Hatfield Haven

Hatfield Haven provides accommodation and personal care for up to 22 older people some who may be living with dementia. Care is provided on two floors. At the time of our visit there were 21 people living in the service.

Since the last inspection a new manager has been appointed. They told us that they had applied to CQC to be registered. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

When we last visited the service in 2015 we found that improvements needed to be made. During this inspection we found the provider and registered manager management team had made improvements.

People spoke positively about the service and the care that was provided. They told us they were listened to and staff were kind and caring.

People told us that they felt safe. Staff were clear about what was abuse and the steps that they should take to protect people. The likelihood of harm was reduced as risks to people's health and welfare was assessed. Risk assessments guided staff in how to reduce the risks and keep people safe.

Checks were undertaken on staff suitability for the role and there were sufficient numbers of staff available to meet the needs of the people living in the service.

The administration of medicines was safe. Staff had been trained in the administration of medicines and had up to date policies and procedures to follow. Their competency was checked regularly.

New staff received induction training to provide them with the skills to care for people. Staff files showed staff had undertaken sufficient training to meet the needs of people and they were supervised regularly to check their competence. However, staff needed to improve their knowledge and understanding around supporting people living with dementia. Staff were supported and supervision sessions gave staff the opportunity to discuss their work and identify any necessary training.

People who lived in the home were positive about the quality of the food and our observations were that people enjoyed their meals.

People had access to healthcare professionals and appointments were documented with outcomes implemented in care plans. We found staff had responded promptly when people had experienced health

problems.

Quality assurance systems were in place however, they were not yet fully effective as they had not identified some of the areas that we found where improvements needed to be made. People and relatives were encouraged to give their views about the service. A complaints procedure was available and people knew who to speak to if they had a concern.

The new manager was approachable and promoted an open culture.

The five questions we ask about services and what we found