Background to this inspection
Updated
27 March 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection took place on 25 January 2018 and was announced. We provided 24 hours’ notice of this inspection as we wanted to be sure someone was in when we visited. The inspection was carried out by a single inspector.
Prior to the inspection we reviewed the information we held about the service which included notifications that the provider is required to send to the CQC as well as the previous inspection report. A notification is information about important events which the service is required to send us by law.
We were unable to speak with the person using the service when we visited as they were out. Due to their specific needs, it was not possible for us to speak with them over the telephone after our inspection. We spoke with one family member, two care workers and the registered manager of the service. We looked at the person’s care records, three staff records and records related to the management of the service.
Updated
27 March 2018
We conducted an inspection of Haven Bell Hanwell House on 25 January 2018. We previously inspected the service on 9 November 2016 and found that although we were able to carry out an inspection we did not have enough information about the experiences of a sufficient number of people using the service over a consistent period of time to give a rating to each of the five questions and provide an overall rating for the service. We found the provider was meeting the regulations inspected.
Haven Bell Hanwell House is 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 provides care for up to three people with mental health needs and there was one person using the service when we visited. The home is based in a residential property within an apartment block and communal areas included a lounge, dining and kitchen seating area.
There was a registered manager at the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
Accidents and incidents had been appropriately recorded and monitored and risk assessments were in place for the person who used the service and staff. Records were reviewed within six months or more frequently where the person’s care needs had changed.
People were protected from abuse because staff understood how to keep them safe, including an understanding of the processes they should follow if an allegation of abuse was made. Staff had received safeguarding adults training and were able to explain the possible signs of abuse.
The provider was working within the principles of the Mental Capacity Act 2005 (MCA). Documentation indicated that the person was involved in decisions about their care and how their needs were met. The person’s care plan reflected their assessed needs.
Staff demonstrated an understanding of the life history and current circumstances of the person using the service and demonstrated they were able to meet their individual needs in a caring way. Staff supported the person with their social and emotional needs.
We found that safe recruitment and selection procedures were in place and appropriate checks had been undertaken before staff began work. This included obtaining references from previous employers to show staff were safe to work with vulnerable people. Appropriate systems were in place for the management of medicines so the person received their medicines safely. Medicines were stored in a safe manner.
Staff were suitably trained and received ongoing training and support. Staff received regular supervisions and appraisals and told us they felt supported. There were enough staff employed to meet the person’s needs.
The person using the service was supported to maintain a balanced, nutritious diet in line with their medical requirements and in consultation with a dietitian. The person’s day to day health needs were met by the staff and the service had good relationships with external healthcare professionals.
Effective systems were in place to manage any complaints that the provider may receive. Care staff told us they had a good relationship with the registered manager and felt able to discuss any issues openly.
There was a positive ethos and an open culture at the home. Staff were encouraged to contribute to the development of the service and effective auditing processes were in place. The registered manager reviewed the person’s care records and daily notes on a regular basis. Records indicated that the person using the service was asked for their feedback regularly.