Inspection on 10/02/06 for Saxon House

This inspection was carried out on 10th February 2006.

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 House 03/03/09

Saxon House 05/03/07

Saxon House 14/07/05

Saxon House 10/02/05

Saxon House 29/09/04

Saxon House 11/06/03

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Dalewood Respite Care

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Fairways

Treloar College

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Pinta

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

CARE HOME ADULTS 18-65 Saxon House 8 Saxon Close Warsash Southampton Hampshire SO31 9TS Lead Inspector Ms Wendy Thomas Unannounced Inspection 10th February 2006 12:00 Saxon House DS0000012180.V282594.R01.S.doc Version 5.1 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 House DS0000012180.V282594.R01.S.doc Version 5.1 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 Adults 18-65. 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 House DS0000012180.V282594.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Saxon House Address 8 Saxon Close Warsash Southampton Hampshire SO31 9TS 01489 601351 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) Mr Alan Green Mr Alan Green Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Saxon House DS0000012180.V282594.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th July 2005 Brief Description of the Service: Saxon House provides accommodation to two gentlemen with mild to moderate learning disabilities. There is a strong family emphasis as the gentlemen live with the proprietor, his mother and his daughter. No additional staff are employed at the home. The men are included in every day activities and are fully integrated into the family. The home is situated in a small cul de sac in Warsash, and is within easy reach of the village of Warsash, Park Gate, and on a regular bus route to Fareham town centre. Each service user has their own room and free use of the communal rooms, the kitchen, lounge and dining room. Saxon House DS0000012180.V282594.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place between noon and 2:30 pm on Friday 10 February 2006. Initially the inspector chatted with one of the service users then they were joined by Mr. Green and the other service user and the inspection was carried out with input from all three. The inspector also spoke with Mrs. Green, Mr. Green’s mother who lives in the home and is responsible for the cooking and housekeeping. What records that were available were examined, these included the statement of purpose, service users’ guide and service users’ files including a preliminary draft of one service user’s care plan in the format that is now being developed for the home. What the service does well: What has improved since the last inspection? What they could do better: Mr. Green should undertake training in the protection of vulnerable adults from abuse. Given the small size of the home and the close family-like ties between the people living there it is not appropriate for there to be the same intensity of Saxon House DS0000012180.V282594.R01.S.doc Version 5.1 Page 6 record keeping as in a larger home. However consideration should be given to: Monitoring progress on service users’ goals Food records Records of service users’ activities 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. Saxon House DS0000012180.V282594.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Saxon House DS0000012180.V282594.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. Any future service users would be able to make an informed decision about moving into the home through the statement of purpose, service users’ guide and visits to the home. EVIDENCE: Following a recommendation in the previous inspection report the service users’ guide and statement of purpose have been further developed and now meet the standard. The statement of purpose includes all items set out in Schedule 1 of the Care Homes Regulations 2001 including the name and address of the home, the registered person’s experience and qualifications, the arrangements for service users to occupy their time and the complaints procedure. The service users’ guide includes all items set out in Standard 1.2 of the National Minimum Standards and includes a description of the purpose and philosophy of the home, details of the accommodation and service users’ views on the home in the form of a survey. Although Mr. Green has always stated that the service is for these two particular service users and he would not foresee admitting other service users in the future, he has developed an admissions procedure should that situation change. It includes a description of a planned process for admission including visits to the home and opportunities to meet with any other service users so that all can get to know each other and the other members of the household. The likes and dislikes of the potential service user would be discussed and recorded. Saxon House DS0000012180.V282594.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6. Service users benefit from the close relationship they have with Mr. Green who provides their care. The development of more effective care plans, which is underway, will enable consistent care should Mr. Green be unable to provide it. EVIDENCE: Mr. Green explained that he had engaged the help of someone experienced in social care to help develop some aspects of the home. This includes the assessment and care planning process. These were not available as it was reported that they were away being typed up. Earlier drafts for one service user were, however, available and were of a satisfactory format and included relevant details. Both service users said that they were happy with their care. All care is provided by Mr. Green with help with cooking and cleaning from his mother, who also lives at Saxon House. Both service users had documented goals towards which they were working. There was no monitoring to show how these were progressing. When asked about their goals regarding the use of the computer one service user said that he was still using the computer with Mr. Green’s fourteen year old daughter, but the other service user said that he did not use the computer. For the Saxon House DS0000012180.V282594.R01.S.doc Version 5.1 Page 10 service user who had playing basketball as a goal, it was said that this was something he sometimes did in the garden during the summer. Saxon House DS0000012180.V282594.