Random inspection report
Care homes for older people
Name: Address: Saffron House 2a High Street Barwell Leicestershire LE9 8DQ one star adequate service 03/09/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Keith Charlton Date: 2 2 1 2 2 0 0 9 Information about the care home
Name of care home: Address: Saffron House 2a High Street Barwell Leicestershire LE9 8DQ 01455842222 01455841222 saffronhouse@dsl.pipex.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Downing (Barwell) Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 47 Number of places (if applicable): Under 65 Over 65 0 47 dementia old age, not falling within any other category Conditions of registration: 47 0 The maximum number of service users who can be accommodated is: 47 The registered person may provide the following category of service only, Care home Code PC, to service users of the following gender Either, Whose primary care needs on admission to the home are within the following categories, Dementia - Code DE, Old Age, not falling within any other category, Code OP Date of last inspection Brief description of the care home The last key inspection of the service was on 17/10/2008. Saffron House is a purpose built care home situated in the centre of Barwell, Leicestershire. It is registered for
Care Homes for Older People Page 2 of 10 0 3 0 9 2 0 0 9 Brief description of the care home forty-two service users within the categories of old age, dementia and physical disability. The home is not registered to provide nursing care. The home is situated on two floors and these are accessed by a passenger lift. The home has a dining room and lounge on each floor and a further five lounges throughout the home. The home has forty-two single bedrooms, which have ensuite facilities. Close to the home are a number of hotels and restaurants and is within close proximity of Mallory Park Race track and Market Bosworth. The home has a sensory garden for residents to enjoy at the back of the property and a circular walkway. The home has electric gates fitted to the exterior of the home for safety and to prevent intruders. The weekly fees are from #341 to #525 - this information was provided by the Manager on the day of the inspection. There are additional costs for individual expenditure such as hairdressing, toiletries, etc. A Statement of Purpose and Service Users Guide to the services the home offers can be supplied to applicants and the last Inspection Report is available in reception, to enable prospective residents to make an informed choice as to whether they wish to live at the home. Care Homes for Older People Page 3 of 10 What we found:
Following concerns expressed by a social worker we visited the home to follow up the issues identified: Poor Care Planning: the Manager said that this had been the case and she was in the process of revamping the plans to make them more person centered, so that staff would know in detail peoples needs and be able to meet them. We saw an example of the improved plans. Lack of supervision of people with poor staffing levels: people we spoke to said that this was the case at times. The Manager said that new staff had been recruited and would start when their checks were received, so that there would be an extra staff member on each shift. Foul odours in the home: we did not find this to be the case. The Manager and staff said domestic time had been increased and we saw domestic staff working on both floors. There were no comments from people about malodours. Staff referring to people as darling, so not showing proper respect to them: we did not find this to be the case, though we saw a staff member enter a persons bedroom with out knocking and refer to the person as she, rather than address the person by their proper name. In addition to these issues we also found: There was evidence of Health and Safety procedures not being followed: Unlocked storage room near to Room 40 with fans frames and a wheelchair in it, which were tripping hazards. The sign on the door stated Fire Door. Keep shut. The bathroom near Nurse Station on the first floor was being used as a storage room was unlocked and had hoists and a wheelchair there, which were tripping hazards. Bathroom near Office on the first floor had a mattress in it lying on the floor against the bath and obstructed the access to the toilet, which was a tripping hazard for people as they could have injured themselves. Also: We looked at the records for a person that lives in the home, which stated that she had complained about having a sore bottom on 23/11/09, then became very sleepy from 25/11/09 onwards and finally the District Nurse saw her on 3/12/09, over a week later, with a sore on her left hip. There was no recorded medical help sought for this period which could have seriously impacted on her health. Some easy chairs were worn with the padding on arms falling off, and the ground floor lounge needed to be decorated as paint had been scrapped off. What the care home does well:
Care Homes for Older People Page 4 of 10 Staff were seen to be generally friendly and helpful to people. Relatives saids that their was a definite change of atmosphere with the new Manager taking over, and that she tried to change the home in a positive way. Lounges have become more homely as seating arrangements have changed to make smaller groups of seats. Relatives are being encouraged to set up memory boxes for people so that staff can relive their treasured memories. Food was generally seen to be tasty, with five vegetables being served at dinner, therefore encouraging a healthy diet. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 27 18 Care staffing levels in the morning period need to be reviewed and increased to ensure residents needs can always be met. 17/12/2007 2 27 18 Staffing levels need to be reviewed and increased. To ensure that they are adequate to meet residents needs. 07/10/2009 3 30 18 The staff training programme 17/04/2008 needs to be extended to cover all relevant topics regarding residents care including residents conditions, e.g. stroke care, hearing and sight impairment etc . 4 31 37 The Registered Provided 07/10/2009 needs to inform us of important events such as the change of Manager and the failure of the lift. So we can assess the running of the service and take action if needed. 5 38 13 Proper health and safety 07/10/2009
Page 6 of 10 Care Homes for Older People Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action systems need to be in place in respect of regular fire drills, testing of fire bells, and unlocked storage rooms. To protect the health and safety of residents. Care Homes for Older People Page 7 of 10 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action 1 7 13 Medical help needs to be swiftly sought when people complain of pain and distress. To avoid this impacting on their health. 22/12/2009 2 38 13 Health and safety systems 22/12/2009 must be in place at all times. To avoid people having accidents and hurting themselves. Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 10 12 Staff must show respect for peoples dignity at all times. To show respect for people to maintain their sense of worth. 22/01/2010 2 19 23 Furniture and decor need to be in a good state of repair. To give people a pleasant home to live in. 22/02/2010 3 27 18 Staffing needs to increase. To meet peoples individual needs. 21/01/2010 Care Homes for Older People Page 8 of 10 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 30 More storage needs to be provided if it is assessed as needed. Care Homes for Older People Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 10 of 10 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
