9 January 2020
During a routine inspection
The Haven is a small care home providing accommodation and personal care for up to three people with a learning disability. At the time of our inspection there were two people living at the home.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
The registered manager had safeguarding procedures to protect people from the risk of abuse or unsafe care. They had received recent training on it and knew what action to take. Risk assessment identified anticipated levels of risk and helped protect the health and welfare of people who used the service. People were being supported to take their own medicines, with prompting, from a monitored dose system. The provider had policies and procedures in place for recruitment. The home was a clean and hygienic place to live.
The registered manager had the experience and skills to meet people's needs and provide good outcomes for their wellbeing and a good quality of life. People were supported to have good nutrition and hydration in line with their personal choice and their healthcare needs. The service worked with other agencies and professionals to support people's health and well-being. The domestic building was decorated and adapted to provide a homely environment and meet people's needs. People were supported to have maximum choice and control of their lives and were supported in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The service was homely, relaxed and a sociable, caring family environment for people where their privacy was respected and they were treated as individuals which helped protect their dignity.Their independence was promoted, their choices and preferences respected and their friendships maintained.
Care plans had been developed with people and, where appropriate, their relatives and these were reviewed. People were supported in their own social activities in the local community and their communication needs were assessed and understood by the registered manager. A complaint procedure was in place and people and their relatives were given the opportunity to give regular feedback on the service.
The registered manager used quality assurance systems that were proportionate to the small size of the service to monitor performance. They sought feedback and involvement from the people in the home and their families. They showed understanding of the importance of openness and working with families, other agencies and healthcare professionals to make sure people had the best care. We have made a recommendation about recording complex or behavioural conditions over time.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 7 January 2019). There were two 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.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
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.