Inspection on 05/03/07 for Saxon House

This inspection was carried out on 5th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Saxon House 03/03/09

Saxon House 10/02/06

Saxon House 14/07/05

Saxon House 10/02/05

Saxon House 29/09/04

Saxon House 11/06/03

Similar services:

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Dalewood Respite Care

Orchard,The

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Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

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 Liz Palmer Unannounced Inspection 5 March 2007 09:30 th Saxon House DS0000012180.V324931.R01.S.doc Version 5.2 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.V324931.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 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.V324931.R01.S.doc Version 5.2 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.V324931.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th February 2006 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. Fee range from £320 - £350 per week. Items not included in the fees are; chiropody, hairdressing and private tuition. Saxon House DS0000012180.V324931.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two and a half hours. A pre inspection questionnaire was received from the registered manager (referred to as ‘the manager’ throughout the report) prior to the inspection. This was used, along with evidence from two service user surveys. Both service users were met and spoken to during the inspection, as was the manager. What the service does well: What has improved since the last inspection? What they could do better: All paperwork, including risk assessments must be available for inspection. Saxon House DS0000012180.V324931.R01.S.doc Version 5.2 Page 6 Slight improvement to the recording of service users monies should be implemented. A quality audit must be undertaken. 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 House DS0000012180.V324931.R01.S.doc Version 5.2 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.V324931.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home would only offer a service to those whose needs had been assessed. EVIDENCE: No new service users have been admitted to the home for several years. Mr Green stated that the service he provides is specifically for the current service users and he would not be offering a service to any new services in the future. An admissions procedure has been developed in order to meet the standard. This was looked at during the last inspection. Mr Green stated no changes had been made to the procedure. Saxon House DS0000012180.V324931.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Basic care plans and risk assessments are in place these needs to be kept under regular review to ensure changing needs can be met. EVIDENCE: Both service users were at home during the inspection and were case tracked. Their care plans were basic and included, likes and dislikes, a weekly timetable and some future goals. The care plans had not been reviewed since September 2006. There was no evidence of any changes that should have been addressed or any negative impact on service users. Due to the size and family nature of the home it was evident that the manager would be aware of any changes as soon as they occurred. However, the manager was advised and agreed to review the care plans and keep them under regular review. Service users said they are involved in the decision-making in the home and are supported and encouraged to have control over their lives. They are Saxon House DS0000012180.V324931.R01.S.doc Version 5.2 Page 10 consulted daily and involved in domestic chores. Both have advocates to support them in their decision-making. Risk assessments are in place for one service user. Risks deemed as medium or high have an action plan to reduce the risk. Risk assessments for one service user were not available for inspection but were forwarded to the commission three days later. The manager stated that the risk assessments had been carried out and knows the service user well enough to know all the risks associated with his care. Saxon House DS0000012180.V324931.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are opportunities for service users to benefit from educational, social and community activities. Healthy and varied meals are provided with the involvement of service users. EVIDENCE: Service users are supported to access a range of leisure and educational activities. For example, shopping, cooking skills, computer skills, Spanish, photography and learning to play the guitar. There was evidence of service users being able to pursue their hobbies and interests on an individual basis. Service users have a weekly timetable of activities. These are arranged on an individual needs basis and with reference to personal preferences. Other than an advocacy course, all activities are undertaken with the manager. One Saxon House DS0000012180.V324931.R01.S.doc Version 5.2 Page 12 service user was asked if they would prefer to go to college to learn computer skills or photography and the said no. The other service user said he did not want to do any activities without the manager. Both service users said they had enough to do and were able to choose how to spend their time. They are able to get up and go to bed when they choose, for example. They are able to spend time alone in their room or sit with the family in the lounge. Service users are supported to use local shops, pubs and public transport. Service users are encouraged to eat a healthy and balanced diet. Meal times are flexible and service users are involved in the shopping and cooking. Meals are eaten in the dining room as a family; service users said they enjoyed this. It can be flexible, for example one service user had their lunch in the lounge on the day of inspection. One service user said they could help themselves to drinks and snacks at any time. The kitchen was noted to be accessible and safe for service users. One service user said they could not always have a snack whenever they wanted one, this was discussed with the manager who said snacks are always available and he would ensure that service users are reminded of this. Saxon House DS0000012180.V324931.