Care Home: The Haven

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What the care home does well The Haven provides a homely and comfortable environment for residents. A number were sitting in the garden or taking part in a tennis match, and strawberries and cream was offered to all residents as part of the Wimbledon Day. Communication between residents, visitors and staff was relaxed and friendly. Visitors said that they are `always made very welcome` and some were joining in the tennis. Residents involved in the inspection said that `the staff are very good`, there are a range of activities for them to join in if they wish, and that they are `very well looked after`. What the care home could do better: Staff were noted to be wearing gloves when transferring residents from the home to the garden and when moving between rooms in the home. The deputy manager said that all staff have attended training in the control of infection and should be aware of the correct use of gloves and aprons. A requirement has been made to ensure staff have attended infection control training and are aware of the appropriate use of gloves. Random inspection report Care homes for older people Name: Address: The Haven 29 Telscombe Cliffs Way Telscombe Cliffs East Sussex BN10 7DX two star good service The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Kathy Flynn Date: 2 9 0 6 2 0 1 0 Information about the care home Name of care home: Address: The Haven 29 Telscombe Cliffs Way Telscombe Cliffs East Sussex BN10 7DX 01273-587183 01273589428 haveneveryone@bupa.com www.bupacarehomes.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Caroline Anne Thomas Type of registration: Number of places registered: Conditions of registration: Category(ies) : BUPA Care Homes Ltd care home 48 Number of places (if applicable): Under 65 Over 65 48 0 old age, not falling within any other category physical disability Conditions of registration: 0 48 The maximum number of service users to be accommodated is 48 The registered person may provide the following category of service only: Care home with nursing (N) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category : Physical disability (PD) Old age, not falling within any other category (OP) Date of last inspection Brief description of the care home The Haven is a registered care home for older people, which provide nursing care for up to forty-eight residents. An additional variation also allows the home to provide care Care Homes for Older People Page 2 of 9 Brief description of the care home to residents under the age of 60 years with a physical disability. The home is situated at Telscombe Cliffs, approximately half a mile from the sea front and the local shops, has space for car parking and is served by public transport. Previously a family home, it has been converted to provide accommodation for residents on two floors consisting of thirty-one single rooms and five double rooms, communal accommodation comprises two lounges and two dining rooms and assisted bathing facilities. All areas of the home are accessed by a shaft lift and there are gardens to the rear of the property, which are accessible to residents. Details of the current fees are available from the home, additional charges are made for extra services such as chiropody, hairdressing, newspapers and toiletries. Care Homes for Older People Page 3 of 9 What we found: The reader should be aware that the Care Standards Act 2000 and Care Homes Regulation Act 2001 often use the term service user to describe those living in care home settings. For the purpose of this report those living at The Haven will be referred to as residents. The inspection was undertaken over two and a half hours on 30th June 2010 by a Regulation Inspector. The inspection was undertaken to assess the specific standards medication and staffing. The inspection involved looking at the homes records, discussions with residents, visitors and staff, and observations on the day. The manager was not available and the deputy manager facilitated the inspection. The outcome of this visit is as follows:Health and Personal Care - Medication There are two medicine trolleys which are used to take medicines to people living in the home. These are kept in the clinical rooms, one on each floor, which also have fridges for medicines that need to be kept at a particular temperature, and separate secure storage for controlled drugs. The inspector was unable to observe medicines being given out, therefore the medicine administration record (MAR) charts were examined, and the homes policies and procedures for medication were discussed with one of the nurses. The MAR charts were noted to be completed appropriately and the nurse was able to demonstrate an understanding of the policies for the administration of medicines. One resident self administers some of her medicines, and a risk assessment had been completed to ensure that this is a safe practice. However when looking at the homes policies for self administration it was noted that the GPs consent form was not in place. The deputy manager dealt with this during the inspection, therefore a requirement has not been made at this time. Staffing - staff complement The deputy manager advised that there are sufficient staff working in the home to meet the needs of the people living there. Staff rotas were examined and it was clear that the number of staff on duty in the morning is considerably more that in the afternoon and evening, although there is an additional staff member to cover the twilight shift between 5 and 10pm. It was also noted from the rota that at weekends and some shifts during the week some staff were absent, and there was no evidence that additional staff had been covering for them. Staff involved in the inspection said that this often happens at weekends, this puts a strain on the staff working these shifts, and can affect the care they provide. Care Homes for Older People Page 4 of 9 Residents involved in the inspection said that the staff are very good, they look after us well and some said that there are enough staff to look after them, while others said they sometimes have to wait a long time for their call bell to be answered. Visitors also said the staff are very good and provide the support and care their relatives need. However they also said that it would be better if there were more staff, particularly at weekends. A requirement has been made to ensure there are sufficient staff on all shifts, including weekends. Staffing - Recruitment Four staff files were viewed and found to contain the relevant information including application forms, interview details, references and Criminal Record Bureau CRB checks. This reflected a robust recruitment procedure. Staffing - Training Records are kept of the training staff have attended and certificates are provided and kept in their personnel files. Mandatory training including fire training, infection control and moving and handling is provided, as well as specific training which relates to the needs of people living in the home. The deputy manager confirmed that all new staff are required to complete induction training and staff are encouraged to work towards National Vocational Qualifications NVQs, when they have completed this. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 9 Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 26 13 That infection control training 31/08/2010 is provided and staff are aware of the correct use of gloves. To ensure that infection control policies are followed to protect residents. 2 27 9 That systems are in place to ensure that the staffing levels are reviewed and changes made to meet the assessed needs of the residents. To ensure that the resident needs can be met. 31/08/2010 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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