Inspection on 31/10/07 for Saxon Lodge

This is the latest available inspection report for this service, carried out on 31st October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Saxon Lodge 03/02/06

Saxon Lodge 12/10/05

Saxon Lodge 08/10/04

Saxon Lodge 07/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Saxon Lodge 30 Western Avenue Bridge Canterbury Kent CT4 5LT Lead Inspector Nicki Dawson Key Unannounced Inspection 31st October 2007 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Saxon Lodge Address 30 Western Avenue Bridge Canterbury Kent CT4 5LT 01227 831737 01227 831737 b.richards@ukgateway.net Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Saxon Lodge Residential Home Limited Miss Wendy Richards Care Home 23 Category(ies) of Learning disability over 65 years of age (1), Old registration, with number age, not falling within any other category (22) of places Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. LD (E) is restricted to one (1) person Date of last inspection 5th July 2006 Brief Description of the Service: Saxon Lodge is a residential care home, providing care for twenty-three people over the age of 65 years. There is a condition of registration that allows for one person with a learning disability. The home has recently been extended. Residents now benefit from a larger dining and living room and five more bedrooms with ensuite facilities. The home is situated in a quiet road, in the rural village of Bridge. Local buses run through the village to Canterbury, Dover and Folkestone. The home has a statement of purpose that gives information about their service. A copy can be obtained from the home. The most recent inspection report can be seen on display in the home. Mrs Betty Richards is the homeowner and is actively involved in the life of the home. Wendy Richards, her daughter, manages the home on a day-to-day basis. Currently the scale of fees is between £381 and £540. Hairdressing, newspapers and magazines, telephone, toiletries, dry cleaning and taxis are at an additional charge. Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced, which means that the residents, staff and the homeowner did not know that the inspector was calling. It started at 9 am and took 6 hours. During this time the inspector talked with residents and domestic and care staff on duty. Observation was made of the way that staff communicated with residents. Time was spent in the office, speaking with the deputy manager, manager and homeowner and looking at a number of records and documents. Before the inspection visit, survey questionnaires “Have Your Say About...” were sent by the Commission to residents, relatives, care and health professionals and staff who work at Saxon Lodge. Comments made were all very positive about the level of care and support provided by the service. For example, “Saxon Lodge promotes individuals’ lifestyles as far as possible and also encourages family involvements”. “Mum has only been at Saxon Lodge for a few months and she now calls it ‘home’”. The people who live at Saxon Lodge are referred to as ‘residents’ throughout this report since this is what the care staff team call them. What the service does well: What has improved since the last inspection? A requirement that has been outstanding for some time has now been met. This is to set up a quality assurance system in the home to review and improve the quality of care provided by the service. The building work is completed and the home can now offer accommodation for a further six residents. The lounge and dining room have been extended and are bright and inviting. Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 6 The safeguarding adults procedures have been updated so that staff and the home manager are clear about what steps they should take to protect residents if they suspect that any abuse has taken place within the home. Risk assessments and assessments by other professionals are now in residents care plans so that care staff can be sure they have all the information they need to care for the residents. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 5 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Prospective residents have their needs fully assessed before they are admitted to the home. EVIDENCE: Before new residents are admitted to the home, a senior member of staff meets the prospective resident and carries out a full needs assessment. This is to decide whether or not the home is a suitable place for the person to live. Any prospective resident is encouraged to visit the home and spend time getting to know the staff and their surroundings before making the decision of whether to move to the home on a more permanent basis. One resident said, “ I felt at home here from day one”. Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 9 Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents receive health and personal care based upon their individual needs. Residents are treated with dignity and respect and their privacy is maintained. EVIDENCE: Each resident has a care plan that clearly sets out their health, social and personal care needs together with the staff support that is required to meet these assessed needs. They are clearly written, easy to follow and updated regularly. Written plans are in place to maintain residents personal safety. This includes the action to be taken to minimise the effects of any verbal or physical aggression or wandering behaviour displayed by residents. Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 11 Residents health is promoted by staff seeking prompt advise from health care professionals. Residents are supported to receive regular healthcare checks with the GP, district nurse, dentist, chiropodist and optician. Health professionals who were surveyed, stated that the home always met the health needs of the resident whom they provided care for. The home manager said that all staff, who administer medication have received training in how to do this safely. Records kept of the medicines that staff give to residents were well maintained when they were last inspected. This means that the arrangements for medicines in the home should help to make sure that each resident is given their medication in the way that it is intended by their GP. Residents commented that staff spoke with them in a respectful manner. One resident said that staff, “couldn’t be better”. The staff on duty at the time of the inspection clearly understood the needs of the residents and treated them with respect and courtesy. A visiting professional commented that, “Saxon Lodge respects individuals privacy and dignity”. Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are supported to live the life that they choose and to keep in contact with family and friends. Residents enjoy their food and are offered a healthy and varied diet. EVIDENCE: An activities co-ordinator provides activities and works on a one-to-one basis with residents three afternoons a week. The activities on offer are displayed on a notice board in the dining room and include scrabble, tea and chat, art and outings. Most residents surveyed said that these activities suited them. Relatives and friends are able to visit the residents in the home. Relatives commented that the home helped them to keep in touch with their relatives Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 13 and that they were always told if there were any changes to their relatives care needs. On the day of the inspection, the pace of daily life in the home was relaxed and unhurried. Residents are able to make choices in their daily lives. One relative commented that the care staff, “pride themselves on knowing the residents and their individual ways”. Residents are offered a balanced diet and their nutritional intake is monitored. The home manager advised that she has updated the menus to include three named meal choices each day. Residents are able to choose whether to take their meal in the dinning room or in their rooms. One resident said, “‘I look forward to lunch”. Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Concerns and complaints are taken seriously and acted upon. Staff know what to do if they have a concerns about the care of a resident, which protects residents’ well being. EVIDENCE: Three complaints have been received by the home, since the last inspection. All complaints have been recorded in detail, together with the action that has been taken to rectify the compliant. The Commission has not received any complaints about the home. Surveys returned from residents and relatives confirmed that everyone knows how to make a compliant. All residents stated that they know what to do if they were not happy about anything in the home. All residents and relatives stated that any concerns they raise are responded to appropriately. A relative commented, “I feel that we’d never need to get to complaints procedure as the little things that arise- are always dealt with immediately in a caring way”. A resident commented, “‘If any little thing is worrying me, no matter how trivial, I only have to mention to a member of staff and they will see me and put my mind at rest”. Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 15 Training continues to be provided for staff in safeguarding vulnerable adults. The home manager has updated the procedure that staff need to follow if they suspect that abuse has taken place. Staff are clear about what to do if they suspect abuse. A relative said about her relative at the home, “‘she feels safe”. Residents also said during the inspection, that they feel safe living at Saxon Lodge. Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents live in a clean and comfortable home, which meets their needs. EVIDENCE: The home has recently been extended to provide six additional en suite rooms, a bathroom and staff room. The existing lounge and dining room have also been extended to provide enough space for the additional residents that will live at the home. There are new armchairs in the lounge and the room looks light and inviting. Although a large part of the garden space has been used for the extension, the remaining area has been turned into an attractive courtyard garden with a Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 17 decking and containers. The home manager said that the area is wheelchair accessible and that many residents enjoyed sitting outside in the summer time. Residents have the choice of a number of bathing facilities. For those with limited mobility, hoisting equipment and a walk in bath are available. Just over half of resident’s bedrooms have ensuite toilet facilities. There are additional toilets provided throughout the home so that residents are always close to a WC. A shaft lift is provided for easy access to both floors of the home. Residents are provided with call bells in all bedrooms. Residents’ rooms are individual to them and meet their needs and tastes. They contain their own personal items including photographs, pictures and furniture. One relative commented how helpful the home had been in allowing a resident to bring their own furniture to the home, since this was very important to them. The home was comfortably warm on the day of the inspection. Any hot radiators have been guarded which helps to prevent burns if residents fall. The water temperature in the bathrooms in checked regularly to make sure that it is safe for residents bathing. The home was clean on the day of the inspection and there were no unpleasant odours. Residents who completed survey cards, all stated that the home was clean at all times. Staff follow the home’s laundry policy to minimise the spread of any infection in the home. The home manager says that she plans to follow the department of health guidance on how to keep the home clean and hygienic. Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are supported by an effective and friendly staff team that have the skills to meet their assessed needs. EVIDENCE: There are two care staff on duty at all times. The home manager and deputy manager are available during the week in addition to the care staff, but may take on a caring role if it is needed. A cook and domestic staff are also employed. Staff said that although it was busy during the morning, there is enough staff on duty to attend to all residents needs. Most residents who were surveyed said that staff are available when needed. The home manager said that when the home is fully occupied, additional staffing hours will be provided. Residents and relatives who were surveyed were very positive about the support provided by the staff team. One resident commented on, “the lovely, caring young staff on hand, by day, and at the touch of a button, at night as well”. A relative praised the “great friendly atmosphere” in the home. Just over 50 of staff are trained to National Vocational Qualification (NVQ) level 2 or above. This award is useful because it helps staff develop good care practices and their skills in working with people who live in a residential care Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 19 home. Additional staff are training towards NVQ 2 and the deputy manager has nearly completed NVQ 4. It is good care practice to train more staff than the 50 , which is the National Minimum Standard. Before new members of staff are employed at the home, the home carries out a number of checks to make sure that all members of staff working at the home are suitable to care for vulnerable residents. Some staff files do not contain a photograph of the staff member. The home manager said that she would add a photograph of each member of staff to their file as required. The home manager is responsible for making sure that care staff have the skills they need to support the residents who live in the home. Information received before the inspection confirmed that all new care staff receive the appropriate introductory training, which gives them the basic competencies they need to be able to work without direct supervision. A staff training matrix is kept up-to-date on a whiteboard in the manager’s office. Subjects include health and safety, first aid, food hygiene, infection control, manual handling, adult protection, fire, challenging behaviour, dementia and nutrition. This is to make sure that staff are trained and kept up to date in the skills necessary to perform their jobs. Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 People who use the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from living in a home that is well managed and run in their best interests. EVIDENCE: The home manager has a number of years experience in managing in the care sector. She has both of the formal qualifications specified by the National Minimum Standards. These awards are recognised by the Commission to be useful because they help to make sure that people who manage residential care services have the competencies that are necessary to do so. Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 21 Comments made by residents, residents and staff all praised the role of the home manager. A relative commented that, “‘the manager always listens and is very friendly and helpful’”. A visiting professional stated that, “I have always experienced a professional, yet warm welcome from the manager of Saxon Lodge and also from the staff”. Residents’, relatives’ and professionals’ views about the quality of the service are now being sought on a regular basis. The most recent survey took place in October and the comments received were positive about quality of care provided for residents. The home manager said that she will summarise the survey results and take action to address any areas where people are not satisfied with the level of care provided by the home. Where the home is responsible for keeping small amounts of money on behalf of a resident, clear and accurate records are kept. Each resident’s money is kept separately and securely. The home manager values staff supervision as an effective way of communicating with the staff team. She admits that she has not supervised staff as regularly as she would like due to other demands placed upon her. She plans to improve staff supervision by setting realistic targets and delegating some of this role to other people in the management team. The home manager said that all items of equipment in use in the home remain in good working order and she has provided the dates on which they have been serviced. There is a rolling staff training programme in place to make sure that all staff receive training in the essential areas of manual handling, health and safety, fire and first aid. The home manager acknowledges that there are some gaps in the staff training programme, but intends to fill these in the near future. Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 2 X 3 Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Saxon Lodge DS0000023590.V352751.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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