Background to this inspection
Updated
31 March 2020
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.
Inspection team
The inspection was undertaken by one inspector.
Service and service type
Little Haven 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 requires a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. A new manager had been appointed and was in post. They had started the process to register with us.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We looked at the information we held about the service, including notifications the provider must send us about important events which occur in the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
We used all of this information to plan our inspection.
During the inspection
We spoke with eight people and seven relatives to understand their experience of the care provided at Little Haven. As some people were unable to tell us about their experience of living in their home we observed the care and support of people in the communal areas of the home. We spoke with seven members of staff, including nurses, care staff and the activity coordinator. We also spoke with the manager, the director of operations who is the chair for the trustees and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included five people’s care plans and a sample of medication records to check that they provided an accurate account. We looked at information related to the management of the home including audits, meeting minutes, the satisfaction survey and maintenance records.
Updated
31 March 2020
About the service
Little Haven is a residential home providing personal and nursing care to 40 people aged 65 and over at the time of the inspection. The service can support up to 43 people. The home has three floors and communal areas on the ground floor.
People’s experience of using this service and what we found
Staff understood how to keep people safe from harm, poor care practices and abuse and the action they should take to ensure they were protected. People’s risks associated with their care and health were identified, assessed and managed to reduce their risks.
There were a sufficient number of staff to meet people’s needs in a timely manner. There were processes in place to recruit staff who were suitable to work in a caring environment.
Medicines were managed to ensure people received the medicines prescribed for them safely.Staff protected people from the risk of infection by using the personal protective equipment freely available to them in the home.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People were provided with a choice of food and drinks were offered regularly. People's wellbeing was supported by healthcare professionals whenever addition guidance was required. Staff were supported to gain the skills and experience they needed to fulfil their role effectively.
People enjoyed the company of staff who respected their privacy and promoted their dignity. People were able to maintain their important relationships, as relatives and friends could visit at any time.
People received the care they preferred because staff asked them and their relatives about their likes and dislikes. Care was reviewed regularly to ensure it was still relevant for people. People enjoyed a varied programme of entertainment and support with activities to prevent them from becoming socially isolated. People told us they were happy with their care and would speak with the registered manager or staff if they wanted to discuss a concern or complaint.
People, relatives and staff had confidence in the managerial arrangements in the home. There were regular checks on the quality of care provided. People and staff were given the opportunity to voice their opinions through meetings and satisfaction surveys. Links had been made with community groups who visited people in the home.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (6 July 2017)
Why we inspected
This was a planned inspection based on the previous rating.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.