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17. The small scale nature and family focus of the home means that service users’ benefit from having their likes and dislikes accommodated in the meals they receive. EVIDENCE: When the inspector arrived at the home one of the service users and Mr. Green’s mother had just returned from doing the weekly shop at local supermarkets. Mrs. Green explained that they do the main shop once a week and she may also do a smaller shop part way through the week. The service users feel that as the home is small and functions like a family, records should be kept to a minimum. After the previous inspection, one of the service users agreed to keep records of the food provided. He had done this for a while but had now stopped. The home has a four-week rolling menu. This is used to provide ideas and Mrs. Green explained that it was used as a guide only. The service users said that they were happy with their meals. They discussed their likes, dislikes and favourite meals. The discussion with them and Mrs. Green indicated they were getting a balanced diet. Saxon House DS0000012180.V282594.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19. Service users receive support for their physical and emotional needs within the home. Referrals to appropriate agencies would be made if necessary. EVIDENCE: Both service users are registered with a local GP. They are however generally healthy and have not needed to see their GP since the last inspection. One service user receives the services of a NHS chiropodist, otherwise there is no additional specialist health input. Mr. Green explained that he plans to arrange for all annual medical checks such as with the GP, optician, dentist etc. to be carried out at around the same time each year, e.g. July. Following a recommendation in the previous inspection report and ongoing discussions about service users’ medication, the conditions that it is used to treat, and any side effects; Mr. Green had reproduced details of side effects from the medication’s patient information sheet in the service users’ care plans. It was suggested that more information about the conditions that are being treated and the effects of the drugs would be beneficial. Mr. Green said that this would be included in the new care plans when they were completed. Saxon House DS0000012180.V282594.R01.S.doc Version 5.1 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23. Service users would be further protected if Mr Green undertook training in relation to abuse and the protection of vulnerable adults. EVIDENCE: A statement was seen called, “Adult protection and the prevention of abuse.” This affirmed that any allegations of abuse would be taken seriously. Mr. Green reported that he thought he had a copy of the Hampshire document on the protection of vulnerable adults. Mr. Green should consider undertaking training in the protection of vulnerable adults from abuse. Saxon House DS0000012180.V282594.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: The environment was not inspected on this occasion, but the rooms seen were clean, comfortably furnished and homely. Saxon House DS0000012180.V282594.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 35. Mr. Green’s experience and qualifications enable him to support the service users satisfactorily. EVIDENCE: Mr. Green has become experienced in running the home as he has been doing so for approximately ten years. Since the last inspection he has undertaken First Aid Awareness training and attended an infection control course. Another person who has occasional input into the home has also done infection control training. This person and one other act as consultants advising Mr. Green on the running of the home. Currently there are no staff involved in the provision of care to the service users. Saxon House DS0000012180.V282594.R01.S.doc Version 5.1 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39. The close-knit family style set up means that service users benefit from constant consultation and discussions about matters affecting them and the running of the home. EVIDENCE: Service users had completed a quality assurance questionnaire in October 2004. It was suggested that a similar exercise be carried out again. Mr. Green said that as the service users and family members were “around each other all the time,” any issues arising were discussed at the time, “it’s an ongoing thing.” He did say that he planned to have house meetings once a week, but this did not always happen as any matters were covered as people went about their daily lives. One of the service users said that, “If there’s anything I’m worried about I go to Alan [Mr. Green].” He was confident that he could do this at any time. In relation to quality assurance Mr. Green stated that, “There’s nothing to improve.” Although health and safety matters were not inspected in full during this inspection, matters arising from the previous inspection were covered. The Saxon House DS0000012180.V282594.R01.S.doc Version 5.1 Page 17 need for a risk assessment regarding the use and storage of cleaning chemicals had been raised. One had been produced stating that the service users were aware of the risks involved. As improvements to this were discussed Mr. Green recalled that one had been done with support from one of the consultants he uses. However this was not available in the home. It had been suggested that the electrical wiring should be checked. Mr. Green reported that this was to be done the week following the inspection. Mr. Green was reminded of the Health and Safety Executive’s booklet for care home owners, which he might benefit from. Saxon House DS0000012180.V282594.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 N/A 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X X X X 3 X X X X Saxon House DS0000012180.V282594.R01.S.doc Version 5.1 Page 19 No Are there any outstanding requirements from the last inspection? 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. 1 Refer to Standard YA23 Good Practice Recommendations Mr. Green should do training in the protection of vulnerable adults from abuse. Saxon House DS0000012180.V282594.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. Extracts may not be used or reproduced without the express permission of CSCI Saxon House DS0000012180.V282594.R01.S.doc Version 5.1 Page 21 - 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. 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