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to maintain their health and receive support in a way that meets their individual needs and preferences. Service users are protected by the home’s procedures for storing, recording and administering medication. EVIDENCE: Service users’ individual needs and preferences regarding their care are recorded in their care plans. Each service user is supported to maintain their health and well being by having their own General Practitioner (GP). Support is given to keep GP’s appointments as well as dental and optician appointments. Specific health issues are noted in care plans, for example, epilepsy and mental well being. Specialist healthcare professionals are involved when necessary. Procedures for storing and administering medication were sampled and found to be secure and suitable. Saxon House DS0000012180.V324931.R01.S.doc Version 5.2 Page 14 Saxon House DS0000012180.V324931.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to make their views known. Training has been undertaken to ensure service users are protected from abuse. EVIDENCE: No formal complaints have been made since the last inspection. Service users are provided with a complaints procedure and when asked, both said they would talk to the manager if they had any concerns. Both said they thought the manager would sort out their problems. As previously mentioned both also have an advocate who could support them with any concerns or complaints. Service users live as part of the family and are consulted on the day to running of the home. Both said they felt safe and valued and their views respected. As recommended at the last inspection the manager has undertaken training in Adult Protection, thus ensuring service users are better protected. The manager looks after the money of one service user. Monies held on their behalf were sampled. The cash balance matched the recorded amount and was stored securely. Bank withdrawals are recorded as are rent payments. The system for recording was not always clear and the manager agreed to implement this immediately. Saxon House DS0000012180.V324931.R01.S.doc Version 5.2 Page 16 Saxon House DS0000012180.V324931.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a clean, homely and safe environment. EVIDENCE: A partial tour of the home was undertaken. There was adequate communal space and these areas were clean and comfortable. Photographs and personal items around the home made it homely and service users clearly felt relaxed. Notices in the home promoted health and safety and emergency numbers are kept on the notice board in the kitchen. The dining room is a designated smoking area used by the manager and one service user. The manager stated that smoking is not permitted during mealtimes, as this would be unpleasant for other people who do not smoke. Saxon House DS0000012180.V324931.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed as no staff are employed in the home and therefore no quality rating can be given. EVIDENCE: Saxon House DS0000012180.V324931.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager has the experience and skills to support the service users. Service users benefit from a safe and well run home where their views are part of the overall and day-to-day development. EVIDENCE: The manager has over ten years experience in running the home and has undertaken specific training as highlighted by the inspection process. His mother supports him with domestic duties and one of his daughters occasionally helps out. Both have undertaken criminal record bureau checks and service users said they like both these people and are happy with the arrangements. Saxon House DS0000012180.V324931.R01.S.doc Version 5.2 Page 20 The home operates on a family run basis and service users are consulted on all aspects of daily life. They said they felt the home was well run and said they had confidence in the manager. The manager is currently working on a quality audit for the home. An external company is devising this. Service user surveys have been used in the past and will form part of the new quality audit process. The manager is aware that providers are expected to undertake an annual quality assurance. One service user said the home was ‘perfect’ and ‘you can’t improve on perfection’. The health and safety of service users is promoted through the ongoing training and procedures in the home. Fire drills take place and risk assessments highlight any individual risks. Saxon House DS0000012180.V324931.R01.S.doc Version 5.2 Page 21 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 X 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Saxon House DS0000012180.V324931.R01.S.doc Version 5.2 Page 22 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. 1 Standard YA39 Regulation 24 Requirement The registered person must ensure that an annual quality audit is undertaken. Timescale for action 01/07/07 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 House DS0000012180.V324931.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 House DS0000012180.V324931.R01.S.doc Version 5.2 Page 24 - 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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