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Inspection on 18/05/06 for The Haven Residential Home

Also see our care home review for The Haven Residential Home for more information

This inspection was carried out on 18th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home is well run and provides a comfortable homely place for residents to take long-term care. There are enough staff on duty to meet the needs of residents staying at the home. The care home is set in the town of Louth residents have easy access to the community and local shops. The care home works closely with residents to ensure their choices and wishes are considered when care plans are written. The care home ensures that relatives and friends maintain contact with residents. Resident`s families are actively involved in reviews and care planning.

What has improved since the last inspection?

Care records have improved since last inspection and now exceeds the National Minimum Standards. The recruitment policy of the home is being followed records are kept to a very high standard. All of the requirements identified at last inspection were met.

What the care home could do better:

The Companies needs to ensure that the progress made since the last inspection continues.

CARE HOMES FOR OLDER PEOPLE The Haven Residential Home 266 Eastgate Louth Lincs LN11 8DJ Lead Inspector Mr Ken Hague Key Unannounced Inspection 18th May 2006 09:00 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 Residential Home DS0000061417.V294459.R01.S.doc Version 5.1 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 Residential Home DS0000061417.V294459.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Haven Residential Home Address 266 Eastgate Louth Lincs LN11 8DJ 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) 01507 604197 01507 601190 Haven HealthCare (UK) Ltd Care Home 33 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (2), Old age, not falling within any of places other category (31) The Haven Residential Home DS0000061417.V294459.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th September 2005 Brief Description of the Service: The Haven residential care home is located a short distance from the centre of the market town of Louth. The care home consists of a large main building, which was formerly a vicarage, and two detached bungalows. One of these is a modern building, the others being the conversion of a former courthouse. There is a large car park at the rear of the home which is surrounded by well maintained gardens. The care home is registered to provide care for 33 service users, 31 code elderly and 2 code mental disorder. The home offers long-term care, respite care and holiday stays. All accommodation is provided in single rooms. The Haven Residential Home DS0000061417.V294459.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 6.5 hours. A tour of the premises was undertaken with the assistance of the registered manager and discussion and feedback was given at the end of the inspection. The main method of inspection used was called ‘case tracking’ which involved selecting three residents and tracking the care they receive through the checking of their records, discussion with them and the staff, and where more appropriate observation of interaction between staff and residents. A sample of care records was inspected. The Lincolnshire county council social services department were contacted to obtain feedback regarding the services being provided to residents funded by the county council. All residents were provided with comments feedback cards to be completed and returned to the Commission for Social Care Inspection these views are reflected within the inspection report What the service does well: What has improved since the last inspection? What they could do better: The Companies needs to ensure that the progress made since the last inspection continues. The Haven Residential Home DS0000061417.V294459.R01.S.doc Version 5.1 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 Residential Home DS0000061417.V294459.R01.S.doc Version 5.1 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 Residential Home DS0000061417.V294459.R01.S.doc Version 5.1 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&6 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. A detailed assessment, which includes a risk assessment, is carried out before any new resident is admitted to the care home. The Home does not provide intermediate care services. EVIDENCE: Three residents were case tracked. Individual personal files were studied and discussed with staff and the registered manager. All three files contained an assessment which sets out the needs care and social needs for the individual residents. Care plans, included a risk assessment. Initial assessments were signed and dated by the assessor and the resident. Assessments were found to be of high quality. The registered manager stated that the home does not offer an intermediate care service. The Haven Residential Home DS0000061417.V294459.R01.S.doc Version 5.1 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): Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. Care plans contain comprehensive information, which identify the care needs and personal preferences of the residents. Risk assessments are of a good quality, providing management strategies that enable residents to be as independent as possible. All staff respect Resident’s dignity and privacy. EVIDENCE: Care records contained all of the assessed needs identified in the assessment. These included care and social needs and the wishes and choices of each resident. Staff stated that the care plans enable them to understand the total needs of individual residents. In the case of the three residents being case tracked where a risk was identified the management of that risk was recorded. The wishes and choices of individual residents in relation to their personal life were recorded on their care plans. The Haven Residential Home DS0000061417.V294459.R01.S.doc Version 5.1 Page 10 All care records were very detailed, the quality of the recording enables the reader to understand the needs of each resident and not to become confused due to the amount of information recorded. The care staff have been providing training in the Administration of medication. The evidence was found from discussions with staff and the inspection training records. One member of staff was observed to give medication but did not witness the resident taking it. This questionable practice was brought to the attention of the registered manager who took immediate action to ensure this will not happen again. Conversations between staff and residents were heard to be sensitive staff listened and took time to ensure residents understood discussions. Resident stated staff are helpful. A resident stated “ staff here are kindness itself” Staff demonstrated a detailed knowledge of the residents being case tracked. They were able to describe in detail the personality and care needs of residents. A detailed the choices and wishes of its resident and manner no which they preferred the personal care to be provided. Observations of staff care practice produced evidence that the dignity and privacy of the residents is