Little Haven

Little Haven is a care home with nursing for up to 43 people. At the time of our assessment 40 people were using the service.

We assessed a small number of quality statements from the safe and well led key questions. We have combined the scores for these areas with scores from the last inspection to give the rating for this assessment.

We found a number of areas of good practice and other areas where further improvements needed to be embedded. The registered manager and home manager are taking action to address these.

Safety related events were used as an opportunity to put things right, learn and improve but there needed to be a more robust system in place for reviewing accidents and incidents periodically to look for themes and trends that could improve care for others. Some care plans and risk assessments contained conflicting information or described measures to monitor risks which were not consistently being followed in practice. A clinical risk register was completed weekly which recorded information about a range of risks including weight loss, fluid intake, skin integrity and falls risk to monitor people’s health. The interactions we observed were caring with staff interacting with people in person centred way. The home was a busy home and people, and staff told us there were times when the staff team were stretched. We were assured the provider was continuing to keep this under review. Overall, medicines were managed safely and records indicated that people received their medicines as prescribed. Whilst there were quality assurance and governance arrangements in place, some of these needed to be used more effectively to help the leadership team identify and address shortfalls. The leadership team were committed to their role, and to embracing changes and delivering improvements.