CQC report explained · a nursing home
What the CQC found at Havenmere Health Care Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, February 2023
Havenmere Health Care Limited rated Good; inspectors found safe, effective and well-led care after checking concerns about medicines, staff training and clinical knowledge.
The inspection was unannounced and took place on 05 December 2022. Two inspectors spoke with people living at the home, relatives and staff. They also checked care records, medicine records, staff recruitment files and management records.
The inspectors found enough staff, safe recruitment and suitable training. They found that risks were assessed, medicines were managed safely, and people were protected from abuse and avoidable harm. Infection prevention arrangements were also satisfactory.
People received care that supported their independence and choices. Staff worked with healthcare professionals, and people's nutritional and healthcare needs were supported. The home had audits, checks and action plans to monitor quality and address shortfalls.
The overall rating was Good. Safe, Effective and Well-led were each rated Good. The report does not give ratings for Caring or Responsive. The previous overall rating was also Good, published on 3 April 2019.
Safe staffing and recruitment
Inspectors found enough staff to meet people's needs and safe recruitment processes. Staff said staffing levels were sufficient.
“Appropriate staffing levels were in place to meet the needs of people in the service.” from the report
Medicines management
Medicines were checked through audits, and staff had training and regular competency checks. Controlled medicines were stored appropriately and stock levels were accurate.
“Audits had been used effectively to help monitor and make sure medicines were managed safely.” from the report
Choice and independence
Staff supported people to make choices and remain as independent as possible. Care plans reflected legal safeguards where restrictions were needed.
“The registered manager and staff promoted people's independence, allowing and supporting people to take positive risks appropriately.” from the report
Quality monitoring
The provider used audits, checks and management visits to monitor the home. Inspectors found that shortfalls were identified and action plans were made.
“The provider had a quality monitoring system, which consisted of audits, checks and visits from the senior management team.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you currently audit medicines, including medicines prescribed as required?
- 02How do you check that nursing staff have the clinical skills needed by my relative?
- 03How do you decide whether there are enough staff on each shift for the people living here?
- 04How will you support my relative to make choices and maintain their independence?
- 05How do you gather and act on people's views about the care and activities provided?
This inspection examined Safe, Effective and Well-led; Caring and Responsive were not rated in the report. This explanation was written from the published report of 3 February 2023 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, April 2019
Havenmere Health Care Limited was rated Good overall; inspectors found safe, kind and personalised care, with one staffing shortfall and a personnel issue noted.
This was an unannounced, planned inspection on 14 February 2019. One inspector and an Expert by Experience spoke with people, a relative, staff and visiting professionals. They observed care and reviewed care records, medicine records, staff files, complaints and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from abuse, medicines were managed safely, staff were trained, and people's health and dietary needs were supported.
People told inspectors they were happy with the care. Staff supported people's dignity, choices, independence and rehabilitation. Care was planned around individual needs, families were involved, complaints were dealt with appropriately, and managers used audits and feedback to improve the service.
The overall Good rating means inspectors found good quality care and that legal requirements were met. The previous inspection, published on 1 September 2016, also rated the home Good.
Safe medicines and risk support
Medicines were managed using training and competency checks. Risks were assessed, reviewed and explained to staff, while people's freedom and independence were supported.
“Staff followed best practice guidance to manage people's medicines.” from the report
Kind and respectful care
People described staff as kind and caring. Staff protected privacy and dignity and built positive relationships with people and their relatives.
“People told us staff were kind and caring.” from the report
Promoting independence
People were helped to set goals and develop daily living skills. Some people moved to independent living flats or left to live in the community after rehabilitation.
“People set goals to achieve in small steps, for example to wash their face, then their arms.” from the report
Personalised support
Care was planned with people, families and health professionals. Activities, communication support and accessible information were adapted to individual needs.
“Care was planned considering the views of all parties.” from the report
Active quality monitoring
Managers held regular meetings, gathered feedback and used audits to monitor safety and quality. Staff were encouraged to learn and improve.
“The provider had robust checks and audits in place and all aspects of the service were monitored by the higher management team and provider.” from the report
Fewer staff than usual on inspection day
minorThere were two fewer care staff than usual during the inspection. The manager said staff worked as a team, and inspectors recorded that people's needs were supported that day.
“On the day of our inspection there were two staff less than usual providing care and support to people.” from the report
Delay over a personnel issue
needs fixingInspectors found that timely action had not initially been taken about one personnel issue. The manager addressed it after reflecting on what had happened.
“However, we found timely action had not been taken regarding one personnel issue initially.” from the report
- 01How do you maintain safe staffing levels when two or more staff are absent?
- 02What was the personnel issue identified by inspectors, and what action was taken afterwards?
- 03How will you involve our relative and family in quarterly care reviews and goal setting?
- 04How do you support people to build independence and, where appropriate, move towards living in the community?
- 05How do you check that medicines, risk assessments and care records remain accurate as needs change?
This was an unannounced planned inspection covering all five CQC questions; the previous inspection, published on 1 September 2016, also rated the service Good. This explanation was written from the published report of 3 April 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 Havenmere Health Care Limited
4 rated inspections over 8 years: the service has improved, from Requires improvement to Good.
- February 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Havenmere Health Care Limited →
- April 2019Goodstayed GoodSafe: GoodEffective: GoodWell-led: Good
Read what inspectors found at Havenmere Health Care Limited →
- September 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Good
- November 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 7 January 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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12 live-in carers within about an hour of North East Lincolnshire
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 £980 to £1,350 a week. 10 can care for a couple. 7 years' experience on average.
“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
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.