CQC report explained · a residential care home
What the CQC found at The Haven Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks were assessed and managed, staffing levels met people's needs, medicines were handled safely and infection control measures were in place.
- Effective?
- Good
- People's needs were assessed using recognised tools. Staff had suitable training and supervision, and people received support with food, drinks and healthcare.
- Caring?
- Good
- People and relatives described staff as kind and respectful. Inspectors saw care that protected privacy, dignity and independence.
- Responsive?
- Good
- Care plans reflected people's choices and preferences. Staff supported communication, activities, family contact and end of life wishes.
- Well-led?
- Good
- Inspectors found an open and responsive management team, regular quality checks and evidence that incidents and feedback were used to improve care.
What inspectors found, August 2022
Rated Good; inspectors found safe, kind and personalised care, with only minor environmental improvements noted.
This was the home's first comprehensive rated inspection since it registered under the current provider. The inspection was unannounced and took place on 1 and 3 August 2022. Inspectors spoke with people, relatives and staff, observed care, and checked care, medicine, staffing and management records.
Inspectors rated all five areas Good: Safe, Effective, Caring, Responsive and Well-led. They found enough staff, safe medicines systems, suitable staff training, good support with food and health needs, and care that respected people's choices, dignity and independence.
People were supported to keep in touch with relatives and take part in activities. End of life care was described as well managed. The home was also refurbishing parts of the building. Inspectors noted some minor decorating work was still needed and said the environmental audit tool needed further development.
Safe care and medicines
Risks such as falls and skin damage were assessed and managed. Medicines were stored, administered and checked safely.
“There were safe storage facilities and good oversight of medicines administration via regular audits.” from the report
Kind and respectful staff
People and relatives spoke positively about staff. Inspectors saw calm, caring interactions that supported privacy and independence.
“People were treated with care and respect by the staff who supported them.” from the report
Personalised support
Care plans included people's likes, dislikes and preferred ways of receiving care. Staff supported individual interests and communication needs.
“People's care was planned in a person-centred way.” from the report
Good management
The management team was described as open and responsive. Quality checks covered areas such as falls, weights, care plans and the environment.
“There was a positive culture at the service.” from the report
Environmental checks
minorInspectors said the environmental audit tool needed more development. Management was working to improve it.
“The environmental audit tool used required further development and the registered manager was working to improve this.” from the report
Minor decorating work
minorSome areas that had been decorated needed further minor work. The registered manager acted on this during the inspection.
“During our inspection we noted some areas which had been decorated required some further minor work.” from the report
- 01What minor decorating work identified during the inspection has now been completed?
- 02What changes have been made to the environmental audit tool since the inspection?
- 03How will you review whether staffing levels continue to match people's needs as residents' needs change?
- 04How are relatives involved in reviewing care plans and decisions about activities and meals?
- 05How do you check that people's communication needs and personal preferences remain up to date?
This was the first comprehensive rated inspection of the newly registered service and covered all five key questions, including infection prevention and control. This explanation was written from the published report of 27 August 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, February 2022
Inspected but not rated; inspectors found strong COVID-19 controls, with gaps in checks for visiting professionals and new admissions.
This was an unannounced, targeted inspection on 20 January 2022. It looked at infection prevention and control, visiting arrangements, and whether COVID-19 staffing pressures affected care.
Inspectors found several good measures. These included vaccination checks for staff, regular testing, suitable protective equipment, cleaning schedules and support for visits from family and friends.
There were two areas needing improvement. Checks of vaccination passes for all visiting professionals were not yet in place, and the manager needed to make sure new residents were isolated according to government guidance. Immediate action was taken on the visiting professional checks.
The home was inspected but not rated. This report does not give an overall quality rating or ratings for all five areas of care.
Staff vaccination
The home had records showing staff were vaccinated, and new staff had to show their vaccination status before starting work.
“Systems were in place evidencing all staff had both COVID-19 vaccinations.” from the report
Protective equipment
Staff were observed using the correct protective equipment, and equipment stations were available around the home.
“Staff were observed wearing the correct PPE in line with government guidance.” from the report
Cleaning and testing
The home had cleaning schedules for frequently touched surfaces and regular COVID-19 testing for residents and staff.
“Cleaning schedules were in place to ensure high touch surfaces such as door handles and light switches were cleaned regularly.” from the report
Family contact
Residents were supported to stay in touch with family and friends. Essential care givers continued to visit during outbreaks.
“People were supported to maintain contact with family members and friends.” from the report
Checks on visiting professionals
needs fixingThe home checked vaccination passes for medical professionals who visited regularly, but did not yet have a system for checking all other visiting professionals. The manager took immediate action to update the risk assessment.
“However, no system had been developed to ensure other professionals vaccination passes were checked.” from the report
Isolation after admission
needs fixingInspectors were only somewhat assured that new residents were admitted safely. The manager needed to ensure isolation followed government guidance and each person's circumstances.
“The manager needed to ensure they appropriately isolated people admitted into the service based on the individual circumstances detailed in the government guidance.” from the report
- 01How do you now check the COVID-19 vaccination status of every visiting professional?
- 02What process do you use to decide how long a new resident should isolate after admission?
- 03How do you make sure staff continue to use protective equipment correctly?
- 04How often are high-touch surfaces such as door handles and light switches cleaned?
- 05How are essential care givers supported to keep visiting during an outbreak?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it did not provide a full service rating. This explanation was written from the published report of 10 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.
Every inspection of The Haven Care Home
3 rated inspections over 7 years: the service has held its Good rating throughout.
- August 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2022Inspected but not ratedSafe: Inspected but not rated
- April 2021Inspected but not ratedSafe: Inspected but not rated
- June 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2020
Registered with the Care Quality Commission on 25 August 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.
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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.