at present there has not been a resident’s meeting for some time and no quality assurance survey for over a year. Policies and procedures are in place, some remain from the previous provider are very old and need review, a small number had been relatively recently reviewed. The home has a valid insurance certificate and investment is being made on improvements. Tests of fire equipment take place as do other safety checks such as checking fridge and freezer temperatures. Safe working practices were observed, although staff need to have their manual handling training updated and new staff although with previous experience had not been provided with this training. As previously mentioned supervision is not held regularly for all staff. The accident book was up to date and information tallied with care plans and Regulation 37 notices received by the Commission. Records are stored in secure locations although written care plan information and staff records are loose in filing cabinet slings and could be misplaced. Records relating to residents monies could not be read as the manager dealt with them and the senior carer was unsure where they were kept. The Haven DS0000066703.V338139.R01.S.doc Version 5.2 Page 23 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 1 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 4 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 2 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 4 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 3 2 2 2 2 The Haven DS0000066703.V338139.R01.S.doc Version 5.2 Page 24 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. 1. OP1 4 (1)(a)(b)( c) (2) 5(1) Standard Regulation Requirement Timescale for action “ The registered person shall compile in relation to the care 31/07/07 home a written statement which shall consist of a statement of the aims and objectives of the care home, a statement as to the facilities and service to be provided for service users and a statement as to the matters listed in schedule 1 and shall supply a copy to the Commission and make a copy available on request for inspection by every service user and any representative” and “The registered person shall produce a written guide to the care home” In that a Statement of Purpose providing up to date information about the home must be made available and a Service users Guide to include a summary of the statement of purpose be made available for service users. 2. OP9 13(2) “ The registered person shall 30/06/07 make arrangements for the recording, handling, safekeeping, safe administration and disposal DS0000066703.V338139.R01.S.doc Version 5.2 Page 25 The Haven of medicines received into the care home.” In that the location of the drugs fridge must be reviewed and the temperature recorded daily. 3. OP18 13 (6) “The registered person shall make arrangements, by training staff or by other measures, to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse” In that all staff must be provided with adult protection training. 4. OP27 18(1)(a) “The registered person shall, having regard to the size of the care home, the statement of purpose and the number and needs of service users ensure that at all times suitably qualified, competent and experienced persons are working at the care home in such numbers as are appropriate for the health and safety of service users” In that sufficient care staff be available at all times to meet service users needs in full, and the number of catering staff be increased to free up carers. 5. OP29 19(1)(a) Schedule 2 “The registered person shall not 30/06/07 employ a person to work at the care home unless he has obtained two written references, including, where applicable, a reference relating to the persons last period of employment, which involved work with vulnerable adults, of not less than three month’s duration” DS0000066703.V338139.R01.S.doc Version 5.2 Page 26 31/08/07 30/07/07 The Haven In that two written references must be taken up for each prospective employee. 6. OP30 18(c) “The registered person shall ensure that persons employed to work at the care home receive training appropriate to the work that they are to perform.” In that the training must be provided for all staff and updated for existing staff on mandatory topics and topics specific to the service and needs of service users. All new staff must receive manual handling training. 7. OP33 24(1) “ The registered person shall establish and maintain a system for evaluating the quality of services provided at the care home” 31/07/07 31/07/07 8. OP33 12(1)(a) In that residents’ meetings must be held at regular intervals and a quality assurance survey circulated at least once annually to service users, friends and relatives and others such as health and social care professionals. “The registered person shall 31/10/07 ensure that the care home is conducted so as to promote and make proper provision for the health and welfare of service users” In that a review of the homes’ policies and procedures must take place so that they are regularly updated to reflect changes in legislation or good practice advice from professional The Haven DS0000066703.V338139.R01.S.doc Version 5.2 Page 27 9. OP36 18(2)(a) bodies. “The registered person shall ensure that persons working at the care home are appropriately supervised” In that staff must receive formal and recorded supervision at least six times a year. 30/06/07 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 OP7 Good Practice Recommendations It is strongly recommended that risk assessments relating to any risk to individual residents be broadened, and that care plans be placed in more secure folders and indexed so they information is more easily found and in order. It is strongly recommended that the location of the medication trolley be reviewed. This recommendation is repeated from the previous inspection. It is recommended that the activities programme be reviewed in consultation with residents and the employment of an activities coordinator be considered. It is strongly recommended that a review of the dining arrangements takes place so that residents take meals in an unhurried environment. This recommendation is repeated from the previous inspection. It is also recommended that new kitchen equipment in terms of a catering potato peeler be purchased so catering staff can use time more effectively. It is recommended that the bins in the downstairs toilets and lounges be replaced. The toilet bins to have lids, and the visitor’s toilet be refurbished. DS0000066703.V338139.R01.S.doc Version 5.2 Page 28 2. OP9 3. 4. OP12 OP15 5. OP26 The Haven 6. OP29 It is recommended that staff records be kept more securely in indexed folders. It is strongly recommended that staff meetings be held to include all employees. These recommendations are repeated from the previous inspection. 7. 8. OP30 OP38 It is recommended that any staff taking on management responsibilities be supported to gain a higher level NVQ in care qualification. It is strongly recommended that advice be gained from a fire officer regarding fitting a clear vision panel to the door at the top of the basement stairs. This recommendation is repeated from the previous inspection. The Haven DS0000066703.V338139.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 DS0000066703.V338139.R01.S.doc Version 5.2 Page 30 - 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!