CQC report explained · a residential care home
What the CQC found at Little Haven
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Risk assessments, staffing, recruitment checks, medicines systems and infection control were found to be suitable.
- Effective?
- Good
- This question was not inspected during this focused visit. The report says the rating used for this question came from the last comprehensive inspection.
- Caring?
- Good
- This question was not inspected during this focused visit. The report says the rating used for this question came from the last comprehensive inspection.
- Responsive?
- Good
- This question was not inspected during this focused visit. The report says the rating used for this question came from the last comprehensive inspection.
- Well-led?
- Good
- The home had an open culture, clear management systems and regular checks on care and medicines records. Staff were supported through meetings and specialist training.
What inspectors found, March 2024
Rated Good; inspectors found safe, well-managed care and no evidence that earlier concerns had put people at risk.
This was an unannounced focused inspection on 13 and 22 November 2023. Inspectors spoke with 7 people, the manager and 2 support workers. They reviewed 5 care records, recruitment records and management information, and received feedback from 3 staff.
The home was rated Good for Safe and Well-led. People said they felt safe, liked the staff and received the support they needed. Medicines records were complete, staffing levels were suitable, recruitment checks were carried out and the home was clean.
The inspection followed concerns raised during earlier monitoring about incidents, leadership, openness and learning. Inspectors reviewed these issues and found no evidence that people were at risk of harm. They found that risks linked to earlier violent incidents were being managed and there had been no further reported incidents.
Medicines managed safely
Inspectors found complete medicines records, individual medicines risk assessments and staff who had been trained and assessed as competent.
“Medicines records were accurately completed and there were no unexplained gaps in people's medicine administration records (MAR) charts.” from the report
People felt safe
People told inspectors they felt safe and that staff supported them without delay. Staff knew how to report possible abuse or harm.
“I am looked after well here. They are very good to me. We get on. I feel safe and happy living here,” from the report
Positive leadership
Inspectors found an open culture and management systems that monitored the quality of care. Staff could raise ideas and receive support and training.
“There was a positive and open culture at the service.” from the report
Care plans involved people
People were involved in developing their care plans. Staff worked with them on emotional and mental health needs, activities, housing and appointments.
“People told us they were always involved with developing their care plans.” from the report
Earlier violence incidents
minorThe inspection followed concerns that included incidents of violence at the home. Inspectors found that the risks were being managed and there had been no further reported violent incidents since the earlier contact.
“We found since our last contact with the service, risks of recurrence were managed well and no reports of further violent incidents had occurred.” from the report
- 01How are risks linked to the earlier violent incidents monitored for my relative and other residents?
- 02How will you check that my relative's medicines records remain complete and accurate?
- 03How often will my relative's care plan and mental health risk assessments be reviewed with them?
- 04What specialist training have staff received for the mental health conditions affecting my relative?
- 05How can my relative and our family raise concerns or give feedback about the care?
This was a focused inspection of Safe and Well-led only; the other ratings used for the overall rating came from the last comprehensive inspection. This explanation was written from the published report of 22 March 2024 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 2018
Little Haven was rated Good overall; inspectors found safe, kind and well-managed care.
This was an unannounced inspection on 7 December 2017. One inspector and an expert by experience spoke with three people, the registered manager and two care staff. They looked around the home, observed care, checked five care records and medicines records, and contacted two health professionals.
The home supports up to 11 people living with mental health conditions. Inspectors found enough staff, safe medicines systems, suitable risk assessments and good infection control. People received food and healthcare that met their needs.
People said staff were kind, respectful and caring. They were involved in decisions about their care and daily lives. Care plans were kept up to date, people could take part in activities and make complaints, and the service had systems to monitor its quality.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home had also been rated Good at the previous inspection on 24 September 2015, so its overall rating remained Good.
Safe medicines
Inspectors found safe systems for ordering, storing, administering and disposing of medicines. All the medicines records checked were complete and accurate.
“Each medicine administration record (MAR) we looked at was completed accurately, there were no unexplained gaps in them.” from the report
Kind and respectful staff
People said staff treated them with compassion and kindness. Inspectors saw staff respecting people's private space and dignity.
“Staff continued to show kindness and compassion for people.” from the report
Personalised support
Assessments and care plans covered people's physical and mental health, interests, mobility and support needs. People were involved in decisions about their care.
“People made decisions and were fully involved in how they received their care and support.” from the report
Support for health needs
People had regular health checks and received support with GP, dental and hospital appointments. Staff followed advice from health professionals.
“People also had support with attending hospital appointments.” from the report
Good oversight
The registered manager kept CQC informed about incidents and used audits to check the quality of care and records. Staff also had regular meetings and support.
“The quality of care continued to be assessed.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you support my relative's particular mental health needs, and how often would these needs be reviewed?
- 02How do you check that medicines are administered correctly and that records remain complete?
- 03What extra staffing support is available if my relative needs to attend an appointment, social event or activity?
- 04What activities and community opportunities would be available for my relative, and how would you support their choices?
- 05How can my relative or our family raise a complaint, and how would it be followed up?
This inspection looked at the premises and care provided, and rated all five areas: Safe, Effective, Caring, Responsive and Well-led. This explanation was written from the published report of 11 April 2018 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 Little Haven
3 rated inspections over 8 years: the service has held its Good rating throughout.
- March 2024Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2018Goodstayed GoodSafe: GoodWell-led: Good
- November 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2014
Report published without a new overall rating.
- November 2013
Registered with the Care Quality Commission on 4 November 2013.
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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What to check when you visit
At least 100 live-in carers within about an hour of Lewisham
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 £1,260 a week. 82 can care for a couple. 11 years' experience on average.
“She cared for my mum with Alzheimer's with endless patience and kindness, always arriving with a smile and a positive attitude”
“Usha rapidly became 'one of the family' and is sorely missed.”
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.