CQC report explained · a residential care home
What the CQC found at Haven Lodge
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, March 2022
Inspected but not rated; inspectors found good COVID-19 infection controls and no reported impact from staffing pressures.
This was a planned, announced, targeted inspection on 23 February 2022. It looked at infection prevention and control, visiting arrangements and whether staffing pressures were affecting care.
Inspectors found good practice in managing COVID-19 risks. Staff had updated personal protective equipment training, visitors were screened, and people had care plans and risk assessments for COVID-19.
The inspectors were assured about the home's infection controls, testing, use of protective equipment, hygiene and visiting arrangements. They also found that staffing pressures were not having a detrimental impact on care.
The home was inspected but not rated. This report does not give an overall quality rating or ratings for most of the five questions.
COVID-19 risk management
The home had policies, care plans and risk assessments to manage COVID-19 risks, including when people tested positive.
“There were relevant policies and procedures in place to manage risks associated with the COVID-19 pandemic.” from the report
Protective equipment
Staff had updated training on protective equipment, their competence was checked and inspectors saw it being used correctly.
“Staff had received updated training on the use of PPE and their competency in this area was checked; we observed staff wearing it correctly during out inspection.” from the report
Keeping in touch
Technology had been provided to help people stay involved in activities and communicate with family and friends.
“The home had acquired technology to facilitate people's access to activities and communication with their families and friends.” from the report
Staffing and professional support
Inspectors found that workforce pressures were not harming care. The home also had established working relationships with relevant healthcare professionals.
“Workforce pressures were not having a detrimental impact on the delivery of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors currently screened, and what evidence or tests are still required before entry?
- 02How are COVID-19 risks recorded in each person's care plan and risk assessment?
- 03How often are staff trained and checked on using personal protective equipment?
- 04What staffing pressures are there now, and how do you check that they are not affecting people's care?
- 05How can residents currently communicate with family and friends and take part in activities?
This was a targeted inspection of infection prevention and control, visiting arrangements and staffing pressures; the service was inspected but not rated and the other care questions were not assessed. This explanation was written from the published report of 5 March 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.
What inspectors found, May 2019
Haven Lodge rated Good; inspectors found safe, kind and well-organised care, with only limited activities and some maintenance records needing attention.
This was an unannounced planned inspection on 2 April 2019. Inspectors reviewed care records, medicines, staff files, complaints, safeguarding records, accidents and quality checks. They spoke with nine people, three sets of visitors and five staff.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people felt safe, staff were kind and knew people well, medicines were managed safely, and care records were personalised.
The home had improved since the previous inspection, when it was rated Requires Improvement and had breached one regulation. Inspectors said the improvements were now fully implemented and embedded in the service.
Safe medicines management
Inspectors found medicines were stored, administered and recorded safely. Guidance was in place for medicines given when needed and for topical medicines.
“Medicines were administered safely and stored in line with requirements. Records were accurate and completed post administration.” from the report
Kind and respectful staff
Staff were patient and calm, knew people well and supported them at their own pace. People’s privacy, dignity and independence were respected.
“Staff were friendly and approachable with people, referring to people by their name and maintaining eye contact.” from the report
Personalised care
Care records included people’s preferences, interests, communication needs and risks. People could choose when to get up and go to bed.
“Care records contained all key information including a person's preferences and interests.” from the report
Strong leadership and checks
The manager was present and approachable. Regular audits and a rolling action plan were used to monitor care and improvements.
“The registered manager had implemented a number of audits.” from the report
Maintenance records
minorMaintenance checks took place, but records did not always show that they were up to date or what action had been taken. The manager said action had been taken when issues arose.
“Maintenance checks were additionally conducted but records were not always up to date and did not always indicate when action had been taken.” from the report
Limited structured activities
minorInspectors noted that structured activities were limited. People said they had enough to do, but activities appeared to depend on occasional events such as quizzes, singing and trips.
“Although structured activities were limited, people said they had enough to do and appreciated when events did take place.” from the report
- 01How often are maintenance checks completed, and how do you record any action taken?
- 02What structured activities are available each week, including for people who spend much of their time in their rooms?
- 03How do you make sure staffing levels remain sufficient at night as the building layout changes?
- 04How are people’s care plans reviewed when their health, risks or preferences change?
- 05How can residents and relatives raise concerns directly with the manager, and how quickly are they dealt with?
This was an unannounced planned inspection covering the overall service and all five CQC questions, with the previous Requires Improvement rating reassessed. This explanation was written from the published report of 14 May 2019 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.
Every inspection of Haven Lodge
5 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- May 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2018Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- September 2017Inadequatedown from GoodSafe: InadequateEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Inadequate
- March 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2015Requires improvementSafe: InadequateEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- August 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- December 2011
Registered with the Care Quality Commission on 13 December 2011.
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.
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