CQC report explained · a residential care home
What the CQC found at The Haven
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe, and there were enough staff to meet people's needs. Medicines were stored safely, but several administration records had missing signatures and some fire doors did not close fully until the manager acted.
- Effective?
- Good
- Staff had the training and supervision needed to support people. People's eating, drinking, healthcare and decision-making needs were assessed, and staff used recognised tools to identify some health risks.
- Caring?
- Good
- Inspectors saw kind and respectful care. People were supported to make everyday choices, maintain independence and take part in important personal events.
- Responsive?
- Good
- People and families were involved in care planning and reviews. Activities, communication support, family contact and end of life wishes were considered.
- Well-led?
- Good
- People, relatives and staff were positive about the management. Audits, meetings and reviews were used to monitor care and make improvements.
What inspectors found, January 2022
The Haven was rated Good; inspectors found safe, kind and personalised care, with some records and fire safety work needing attention.
This was the first inspection since the home registered. It was unannounced and took place on 10 November 2021. Inspectors spoke with eight people living there, one relative and five staff. They also reviewed care records, medicines records, training information and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, suitable training, safe medicines storage, effective infection control and care plans that generally contained the information staff needed.
There were some issues. Several medicines records had missing signatures, and a fire safety check had not found that some doors did not close fully. The manager acted on both issues. Inspectors also found that some recognised assessments and reviews of people's needs were not completed consistently.
Enough trained staff
Inspectors found enough staff to meet people's needs safely and without long waits. Recruitment checks and staff training were in place.
“There were enough staff to meet people's needs safely and in a timely manner.” from the report
Kind, personal care
Staff treated people with kindness and supported their personal choices, relationships and important life events.
“Staff supported people to achieve their dreams. One person had been put in touch with an old friend and had made arrangements to meet up with them.” from the report
Personalised care plans
Care plans were organised and generally kept up to date. People and their families were involved in planning and reviewing care.
“Care plans were well laid out with an index, this meant that it was easy to find information within the care plan.” from the report
Good management checks
The manager and provider used audits, accident reviews, meetings and surveys to monitor care and identify improvements.
“There were effective audits in the home, this allowed the manager and provider to monitor the quality of care provided and to make improvements when needed.” from the report
Fire doors
seriousSome automatic door closures did not make the doors shut fully. The manager took immediate action after inspectors raised this.
“However, it had not identified some of the automatic closures on the doors did not ensure that the door was fully shut, meaning they would fail to stop the spread of a fire.” from the report
Medicines records
needs fixingSeveral medicines administration records had missing signatures shortly before the inspection. The manager said they would speak with the staff member involved.
“For example, the day prior to our inspection there were several missing signatures.” from the report
Health risk assessments
needs fixingSome people had not been assessed for risks such as pressure sores or malnutrition. Some completed risk assessments had also not been reviewed regularly.
“People's needs had not been consistently assessed and recorded using nationally recognised assessment tools.” from the report
- 01How do you now check that medicines administration records are signed correctly every time?
- 02What action was taken to make sure all fire doors close fully, and how often are they checked?
- 03How are pressure sore and malnutrition risks assessed for each person?
- 04How often are people's risk assessments reviewed when their needs change?
- 05How will you involve our family member and us in reviewing their care plan?
This was the first comprehensive inspection of the newly registered home and covered all five CQC questions, including infection prevention and control under Safe. This explanation was written from the published report of 8 January 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.
Every inspection of The Haven
Each visit the CQC has published, newest first, back to the day the home was registered.
- January 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2020
Registered with the Care Quality Commission on 31 March 2020.
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.
Weigh the report against the rest
Fees, photos and reviews from families
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9 live-in carers within about an hour of 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.
8 can care for a couple. 10 years' experience on average.
“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.”
“Magda was always positive and proactive about trying new things to keep dad busy. She also introduced new ideas for keeping dad healthy.”
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.