Archived: St Mary's Haven Residential

This was planned inspection to follow up a number of compliance actions made in January 2013. The action plan we were sent told us the service expected to be compliant by July 2013.

We saw people's privacy and dignity were being maintained.

We saw care plans were detailed and gave direction as to the care and support people needed. They had been regularly reviewed.

We saw information about adult protection/safeguarding displayed around the home. The information included contact numbers for the local authority if people or staff wanted to raise any safeguarding concerns.

There were robust and up to date infection control policies and procedures available to staff at all times. The home was clean and tidy at the time of the inspection.

Medication systems in use meant that people were receiving the right medication that had been stored appropriately. There were appropriate systems in place for receipt and disposal of medication.

The premises were well maintained. Peoples own rooms were personalised to their own taste.

There were staff support systems in place in the form of one to one meetings, annual appraisals and staff meetings.

The registered manager had introduced a number of audits and monitoring forms to ensure she could show the quality of the service was being monitored and improved.

During the two day inspection process we saw that people's views and experiences were not taken into account in the way the service was provided and delivered in relation to their care. People's privacy and dignity were not consistently respected.

We looked at policies and procedures in relation to keeping people safe from harm. We saw that people who used the service were not protected from the risk of abuse because the provider had not taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

People were not protected from the risk of infection because there were ineffective systems in place to reduce the risk and spread of infection.

People were not protected against the risks associated with medicines because the provider had inappropriate arrangements in place to manage medicines. The provider had not taken steps to provide care in an environment that was suitably designed and adequately maintained.

The provider did not have an effective system to regularly assess and monitor the quality of service that people received.