Little Haven

Little Haven is a residential home providing personal and nursing care to 40 people aged 65 and over at the time of the inspection. The service can support up to 43 people. The home has three floors and communal areas on the ground floor.

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

Staff understood how to keep people safe from harm, poor care practices and abuse and the action they should take to ensure they were protected. People’s risks associated with their care and health were identified, assessed and managed to reduce their risks.

There were a sufficient number of staff to meet people’s needs in a timely manner. There were processes in place to recruit staff who were suitable to work in a caring environment.

Medicines were managed to ensure people received the medicines prescribed for them safely.Staff protected people from the risk of infection by using the personal protective equipment freely available to them in the home.

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

People were provided with a choice of food and drinks were offered regularly. People's wellbeing was supported by healthcare professionals whenever addition guidance was required. Staff were supported to gain the skills and experience they needed to fulfil their role effectively.

People enjoyed the company of staff who respected their privacy and promoted their dignity. People were able to maintain their important relationships, as relatives and friends could visit at any time.

People received the care they preferred because staff asked them and their relatives about their likes and dislikes. Care was reviewed regularly to ensure it was still relevant for people. People enjoyed a varied programme of entertainment and support with activities to prevent them from becoming socially isolated. People told us they were happy with their care and would speak with the registered manager or staff if they wanted to discuss a concern or complaint.

People, relatives and staff had confidence in the managerial arrangements in the home. There were regular checks on the quality of care provided. People and staff were given the opportunity to voice their opinions through meetings and satisfaction surveys. Links had been made with community groups who visited people in the home.

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 Good (6 July 2017)

Why we inspected

This was a planned inspection based on the previous rating.

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

This inspection took place on 6 July 2017 and was unannounced.

At the last inspection on 3 and 4 February 2016 the service was rated Good. At this inspection we found the service remained Good.

This inspection was brought forward from the planned date due to concerns about how the registered provider was monitoring the safe management of medicines.

There were systems and processes in place to protect people from harm. Staff were trained in how to recognise and respond to abuse and understood their responsibility to report any concerns to the management team.

Safe recruitment practices were followed and appropriate checks had been undertaken, which made sure only suitable staff were employed to care for people in the home. There were sufficient numbers of experienced staff to meet people’s needs.

Following concerns we had received since the last inspection, the medicines management procedures had recently been improved through increased monitoring and staff vigilance.

People were supported by staff who had received an induction into the home and appropriate training, professional development and supervision to enable them to meet people’s individual needs.

Staff followed legislation designed to protect people’s rights and ensure decisions were the least restrictive and made in their best interests.

People were supported to have enough to eat and drink. Mealtimes were a social event and staff supported people in a patient and friendly manner.

Staff developed caring and positive relationships with people, were sensitive to their individual choices and treated them with dignity and respect. People and their families were supported to express their views and be involved in making decisions about their care and support.

The service was responsive to people’s needs and staff listened to what they said. Staff were prompt to raise issues about people’s health and people were referred to health professionals when needed. People were confident that any concerns or complaints they raised would be dealt with.

People living in the home and staff spoke positively about how the service was managed. There was an open and inclusive culture within the service. There were a range of systems in place to assess and monitor the quality and safety of the service and to ensure people were receiving appropriate care and support.

Further information is in the detailed findings below.