Archived: Haven Bell Care Home Hanwell House

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.

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.

Medicines were administered safely. Staff had completed medicines administration training within the last year and were clear about their responsibilities.

Information in risk assessments and support plans contained clear guidance. Records were reviewed within six months or more frequently where the person’s care needs had changed.

Safeguarding adults from abuse procedures were robust and staff understood how to safeguard people they supported. Staff had received safeguarding adults training and were able to explain the possible signs of abuse as well as the correct procedure to follow if they had concerns.

Staff demonstrated knowledge of their responsibilities under the Mental Capacity Act 2005.

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.

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.

Recruitment procedures ensured that only staff who were suitable, worked within the service. There was an induction programme for new staff, which prepared them for their role.

Care workers were provided with appropriate training to help them carry out their duties. Care workers received regular supervision and appraisals of their performance. There were enough staff employed to meet the person’s needs.

The person using the service was supported to maintain a balanced, nutritious diet. They were supported effectively with their health needs and supported to access a range of community and hospital based healthcare professionals where needed.

Staff told us they felt able to speak with the registered manager and provided feedback on the service. There was a suitable complaints policy and procedure in place and we saw complaints were dealt with in line with this policy.

The organisation had adequate systems in place to monitor the quality of the service. 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.