Inspection on 10/10/05 for Saxby Lodge

This inspection was carried out on 10th October 2005.

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

Saxby Lodge 09/05/06

Saxby Lodge 18/05/05

Saxby Lodge 19/10/04

Saxby Lodge 17/05/04

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 Saxby Lodge 124 Victoria Drive Bognor Regis West Sussex PO21 2EJ Lead Inspector Mr P Barker Announced Monday, 10 October 2005 V246264 th 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 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. Saxby Lodge H60 H11 S14703 Saxby Lodge V246264 101005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Saxby Lodge Address 124 Victoria Drive, Bognor Regis, West Sussex, PO21 2YQ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01243 828615 Mrs Eileen Teresa McCarron Mrs Eileen Teresa McCarron Care Home (CRH) 19 Category(ies) of Old age, not falling within any other category registration, with number (OP) 19 places (Both) of places Saxby Lodge H60 H11 S14703 Saxby Lodge V246264 101005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th May 2005 Brief Description of the Service: Saxby Lodge is a privately run establishment providing board, accommodation and personal care for up to nineteen people over the age of 65. It is a large detached property set in its own grounds close to local shops and railway station and about two miles from the seafront. Accommodation is provided in single rooms, four of which have an ensuite toilet. The home does not have a vertical lift so only residents that can manage the stairs can be accommodated in any of the four rooms on the first floor. Facilities include a lounge/diner and a conservatory on the ground floor and a lounge on the first floor. There is a small garden for the residents to enjoy. The proprietor/manager is Mrs Eileen McCarron. Saxby Lodge H60 H11 S14703 Saxby Lodge V246264 101005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was conducted between the hours of 9-30am and 3-45pm. Saxby Lodge has performed well over the past years and at the last inspection no requirements were made. During the course of this inspection the inspector spoke to residents and staff. The owner/manager was present throughout the inspection. Records and Care Plans were looked at and a tour of the home was conducted. The inspector had received a large amount of comment cards from residents, relatives and professionals to the home. These comments will be included in this report. One resident told the inspector, “I have always found the staff very nice, and always very helpful”. Another said, “ The staff do everything they can to provide a homely atmosphere.” These sentiments were expressed by a number of residents. A relative wrote, “Having been in many homes visiting I feel that I am very lucky to have my mother in Saxby Lodge. Everything about it is so good and I am delighted with the service they give to my mum and me. It is one of the best!” All records inspected were found to be in order and up to date. At the last inspection, the inspector felt that some of the records kept for staff could be better. There were some omissions in CVs and Application Forms were, in two cases, not fully completed. These records have now been completed and were up to date. The Care Plans were well written and contained all of the information needed to look after the residents. They were reviewed regularly. Staff training was ongoing and it was noted that the majority of staff were either National Vocational Qualification (NVQ) trained or were awaiting to start the training. The training records of all staff were well documented and up to date. Staff were being supervised by the owner/manager and detailed notes had been kept of these sessions. The building was warm, clean and welcoming. There was three care staff on duty with one domestic, a cook and an administrator. At night there were two staff on duty, one of whom was awake. The rotas showed this to be the case. The inspector discussed with the owner/manager whether both staff should be awake on duty. The home met the requirements of the local fire and environmental health services. There were no requirements made at the time of this inspection. Saxby Lodge H60 H11 S14703 Saxby Lodge V246264 101005 Stage 4.doc Version 1.40 Page 6 A relative wrote, “The standard of care at this friendly little home is second to none, and Eileen and Tim’s philosophy is shared by the staff, most of whom have been there for years – a consistency much appreciated by confused elderly ladies.” What the service does well: What has improved since the last inspection? 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. Saxby Lodge H60 H11 S14703 Saxby Lodge V246264 101005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Saxby Lodge H60 H11 S14703 Saxby Lodge V246264 101005 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4, 5, 6 Residents and their families have the information they need to make an informed choice about where they live and are suitably assessed before placing. EVIDENCE: Each resident is given a contract when he/she enters the home. Most of the residents had family or friends who were able to act upon their behalf. The owner/manager assesses all residents before they join the home either in their own home or in hospital. These completed assessments are kept in the Care Plan. The owner/manager told the inspector of a recent admission to the home. The prospective resident moved from a hospital outside of the area into the home to be nearer to relatives. Due to the distance involved the assessment was carried out over the telephone talking to the hospital, the social worker and the family. The resident was fully assessed when arriving and the home feels it is meeting her needs. The home does not take anyone in for intermediate care. Saxby Lodge H60 H11 S14703 Saxby Lodge V246264 101005 Stage 4.doc Version 1.40 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10, 11 The resident’s