We carried out a review of the data available to us about Havengore House Residential Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Havengore House Residential Care Home, you can give feedback on this service.
Havengore House Residential Care Home is a residential care home providing the regulated activity of personal and nursing care for up to 22 people. The service provides support to older people and older people who may be living with dementia. The care home accommodates people in one adapted building and at the time of our inspection there were 19 people using the service.
People’s experience of using this service and what we found
People were safe and liked living at Havengore House Residential Care Home. Suitable arrangements were in place to protect people from abuse and avoidable harm. Staff understood how to raise concerns and knew what to do to safeguard people. Staffing levels were appropriate to meet people’s needs and staff were recruited safely. Medication practices at the service ensured people received their medicines as they should, and staff were appropriately trained. People were protected by the service’s prevention and control of infection practices. Findings from this inspection showed lessons were learned and improvements made when things went wrong.
People’s care and support needs were documented, and staff had a good understanding and knowledge of people’s needs and the care to be delivered. Information relating to people’s end of life care needs was recorded and the registered manager knew how to access support from the local palliative care team. Suitable arrangements were in place to enable people to participate in social activities. Complaints were well managed and a record of compliments to capture the service’s achievements was maintained.
Quality assurance arrangements enabled the provider and registered manager to monitor the quality of the service provided.
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 8 May 2019].
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
We carried out an unannounced comprehensive inspection of this service on 4 March 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve receiving and acting on complaints Regulation 16 [Receiving and acting on complaints].
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions of Safe, Responsive and Well-Led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively. This included checking the provider was meeting COVID-19 vaccination requirements.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Havengore House Residential Care Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Havengore House Residential Care Home is a residential care home that provides personal and nursing care for up to 22 older people aged 65 and over. At the time of the inspection there were 22 people living at the service.
People’s experience of using this service:
Quality assurance arrangements were in place, but these had not picked up the issues highlighted as part of this inspection. This meant the service’s quality assurance arrangements were not as effective as they should be to monitor the care and support people received. Improvements were also required to ensure documentation relating to people’s end of life care arrangements and recruitment practices were robust. This would ensure people who were assessed as being at the end of their life had their wishes and preferences recorded so that staff could take these into account when providing care and support.
People were treated with care, kindness, respect and dignity, and spoke positively about the caring attitude of staff. Staff had a good knowledge and understanding of people’s specific care and support needs and how they wished to be cared for and supported. There were sufficient staff available at all times to meet people’s needs.
People told us they were safe. The service had effective safeguarding arrangements in place to protect people from harm and abuse. People’s care and support needs were clearly documented, and staff had a good understanding and knowledge of these and the care to be delivered. Suitable arrangements were in place to manage risk and to ensure people received their medicines as they should.
The dining experience for people was positive and people received sufficient food and drink throughout the day. People received positive outcomes regarding their health and wellbeing; and the service worked jointly with other organisations to ensure good collaborative care.
Staff received appropriate training and newly employed staff completed an induction. However, minor improvements were required to ensure staff received a robust induction. Staff felt valued and supported by the registered provider and manager and received regular supervision.
Rating at last inspection:
This was the service’s first inspection since being registered with a new provider.
Why we inspected:
This was a planned inspection based on our schedule of inspections.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as outlined in our inspection programme and schedule. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk