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CQC report explained · a nursing home

What the CQC found at Haven Court

Goodpublished 11 December 2020, 5 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was preventing and managing infection risks. They found arrangements for PPE, testing, safe admissions, hygiene, social distancing and outbreak management.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, February 2022

Inspected but not rated; inspectors were assured that infection control, testing and visiting arrangements were in place.

This was an announced, targeted inspection on 28 January 2022. Inspectors looked at infection prevention and control, visiting arrangements and staffing pressures linked to COVID-19.

The inspectors were assured that the home was managing infection risks. Staff had suitable personal protective equipment, and people and staff had regular COVID-19 testing. The home also had arrangements for safe admissions, hygiene, social distancing and managing outbreaks.

People were supported to visit relatives or go into the local community. Visitors needed a negative lateral flow test, and professional visitors needed to show evidence of vaccination. The service was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • Infection control

    Inspectors were assured that the home had measures to prevent and control infections, including COVID-19. Its infection prevention and control policy was up to date.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
  • Testing and PPE

    People and staff received regular COVID-19 tests. Staff had access to suitable PPE and had extra training on using it correctly.

    “Staff wore appropriate PPE and had access to this throughout the home.” from the report
  • Visiting arrangements

    People could visit relatives or access the local community, with risk assessments in place. Relatives could visit in bedrooms, lounges or the garden.

    “People were encouraged and supported to leave the service to visit relatives or access the local community.” from the report
  • Monitoring

    The registered manager had a system for checking whether the home followed government guidance and its own policies.

    “The registered manager had an effective monitoring system in place to check that the service was following government guidance and the provider's own policies.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are visitors currently tested and what infection control steps must they follow?
  2. 02How do you manage staffing pressures when staff are absent or affected by infection?
  3. 03How often are people and staff tested, and how are test results managed?
  4. 04What PPE training do staff receive and how do you check that it is being used correctly?
  5. 05How do you assess and manage risks when people leave the home to visit relatives or go into the community?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not rate the other four questions or the service overall. This explanation was written from the published report of 5 February 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, December 2020

Rated Good; inspectors found kind, personalised care, with one care plan needing more detail.

This was a planned inspection because the previous rating was Requires Improvement. One inspector visited on 24 September 2020, reviewed records and observed care. The inspection included infection prevention and control because of coronavirus.

Inspectors found that people received effective and personalised care. Staff supported people with food, fluids, health appointments and activities. Care plans were regularly updated, and staff were described as kind, patient and well trained. Infection control arrangements were judged safe, although this part was not given a rating.

The ratings for Effective, Responsive and Well-led improved from Requires Improvement to Good. The overall rating is now Good. This means inspectors found people's outcomes were consistently good in the areas they rated, and that the home was managed well.

What inspectors praised
  • Kind and skilled staff

    People, relatives and professionals gave positive feedback about staff kindness, patience, knowledge and training.

    “People, their relatives and a visiting professional were very complimentary regarding staff skills.” from the report
  • Personalised food support

    The home considered people's dietary needs and preferences. Staff adapted food and drinks for people who found it difficult to sit down for meals.

    “People received appropriate food and fluids to support their wellbeing.” from the report
  • Activities and relationships

    People were supported with group and individual activities, including hobbies such as jigsaws, bingo and gardening. Staff also supported contact with relatives during the pandemic.

    “People were supported to engage in a variety of activities, either as a group or as an individual” from the report
  • Improved management

    The home had a registered manager, quality checks and provider-level audits. Inspectors said the service had improved since the previous inspection.

    “The registered manager and their staff team had worked hard to improve the overall performance of the service.” from the report
What inspectors were concerned about
  • One care plan lacked detail

    needs fixing

    Inspectors found that one care plan for a person in the reablement unit did not contain enough detail. The deputy director of nursing agreed to align these care plans with those used elsewhere in the home.

    “We did however identify a lack of detail in one care plan for one person living in the reablement unit.” from the report
Questions to ask them, based on this report
  1. 01What changes were made to the care plans in the reablement unit after inspectors found one lacked detail?
  2. 02How do you check that care plans accurately reflect each person's current needs, choices and preferences?
  3. 03How are people's food and fluid intake monitored, and what happens if there is a concern?
  4. 04What activities are currently available for people who prefer one-to-one support or have dementia?
  5. 05How will the planned environmental improvements be completed after work was halted during the pandemic?

This was a planned inspection covering Effective, Responsive and Well-led, plus infection prevention and control under Safe; Safe was inspected but not rated, and Caring was not separately rated. This explanation was written from the published report of 11 December 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Haven Court

4 rated inspections over 3 years: the service has improved, from Requires improvement to Good.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Haven Court →

  2. December 2020Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Haven Court →

  3. December 2019Requires improvementstayed Requires improvement
    Effective: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. September 2018Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. June 2017Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. August 2016

    Registered with the Care Quality Commission on 3 August 2016.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

Weigh the report against the rest

Care at home

39 live-in carers within about an hour of South Tyneside

These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

Most charge £950 to £1,140 a week. 34 can care for a couple. 10 years' experience on average.

“Petty introduced herself to Mum every time she was caring for her and responded very quickly to Mum if she was distressed in the night.”
Judith W., about Petty Tutsirai C.
See live-in carers near South TynesideProfiles, rates and reviews are free to look at.

Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.