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Haven Court Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 20 December 2019

About the service

Haven Court is a service providing personal and nursing care to up to 80 people, including people who may live with dementia in one purpose-built building. On the day of inspection there were 56 people using the service. The resource provides long term care and also a short-stay service to maximise people’s independence following illness or injury and to facilitate an early discharge from acute hospital. A multi-disciplinary team of health and social care professionals provide care and treatment to people.

People’s experience of using this service and what we found

Improvements had been made since the last inspection and these included improvements to the premises, people’s safety, displaying the rating from CQC and governance. People, relatives and staff were positive about the changes.

There was a stronger governance system in place, but some improvements were still required to ensure person-centred care. Two managers had been appointed since the last inspection who were responsible for the daily running of the service.

People told us they felt safe with staff support and staff were approachable.

Due to our observations we have made a recommendation to keep staffing levels and staff deployment under review to ensure timely and person-centred care to people at all times.

Records reflected the care provided by staff and they were regularly evaluated but improvements were required to ensure people received person-centred care.

The service was well-maintained with a good standard of hygiene.

We have made a recommendation about following best practice guidance for the design of the environment to ensure people who live with dementia are kept orientated and engaged.

Improvements were required in relation to activities to keep people engaged and motivated.

People received their prescribed medicines. People were supported to access health care professionals when required. People had food and drink to meet their needs.

We have made a recommendation with regard to catering arrangements so people receive their meals in a timely way and at regular intervals.

Appropriate checks were carried out before staff began work with people. Communication was effective, staff and people were listened to. Staff said they felt well-supported and were aware of their responsibility to share any concerns about safeguarding and the care provided.

People were provided with care by staff who were trained and supported in their roles. One person told us, “The staff are really good and pleasant. A relative said, “Staff create a home from home and a lovely ambience, but more importantly treat [Name] as one of their own family.”

Risk assessments were in place which identified current risks to people as well as ways to reduce those risks. Staff worked well with other agencies to ensure people received appropriate care.

People were supported to have maximum choice and control of their lives with staff supporting them in the least restrictive way possible, the policies and systems in the service supported this practice.

People and relatives told us the service was well-led and said they would recommend it to others.

The management team carried out a regular programme of audits to assess the safety and quality of the service. Processes were in place to manage and respond to complaints and concerns.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (published 28 September 2018) and there were four breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Since the last inspection we recognised that the provider had failed to display their rating. This was a breach of regulation and we issued a fixed pe

Inspection areas

Safe

Good

Updated 20 December 2019

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 20 December 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 20 December 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 20 December 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 20 December 2019

The service was not always well-led.

Details are in our well-led findings below.