Archived: St Mary's Haven Respite

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

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.

We reviewed peoples' care plans and saw that people had pre-care assessments and care reviews which assessed their needs and provided information which directed, informed and guided care staff about the best way to care for and support people who lived at the home. We saw that people did not have adequate choice about their food and there was no choice of activities for people who lived at the home.

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