health, personal and social care needs are well met through training and supervision of the staff. EVIDENCE: Care Plans were well written and contained all the information necessary to look after the residents. They were updated regularly and reviewed at least once a month. The inspector looked at the Care plans of some of the residents he had spoken with and felt that the care given was accurately recorded. District nurses visit the home when requested and records are kept of all such visits. A district nurse commented, “ I can always rely on the manager and her staff to liaise with the district nurse team if they have any concerns and carry out relevant instructions.” Medication was stored safely and records were well kept in regard to the administering and disposing of them. Staff were well trained and some had attended an outside course on ‘Care and Control of Medicines’. When looking around the home the inspector noticed staff knocking before entering rooms. Residents were called by their chosen name; others preferred to be addressed as Mrs. Saxby Lodge H60 H11 S14703 Saxby Lodge V246264 101005 Stage 4.doc Version 1.40 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15 Residents say that they are happy with their lifestyle, are able to keep in contact with their family and friends and able to have control over their daily tasks. Good home cooked food is provided. EVIDENCE: The home does provide some activity for the residents if they wish to join in. There is a fortnightly ‘Movement to Music’ session, a weekly singsong, monthly visits from outside entertainers, weekly visits from a local catholic church and a quarterly visit by a Church of England vicar. The majority of residents are able to go out with their families or friends and one lady told the inspector that she goes to stay with her family every fortnight. One lady regularly goes out to the cinema or theatre with her family, another loves her trips to a garden centre. One lady had written that she wanted “a visit from someone with a dog”. On the day of the inspection the inspector noticed that someone from ‘Pat-a-dog’ had arrived and the lady was seen playing with the dog. The owner/manager knew of this lady’s request and had organized it for regular visits. There had been a recent outing when nine residents went out with carers for a trip in a minibus. Visitors are made welcome and one wrote, “I feel so welcome when I arrive, every one has a friendly word and look so happy in their work.” Saxby Lodge H60 H11 S14703 Saxby Lodge V246264 101005 Stage 4.doc Version 1.40 Page 11 The residents sat down to a meal of Chicken Pie, Cabbage, Swede and Potatoes followed by Rice Pudding. There was also a choice of salad. One resident needed help with feeding so a member of staff sat with them whilst they ate. This was done in an unhurried manner. Saxby Lodge H60 H11 S14703 Saxby Lodge V246264 101005 Stage 4.doc Version 1.40 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17, 18 Any complaint is taken seriously and staff and residents know how to complain. Staff are well aware of the Adult Protection Procedures and a Whistle Blowing Policy is in evidence. EVIDENCE: All staff have attended the Adult Protection Training and the procedures are in the office. There have been no complaints made about the home to the CSCI. Saxby Lodge H60 H11 S14703 Saxby Lodge V246264 101005 Stage 4.doc Version 1.40 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25, 26 The home is well maintained, safe and clean with no nasty smells. EVIDENCE: The home is well kept and is clean and tidy. The inspector observed the cleaner doing her rounds and every room was left clean and tidy. The home has undergone considerable refurbishment since the present owners took over. This is still on going and rooms are redecorated when they become available. Saxby Lodge H60 H11 S14703 Saxby Lodge V246264 101005 Stage 4.doc Version 1.40 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30 There is usually sufficient staff employed to ensure that residents’ basic needs are met. The home has a sound recruitment policy and all checks are made. There has been considerable input into staff training. EVIDENCE: All staff have undergone Criminal Records Bureau (CRB) checks and copies of these were kept in the office. Prospective staff are invited to complete an application form and attend an interview. Staff training had been undertaken in all areas and the evidence showed that all staff were offered training relevant to their work. Saxby Lodge H60 H11 S14703 Saxby Lodge V246264 101005 Stage 4.doc Version 1.40 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 36, 37, 38 It is apparent that the needs of the residents are paramount and that things happen for their benefit. The home has no dealings with any personal finances preferring to leave that to families or other professionals. The home is managed by a well qualified and competent manager. EVIDENCE: The home was constantly updating their practices to ensure that residents received the best care that they could. The home does not have any dealings with any money belonging to residents. Fire and Environmental Health Requirements had all been met and all equipment is regularly serviced. Saxby Lodge H60 H11 S14703 Saxby Lodge V246264 101005 Stage 4.doc Version 1.40 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 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 Standard No 16 17 18 Score 3 3 3 4 4 3 3 3 3 3 3 Saxby Lodge H60 H11 S14703 Saxby Lodge V246264 101005 Stage 4.doc Version 1.40 Page 17 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. 1. 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. 1. Refer to Standard Good Practice Recommendations Saxby Lodge H60 H11 S14703 Saxby Lodge V246264 101005 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY National Enquiry Line: 0845 015 0120 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. 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