always considered. The Haven Residential Home DS0000061417.V294459.R01.S.doc Version 5.1 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 &15 Quality in this outcome area is Good. This judgement has been made using the available evidence including a visit to this service. Residents are encouraged to keep in contact with their family and friends. All visitors are made welcome by staff at the care home. Catering arrangements for the home reflects the service users choices, preferences and personal dietary needs. Residents with a special diet are provided with a menu which takes their personal needs into account. EVIDENCE: Care records and discussion with staff and residents provided evidence that resident are helped to exercise choice and control over their lives. Choices and wishes of the residents were recorded on the individual file. Resident stated staff listen to what we say. We are given choices in our everyday activities. The residents comments forms produced evidence that 70 of residents were satisfied with the activities offered by the home. Statements from the registered manager service users and the reading of the statement of purpose for the home confirmed that residents are encouraged to visit prior to making a long-term decision. The Haven Residential Home DS0000061417.V294459.R01.S.doc Version 5.1 Page 12 The residents feedback forms states that 44 of residents are satisfied always with the menu provided, 34 the residents were usually satisfied with the menu and 22 are sometime satisfied. The Haven Residential Home DS0000061417.V294459.R01.S.doc Version 5.1 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 & 17 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. Residents are protected and enabled to voice opinions. There are procedures in place for managing complaints and any allegations of adult abuse. The staff are clear on what action to take in event of this occurring ensuring that the Residents are safe. Residents are confident in being able to raise any concerns with members of staff or through residents meetings. EVIDENCE: The pre inspection questionnaire states that our policies and procedures in place to ensure residents are protected. Staff training records state adult abuse awareness has been provided for all staff since the last inspection. The complaints record was updated in April 2006. The homes policy on adult protection was reviewed in December 2005. Staff described the actions to be taken in two scenarios where abuse had taken place within the care home. The home was not received any complaints since last inspection. There is been no adult protection enquiries carried out at the home since the last inspection. The Haven Residential Home DS0000061417.V294459.R01.S.doc Version 5.1 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 &26 Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to this service. Maintenance is being carried out within the care home. Residents feel the decoration standard of the care home is good. The infection control policy of the home is being followed. EVIDENCE: The home is well maintained with well-kept lawns and gardens. Bedrooms have been personalised by the residents or their families with photographs, mementoes and small items of furniture. There were areas within the care home which have been redecorated since the last inspection. On the day of the inspection the home was clean, tidy and odour free throughout. The Haven Residential Home DS0000061417.V294459.R01.S.doc Version 5.1 Page 15 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): 17,28,29 & 30 Quality in this outcome area is Excellent. This judgement has been made using the available evidence including a visit to this service. The home provides training for all care staff and encourages NVQ training. There are always sufficient staff on duty to provide essential care for residents. Staff are recruited in accordance with the company’s recruitment policy. EVIDENCE: Staff stated Staffing hours are never allowed to fall below the number of care hours recorded on the staffing rota. Staff who were formerly interviewed stated they believed there was always sufficient staff on duty to make to meet the needs of the residents. Residents comment card stated that 67 of residents feel there is always sufficient staff on duty a further 20 stated there is usually sufficient staff on duty. Within the same comment cards 61 of residents stated there are always staff available to meet their needs Staff training records confirmed that a range of training including specialist training is being offered. The registered manager produced evidence that staff are taking part in NVQ training. The recruitment records are greatly improved since the last inspection. All staff recruitment files inspected exceeded the National Minimum Standards. A new filing system has been devised which ensures that all essential information is obtained before and member of staff is offered employment. The Haven Residential Home DS0000061417.V294459.R01.S.doc Version 5.1 Page 16 The Haven Residential Home DS0000061417.V294459.R01.S.doc Version 5.1 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35, 36 &38 Quality in this outcome area is excellent. This judgement has been made using the available evidence including a visit to this service. The home is well run, with good leadership and guidance from the registered manager who has worked for many years in the provision of community care. The health and safety and welfare of service users is promoted. EVIDENCE: The home is reviewing its management structure. The deputy managers has left the home and consideration is being given whether this post should be filled. Staff spoken to on the day confirmed there is good leadership from the registered manager. The care records and care plans have been improved since the last inspection. This is a direct result of the input from the registered manager. Lincolns county councils contracting section confirmed that they are happy with the financial procedures of the care home. The Haven Residential Home DS0000061417.V294459.R01.S.doc Version 5.1 Page 18 The inspection of recruitment records for new staff provided evidence that all appropriate information is being obtained before, staff are offered employment. Staff confirmed that appraisals and supervision are being provided in accordance with the National Minimum Standards. The inspection of supervision records confirmed this to be correct. Staff are following the health and welfare policy of the care home. The Haven Residential Home DS0000061417.V294459.R01.S.doc Version 5.1 Page 19 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 4 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 4 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 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X 3 X 3 The Haven Residential Home DS0000061417.V294459.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? None 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. Refer to Standard Good Practice Recommendations The Haven Residential Home DS0000061417.V294459.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Residential Home DS0000061417.V294459.R01.S.doc Version 5.1 Page 22 - 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!