6 July 2023
During an inspection looking at part of the service
Havendene Residential Home provides residential care for up to 25 people, some of whom were living with dementia. There were 14 people living at the service at the time of our inspection.
People’s experience of using this service and what we found
People felt safe. Medicines were well managed. The premises had undergone an extensive programme of improvements and decorating was now to be completed.
Record keeping had improved and care documentation, including risk assessments were being fully rewritten.
Quality assurance, oversight and upkeep of the service had improved. There were some areas still to work on, but an action plan was in place and being followed.
Infection control measures had improved, and the home was overall clean and tidy. The provider had some actions to take, including moving a PPE dispenser and completing the decoration of the service after the upgrade of the premises but this was in hand.
There were enough trained and safely recruited staff who felt supported. We have made a recommendation to enhance the interview process. Staff morale had improved.
People enjoyed the food and drink prepared and were offered choice. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice and records were in the process of being fully reviewed.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 26 January 2023).
Why we inspected
We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We found evidence that the provider had made improvements. Please see the safe, effective and well-led sections of this full report.
Recommendations
We made 3 recommendations. These regarded reviewing and updating interview processes, ensuring accident and incident forms were fully completed and reviewing activities to ensure they meet all people's needs.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.