Latest Inspection
This is the latest available inspection report for this service, carried out on 4th January 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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.
For extracts, read the latest CQC inspection for High Haven.
Annual service review
Name of Service: High Haven The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Ruth Hannent Date of this annual service review: 2 3 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Howdale Road Downham Market Norfolk PE38 9AG 01366382205 01366385586 Telephone number: Fax number: Email address: Provider web address:
www.norfolk.gov.uk Norfolk County Council-Community Care Name of registered provider(s): Name of registered manager (if applicable) Mr Tim Price Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 0 8 30 People who need wheelchairs to assist with independent mobility at point of admission should not be accommodated in rooms numbered 2, 3, 8, 101, 102, 107, 138, 139, 140, 148, 150 and 151 (as at 31 March 2003). Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service High Haven is a care home providing personal care and accommodation for up to 38 older people including people who have dementia. It is a local authority home owned by Norfolk County Council. The home is located in the market town of Downham Market, close to the shops, pubs, the post office and other amenities. High Haven is an
Annual Service Review Page 2 of 6 new manager of 8 months established two storey, purpose built home. The homes bedrooms are all single except for one double room. There are five day rooms, a visitors room and an activities room. There is a passenger lift. There is a small garden at the front of the building and a large well laid out garden at the rear of the building. A large car park lies to the side. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received or asked for since the last key inspection. This included: The Annual Quality Assessment Assurance (AQAA) that was sent to us by this service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. Any surveys that have been returned to us from people using the service and from other people with an interest in the service. Information we have about how the service manages any complaints. What the management has told us about things that have happened in the service. These are called notifications and are a legal requirement. The previous key inspection and any results from visits that we may have made to the service in the past twelve months. Relevant information from other organisations. Any information from other people about the service. What has this told us about the service? The Manager has completed and returned the AQAA in the expected time. Surveys from 14 residents, 10 staff and 1 Social Services staff member have also been received. The information written in the AQAA is very detailed and gives a full picture on how the home is offering the service to the individual residents. It states that a full and comprehensive pre assessment using experienced staff takes place and that all potential residents have all the information about the home before deciding if this home can meet their individual needs. It involves the persons family and friends and encourages visits prior to admission. This document gives clear information about the person centred care planning and the involvement of key workers and the residents life histories to build the care plans. The Manager tells us that regular residents/relative meetings are held and how comments are asked of people who stay in the home for respite with a booklet issued on How was your Stay. The Manager also ensures a quality audit is carried out and residents/relatives views are taken into consideration and acted upon. There are many comments in the AQAA that show development and improvement such as the refurbished bathrooms, improved gardens, better activities and the development of the meal service. (Although this is still in need of developing further). The Manager was contacted prior to this report being written over concerns of the number of notifications received regarding medication errors. Following this contact, the Manager has promised to develop a more in depth audit process giving clear details to us as to how this audit will work. There have been no concerns raised by the residents, relatives, district nurses, pharmacist or GPs on medication. We are told the care plans are person centred and that nutritional screening, moving Annual Service Review Page 4 of 6 and handling and life stories are included in all care plans. Staff and residents all state that the care offered is of dignity, respectful and focussed on the individual. The residents have their care plans reviewed regularly and are actively involved in the care planning and reviews. All surveys received are mostly positive with comments such as the home has a good working relationship with professionals,staff work very well together and residents receive the highest quality of care, the Manager is very supportive, the home has a good reputation locally, the home is very clean and a safe place to live in and I would not want to work anywhere else. Out of the total of 25 surveys received one or two comments that were not so positive were issues around meals and the lack of choice at breakfast and teatime and the need for more home cooked style meals that would be preferred. Other concerns were around the building such as the size of bedrooms and the fact that permanent residents were in the smaller rooms and yet short term residents have the bigger rooms. The Manager does also mention this in the AQAA, as it does have an effect if the person who suddenly requires equipment that cannot fit into the room, meaning the resident has to move to another room or even another home. The AQAA tells us that the staff are recruited using safe procedures, well trained and that a big drive to recruit more staff has taken place to reduce the use of agency staff. Two comments noted were around the need for an extra staff member to spend some one to one time with residents and although all the care needs are met the social support for some people would be further improved by some one to one time. The Manager has been in post for the past 8 months and this shows, from the last Annual Service Review, a much improved service with staffing levels being addressed, contented staff and residents and relatives pleased with the care service provided. The Commission had not received any complaints and notifications have been sent in an appropriate manner. What are we going to do as a result of this annual service review? We will continue to carry out an Inspection by 17/01/11 However, we may carry out an Inspection at any time if information received gives us concern. Annual Service Review Page 5 of 6 Reader Information
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