All inspections: Haven House - Care Quality Commission

Haven House provides personal care and support for up to three people living with a learning disability. At the time of our inspection three people were living in the service.

At our last inspection in April 2015 the service was rated as 'Good.' At this inspection we found the service remained 'Good.'

The service had a registered manager at the time of the inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons.' Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People continued to receive care in ways which helped them to remain as safe as possible. There was enough staff to provide support to people to meet their needs. Staff understood risks to ensure people's safety and supported people to receive their medicines safely.

There were enough staff to care for the people they supported. Checks were carried out prior to staff starting work to reduce the risks of unsuitable staff working at the service. Staff received a comprehensive induction into the organisation, and a programme of training to support them in meeting people's needs effectively. People were supported to maintain good nutrition and to access healthcare services.

Staff continued to be caring towards people and support people to maintain the relationships that were important to them. People were supported to develop their independence and skills around daily living tasks. Staff continued to treat people with respect and to maintain people's privacy.

Staff understood their role with regards to ensuring people's human and legal rights were respected. For example, the Mental Capacity Act 2005 (MCA) and the associated Deprivation of Liberty Safeguards (DoLS) were understood by the registered manager. They knew how to make sure people, who did not have the mental capacity to make decisions for themselves, had their legal rights protected and worked with others in their best interest. People's safety and liberty were promoted.

There was clear and visible leadership in the service. Staff and the registered manager understood their role and responsibilities. The provider had a range of audits in place to assess, monitor and improve the service. The registered manager involved people and staff in the running of the service. The registered manager complied with their statutory responsibility to submit notifications to the CQC as required.

The inspection took place on 28 April 2015 and was unannounced. We last inspected the service in January 2013 when it was found to be meeting the regulations we assessed.

Haven House is located in a residential area on the main road in Bramley, close to shops and local transport links. It provides accommodation for up to three people who have a learning disability.

The service had a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

People were encouraged to be as independent as possible, both in the community and in the home. We saw that staff took into consideration people’s needs and wishes as well as any risks associated with their care. People’s comments, and our observations, indicated they were happy with the care and support provided by staff, which met their individual needs.

Medication was administered in a safe and timely way by staff who had been trained to carry out this role.

There was enough skilled and experienced staff on duty to meet people’s needs. The recruitment system in place helped the employer make safer recruitment decisions when employing new staff. We saw a system was in place for new staff to receive a structured induction and essential training at the beginning of their employment. Staff had also received additional training and timely refresher training to update their knowledge and skills.

People who used the service told us they were involved in shopping for, and choosing what they ate. They told us they were happy with the meals provided.

People’s needs had been assessed before they moved into the service and they, as well as their relatives, told us they had been involved in formulating support plans. Care files contained detailed information about people’s individual needs and their preferences. We saw support plans had been regularly evaluated to ensure they were meeting each person’s needs. Periodic care reviews had also taken place involving the person using the service, family members and social workers, as well as staff from the home.

People had access to a programme of social activities, which they said they could choose to participate in or not. People indicated they enjoyed the activities they took part in.

The provider had a complaints policy to guide people on how to raise complaints. No complaints had been recorded since our last inspection, but a structured system was in place for recording the detail and outcome should any concerns be raised.

We saw an audit system had been used to check if company policies had been followed and the premises were safe and well maintained. Where improvements were needed the provider had taken action to remedy the issues.

People we spoke with told us they liked living at Haven House they said the staff were good and helped them. One person told us, 'Staff helped me sort my money so I could have a holiday.' Another person told us, 'I can go out when I want, staff take me, I like to go shopping.'

We observed people expressing their views and were involved in making decisions about their care and treatment. People were also asked for their consent before staff provided support or treatment. For example people were choosing what they wanted to eat for their tea.

We found that medicines were recorded and administered safely and appropriately. People told us the staff gave them their medication and this is what they preferred.

We found there were sufficient numbers of suitably qualified and experienced staff employed to meet people's needs.

We found people were protected from unsafe or inappropriate care by means of accurate records in relation to the care and treatment provided. People told us they were involved in the development of the care plans and their choices were taken into consideration.

The two people we spoke with said they were happy with the support they received and felt it was a safe place to live.

People we spoke with told us they liked their rooms which had been personalised to their liking. They said that the staff were good at their job and we received only positive comments about how they provided care and support.

People told us they were involved in making decisions about what they did on a daily basis as well as what social activities they wished to take part in. One person described how they had been involved in selecting the colour scheme for their room.

Neither of the people who lived at the home raised any concerns with us about the way they were supported. When we asked them if there was something they would like to change at the home to make things better neither of them could think of anything.

People told us that staff asked them what they wanted and they were given choices.

People told us they mostly liked living at Haven House and the staff were good, they got on with all the staff.

People told us they got on well with the manager and were able to talk to her if they were not happy.

People told us they knew about their plan of care, could look at it if they wished, but did not want to. They told us they understood why some activities were managed and why there was some limitations.

One person said, 'I only have one cigarette an hour, I would like to have the packet but I know why I can't and it works well'.

These older reports are from our old approaches to inspection, including those from before CQC was created.

Archived: Haven House

All Inspections

25 July 2017

During a routine inspection

28 April 2015

During a routine inspection

26 November 2013

During a routine inspection

21 August 2012

During a routine inspection

25 November 2011

During a routine inspection

Reports under our old system of regulation