Haven Nursing Home

Updated 18 March 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection team comprised of three inspectors. One inspector visited on 25 January 2022. On the second day of our inspection, 09 February 2022, two inspectors visited the home.

Service and service type

Haven Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a registered manager registered with the Care Quality Commission. This means that they and the provider is legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because the service had an outbreak of Covid-19, and we needed to be sure the service could accommodate our inspection team in a safe environment. The first day of our inspection visit was on 25 January 2022. We returned to continue our inspection on 09 February 2022.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with three people who used the service and five relatives about their experience of the care provided. We spoke with eight members of staff including the operations director, the registered manager, a team leader, the clinical lead, a nurse, care staff and facilities staff.

We reviewed a range of records. This included seven people’s care records, daily records and medicines records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at quality assurance records.

Updated 18 March 2022

About the service

Haven Nursing Home is a residential care home providing personal and nursing care for up to 70 older people. At the time of our inspection visit there were 68 people at the home.

Haven Nursing Home House accommodates people in one building over a single floor. Around half of the people at the home had en-suite facilities in their bedrooms. Other people shared bathroom and shower facilities. At the time of our inspection visit there was an outbreak of COVID-19. Those people who had tested positive for COVID-19 were isolated to their bedrooms and were being nursed in their room, until their isolation period ended.

People’s experience of using this service and what we found

Procedures to maintain a high standard of cleanliness, and to ensure infection control risks were managed, were not always effective. On the first day of our inspection the home required some improvements in infection control procedures and cleaning regimes. The provider had been put under pressure by the COVID-19 outbreak and the halting of re-furbishment plans and building work, which had created challenges for staff in keeping areas clean and dust free. Some areas of the home were difficult to clean due to peeling paint and woodwork. By the second day of our inspection visit the provider had made some improvements to the home to remedy peeling paint, and also to replace some woodwork. Plans were in place to continue to improve the home environment.

Procedures to maintain a safe environment were in place on the second day of our inspection visit. On the first day of our inspection visit we found some carpets were being replaced, and a trip hazard had been created, where work had ceased due to the outbreak of COVID-19. Procedures to maintain a safe environment were in place on the second day of our inspection visit.

Staff understood their responsibility to protect people from abuse and avoidable harm. People, staff and relatives told us there were enough staff to meet the needs of people using the service. Medicines were managed safely. The home was being improved and adapted to meet people’s needs.

The provider's systems and processes were not always used effectively to review and maintain oversight of the quality of the environment. This was specifically around maintaining a clean and risk-free environment during improvement and building work at the home.

Staff and the management team were committed to the people living at the home and feedback from our inspection was welcomed. The provider took action immediately when we identified improvements at our inspection.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Why we inspected

This was a targeted responsive inspection. The provider had reported an outbreak of COVID-19 at the home which involved more than twenty per cent of the people who lived there. We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

We reviewed the information we held about the service. During the first day of our inspection visit we identified concerns in another key questions. We therefore opened our inspection to look at Safe and Well Led.

Rating at last inspection

This service was rated good in all areas at our previous inspection. The overall rating for the service has remained as good.

Follow up

We will return to visit as per our re-inspection programme.