Updated 26 June 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by one inspector.
Service and service type:
The Haven Care Home is registered as a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the CQC. This means that they and the registered provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
Our inspection was unannounced.
What we did:
In planning our inspection, we reviewed information we had received about the service since the last inspection. This included any notifications (events which happened in the service that the provider is required to tell us about).
The registered provider had completed a Provider Information Return. This is information we require providers to send us at least once annually 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.
In addition, we considered our last CQC inspection report and information that had been sent to us by other agencies such as commissioners who had a contract with the service.
We also contacted Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
We used all of this information to plan our inspection.
During our inspection we spoke with five people and three relatives to ask about their experience of the care provided. We also spoke with the registered provider, the registered manager, the deputy manager, a senior staff member, two of the care staff team, the cook, one of the housekeeping staff, and by telephone with an external health care professional who worked closely with the service.
We also spent time observing how people and staff interacted and how care plans were being implemented using the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed specific parts of five people’s care records and information relating to the registered providers recruitment processes and the arrangements in place for the administration of medicines. A variety of records related to the management of the service, including policies and procedures were also reviewed.
After the inspection:
We continued to seek clarification from the registered manager to support and validate the evidence we found during our inspection. The registered manager provided us a range of additional audit and quality assurance information as part of this process.