Fair Haven

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this newly registered service. This key question has been rated good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The registered manager told us preadmission assessments were completed face to face to establish if the service could meet the person’s individual needs in all areas of their care requirements.

People’s communication needs were assessed and met to maximise the effectiveness of their care and treatment. For example, care plans included information on people’s communication aids, such as hearing aids, and described the support required to ensure these were used effectively. Staff had training in communication.

We observed staff speaking kindly to people. Staff ensured they were at the same level as the person they were speaking with, for example when a person was sitting down, to support effective communication.

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

We received mixed feedback regarding the food at the service. Some people told us the food is “excellent” whilst others said they did not like it. The provider was aware of the feedback and had completed a survey to gain a better understanding of people’s wishes before making the necessary changes.

People’s dietary restrictions were well managed. People confirmed they were provided different meals if they did not want was provided on the day.

People were referred to the speech and language therapist (SALT). SALT is the Speech and Language Therapy who provide assessment of swallowing or communication difficulties for people with medical, neurological and surgical conditions.

People’s dietary requirements such as allergies, likes, dislikes and SALT plans, were included in their care plans.

The service worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Staff confirmed they regularly contacted external professionals as required.

People and relatives told us they felt appropriate referrals to professionals were made. One relative said, “I do think referrals are made promptly and this has been the case for [person] when needed.” Another relative told us, “The service is incredibly proactive. They monitored [person’s] recovery closely and were ready to liaise with [external professionals] the moment it was required. They don't wait for a problem to arise.”

Health and social care professionals were complimentary about working with the service. A professional said, “When [professionals] attend the care home to visit a person there is always a staff member/ care manager who knows the person present. There is a good understanding of the individual person's needs.”

Records showed information was shared between teams and services to ensure continuity of care.

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.

During unprecedentedly hot weather we observed people were offered additional drinks, refrigerated watermelon slices and ice lollies to keep them cool and hydrated.

People were supported to be as healthy as possible. Records showed that people’s weight was monitored.

There was access to a secure garden for people to get fresh air during the warmer months. This was encouraged.

The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Records showed care plans and risk assessments were regularly reviewed. As these were kept on an electronic system all staff had access to up-to-date information on people’s current needs.

There were effective approaches to monitor people’s care and treatment and their outcomes. This meant staff were able to recognise early symptoms when people started to become unwell.

Relatives told us they felt staff knew their family members well.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment.

Records showed MCA assessments and Best Interest decisions had been completed for individual decisions.

Staff received training in relation to the MCA and had a working understanding of the MCA and the importance of gaining consent from people. A staff member said, “Everyone has different needs.”

Where necessary, people with legal authority or responsibility can make decisions within the requirements of the MCA. The service had an effective overview of relevant documentation of who can lawfully act on person’s behalf.