Inspection on 16/05/07 for Saxon Lodge

This inspection was carried out on 16th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Lodge 17/05/06

Saxon Lodge 18/01/06

Saxon Lodge 04/10/05

Saxon Lodge 18/02/05

Saxon Lodge 13/08/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Saxon Lodge 20 Smith Street Shoeburyness Essex SS3 9AL Lead Inspector Mr Trevor Davey Unannounced Inspection 16th May 2007 11:30 Saxon Lodge DS0000039678.V338958.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 Lodge DS0000039678.V338958.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 Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Saxon Lodge Address 20 Smith Street Shoeburyness Essex SS3 9AL 01702 295001 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) www.southend.gov.uk Southend on Sea Borough Council Miss Anne Boulton Care Home 13 Category(ies) of Learning disability (13), Learning disability over registration, with number 65 years of age (13) of places Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Care and accommodation to be provided to no more than 13 persons. Care and accommodation to be provided to persons between the age of 18 and 65 with a learning disability (LD). Care and accommodation to be provided to persons aged over 65 years who have a learning disability and who have resided in the home prior to their 65th birthday (LD(E)). 17th. May 2006 Date of last inspection Brief Description of the Service: Saxon Lodge is owned and managed by Southend Borough Council. It is a purpose built establishment situated near to the main shopping centre of Shoeburyness and provides care for up to 13 adults with a learning disability. It is close to local amenities and has good local bus and train links to the area. The home offers single bedroom accommodation on the ground and first floors. Access to the first floor is by stairs, as a passenger lift is not available. There are two large lounge/dining areas on the ground/first floors. The home has its own car parking facilities to the rear of the property and there is some street parking available. A garden area is also made available for the use of residents. Information about the home is made available to prospective service users in the Statement of Purpose and Service User’s Guide. The current service charge paid by residents is £63.95 per week and the balance of fees is paid by the funding authority. Additional charges are made for chiropody treatment, hairdressing, toiletries and transport. Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Key Inspection site visit covered a period of 5.25 hours and covered all Key standards. The Registered Manager together with other staff, residents and visiting health/social care professionals were spoken with during the site visit. Their comments and contributions received were helpful in assisting the Inspector to prepare this report. As part of the site visit, a tour of the premises took place and some of the personal care records and other official records within the home were also assessed. The management of the home had conducted their own survey and quality assurance exercise with residents, staff, relatives and other health care professionals. This is to find out what people think of the home and the service provided and to help the management to make improvements. A summary of the responses received was made available to the Inspector together with a copy of the action plan which the home is carrying out to improve the service and quality of life for residents. The majority of survey questionnaires were completed and returned. Overall, the response was positive and following comments made, the home have made arrangements to bring about improvements in the service provided. A pre-inspection questionnaire had also been submitted by the Registered Manager with other helpful information. Since the site visit, a self assessment form (annual quality assurance assessment) has been completed and submitted to the Commission for Social Care Inspection. This form gives homes the opportunity of recording what they do well, what they could do better and what has improved in the previous twelve months as well as including information of plans for improvement planned for the next year. What the service does well: The Home has been successful in demonstrating its pro- active approach by communicating with residents, relatives and other health care professionals, to find out what residents enjoy about their lifestyle and how the service can be improved. Examples of action being taken by the Home as a result of comments received, includes staff being more available to increase the opportunities for residents to go out into the local community to take part in chosen activities. In another instance, where personal furniture or equipment Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 6 has been requested, the staff team are now providing greater support for residents to purchase items of their choice. This demonstrates that the home are listening to people who use the service and have taken positive steps to improve the quality of life. One of the positive comments received stated Saxon Lodge does everything possible to ensure the service users’ lives remain stable, safe and above all happy. Some of the residents spoken with, also said how much they liked the home and taking part in various leisure activities. Social work professionals spoken with during the inspection, stated that staff were co-operative, easy to work with, well trained and competent in the care and support they give to residents. A co-ordinator for person centred planning is also visiting the home on a regular basis to assist staff who are working alongside residents with a learning disability. Positive comments were also made regarding the improved links and working relationship with day care services which residents attend. Pre- admission assessment information, care plans and risk management records were clear, up to date and easy to follow. Clear records and documentation was available confirming that the Home had carried out thorough recruitment checks for staff together with induction and training records. Policies and procedures are regularly reviewed which are made known to staff. Staff communication is good with effective team working and regular meetings. What has improved since the last inspection? The Home’s procedure for admission is now more comprehensive and includes more detailed information covering the holistic needs of potential residents. Apart from long stay residents, most new admissions come to the home on a respite care basis. Care records and risk management plans have been developed and this process is continuing. Staff rotas have been reviewed to provide additional cover for weekends to enable residents to have greater opportunities to go out in groups of their choice. There is a relevant development and training programme for staff with regular staff supervision taking place. The requirements from the previous inspection regarding training and development have been met. Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 7 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 DS0000039678.V338958.R01.S.doc Version 5.2 Page 8 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 Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 9 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 People who use the service experience good quality outcomes in this area. Pre-admission assessment details for care/health needs had been completed to give staff suitable information and to assure potential residents that their needs could be met. