Haven Nursing Home

This assessment was brought forward following a review of the information we held about the service and concerns about the management of clinical risks. We found 2 breaches of the regulations in relation to consent and good governance. The provider had a video and audio surveillance system (CCTV) in communal areas of the home. CCTV in care homes is permissible under specific legal and ethical guidelines. However, the provider had failed to complete a comprehensive appraisal before installing CCTV to ensure compliance with relevant legislation and guidance. This included the Mental Capacity Act 2005, Human Rights Act 1998 and the General Data Protection Regulation. There was no policy to support the use of CCTV and required consents had not been obtained. Associated policies had not been updated and reviewed to reflect use of CCTV in the home. The provider’s audits were not always sufficiently robust to identity areas for improvement in the home. For example, in relation to the oversight and management of accidents and incidents and Deprivation of Liberty Safeguards.

The registered manager was focused on continuous learning and improvement across the service and providing people with person centred care. Oversight of clinical care and medicines management by the registered manager was effective and ensured standards in these areas had been met. Staff described ‘hands on’ leadership with managers working alongside them when guidance or support was needed.

Risks to people’s health and wellbeing had been identified and staff understood their role in mitigating risk. Staff monitored people’s health and wellbeing, and the management team monitored records to ensure care was provided appropriately and safely. Staff described good communication to ensure people received safe, effective care and any changes in need were responded to.

Staff understood their role in escalating issues to ensure people promptly received care and treatment when they needed it. Processes were in place to share information with other healthcare professionals and ensure continuity of care as people moved between services. Health and social care professionals were positive about the benefits to people through effective partnership working.

Staff reflected compassion and empathy when talking about people. They understood the importance of promoting people’s wellbeing by understanding their preferences, routines and individual beliefs and values. Staff promoted people’s independence and sought their consent in their everyday interactions.

We have asked the provider for an action plan in response to the concerns found at this assessment.