Archived: Havengore House Residential Care Home

Updated 14 September 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked 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 13 and 14 July 2017 and was unannounced. The inspection team consisted of one inspector.

We reviewed the information we held about the service including safeguarding alerts and other notifications. This refers specifically to incidents, events and changes the provider and manager are required to notify us about by law.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We spoke with three people who used the service, three people’s relatives, four members of staff, the registered manager and the deputy manager.

We reviewed four people’s care plans and care records. We looked at the staff personnel records for four members of staff. Additionally we looked at a further three members of staff’s supervision and appraisal records. We also looked at the service’s arrangements for the management of medicines, complaints and compliments information and quality monitoring and audit information.

Updated 14 September 2017

This inspection took place on 13 and 14 July 2017.

Havengore House Residential Care Home is registered to provide accommodation with personal care to up to 22 older people, some of whom may be living with dementia related needs. There were 21 people receiving a service at the time of our inspection.

A registered manager was in post. 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.

Improvements were needed to ensure newly employed staff to the service received training at the earliest opportunity and other staff received refresher training in a timely manner. Additionally, improvements were needed to ensure people’s care records were accurate and reflected people’s current care and support need. Minor improvements were required in relation to medicines management so as to ensure people received their prescribed medication as they should. A review of the number of hours provided for people using the service in relation to social activities was required as currently these were very low and meant that people’s social care needs were not consistently met.

People told us the service was a safe place to live and there were now sufficient staff available to meet their care and support needs. Appropriate arrangements were in place to recruit staff safely so as to ensure they were the right people.

Staff understood the risks and signs of potential abuse and the relevant safeguarding processes to follow. Risks to people’s health and wellbeing were appropriately assessed, managed and reviewed to ensure their safety.

Staff felt supported by the registered manager and received appropriate formal supervision at regular intervals and an annual appraisal of their overall performance. Staff demonstrated a good understanding and awareness of how to treat people with respect and dignity. Staff were able to demonstrate a good understanding and knowledge of people’s specific support needs, so as to ensure theirs’ and others’ safety. Staff were friendly, kind and caring towards the people they supported and care provided met people’s individual care and support needs.

People who used the service and their relatives were involved in making decisions about their care and support. People’s capacity to make day-to-day decisions had been assessed. The registered manager was up-to-date with the law regarding Deprivation of Liberty Safeguards and knew how to make a referral if required.

The dining experience for people was positive and people were very complimentary about the quality of meals provided. Where people were at risk of poor nutrition or hydration, this was monitored and appropriate healthcare professionals sought for advice and interventions.

People and their relatives told us that if they had any concerns they would discuss these with the registered manager or staff on duty. People were confident that any complaints or concerns would be listened to, taken seriously and acted upon.

The service had a number of ways of gathering people’s views including talking with people, relatives and other healthcare professionals. The registered manager carried out a number of quality monitoring audits to help ensure the service was running effectively.