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The majority of existing residents have been in the home for a number of years and where there are vacancies, respite care is provided. Pre -admission assessment information was detailed and included details regarding personal support required, family and social contacts and a risk assessment with management plan. Other social history and background information had been supplied by social workers and the holistic needs together with the support required had been taken into account including day care provision and college arrangements. Dates of visits by the manager to prospective residents and visits to Saxon Lodge had been recorded including compatibility with the existing resident group. Potential residents and their representatives had been consulted and involved in the assessment process and evidence of the prospective resident’s agreement was available. A copy of the Service User’s Guide had also been given to new residents. Although this document has been Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 10 updated, it is suggested that this be reproduced in a more user-friendly format to include pictures and symbols to assist residents to understand the information more clearly. Residents’ agreement to individual care programs and risk assessments were on file. A co-ordinator has now been appointed by the Registered Provider who is visiting the Home on a regular basis to assist staff with Person centred planning. At the time of inspection, one emergency admission had recently taken place and social care professionals were in the home to complete the assessment process and to check suitability of the placement. When speaking to the social workers involved, positive comments were made regarding the co-oporation and working relationships with the staff team. They confirmed that annual reviews take place with residents and other interested parties on behalf of the funding authority. Residents also receive copies of outcomes following these reviews which are checked for accuracy. Some of the residents said how much they liked the home since they had been admitted. Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 11 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 & 9 People who use the service experience good quality outcomes in this area. Residents benefit from continual assessment and consultation reflecting their changing needs which are identified in individual plans. Independent lifestyles are encouraged which are accompanied by risk assessments. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Care plans sampled, showed identified needs, individual programme of support, risk management plans and personal development. Examples of areas covered included communication, social needs and personal hygiene. Care plans had been reviewed on a monthly basis and the management are in the process of improving the recording system to clearly identify changes which have occurred and dates these take place. Wherever possible, the signatures of residents as well as staff are recorded and when necessary, other representatives may be involved in the consultation process. The Home were Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 12 able to demonstrate that appropriate support is provided to residents in making decisions in accordance with their preferred choices. Following the responses of the survey carried out by the Home, arrangements have also been made to make adjustments to the staff rota to enable residents to have the opportunity to go out more and to do chosen activities. Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 13 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 & 17 People who use the service experience good quality outcomes in this area. People living at the home are encouraged to take part in a range of activities which reflects a lifestyle to meet individual social and cultural needs. Not all of the people living at the home benefited from well presented meals. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Residents are encouraged to take part in a variety of recreational and leisure activities which include visits to the theatre, garden centres and day centres. One of the residents showed the Inspector their room and a timetable which had illustrated symbols outlining daily events such as bowling and other activities. The management have taken steps to increase the opportunities for residents to enjoy leisure activities of their choice by making more staff available at certain times to accompany them. Residents also regularly visit Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 14 local pubs, shops and local church services. Families and friends are welcome to visit the home at any time and parties are arranged to celebrate special occasions. Some residents were observed to be colouring and they mentioned other interests such as knitting, reading and painting. The Inspector was advised that the menus had recently been updated and meals are arranged depending on the daily activities of residents. Some have their main meals at the day centre and as well as the main courses, fresh fruit is always available. From the sample checks made, some of the records of meals provided to individual residents lacked detail such as dinner where lamb chops had been listed but with no other information as to the vegetables or other food included. On another occasion, quiche had been provided for lunch with no other information. The records also showed that on another day, lunch included beans or spaghetti on toast, dinner spaghetti bolognaise and tea beans or spaghetti on toast. This indicated that the variety and choice of food available on this occasion was limited and lacked appeal. Where liquidised meals are provided, these should be presented in a more attractive way so that individual vegetables and ingredients can be identified separately. There is no identified post for a cook on the staffing establishment and existing care workers provide this service on a rota basis. The Home would benefit from having specific hours allocated for this purpose over and above the existing staffing provision. Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 15 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 & 20 People who use the service experience good quality outcomes in this area. The personal, physical, and emotional health needs of residents were being met appropriately taking account of preferred support required. Medication and administrative procedures were in place to ensure the safety and protection of residents. This judgement has been made using available evidence including a visit to the service. EVIDENCE: Care plans inspected included recorded information for personal development relating to physical ability, hygiene and grooming, dressing, social interaction and domestic skills. The programme of support was drawn up to meet identified needs and monthly reviews took into account changes which needed to be made. During the inspection staff were observed to be communicating and interacting well with residents which enabled effective dialogue to take place. Staff were both sensitive and reassuring in the support they gave to Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 16 residents who were in the home at the time. Community nurses visit as required and good support is received from other health care professionals. Medication administrative records (M.A.R.) had been recorded in accordance with accepted procedures and sample checks showed that medication had been provided to residents with correct dosages as prescribed. Photos of residents were available to clearly identify their personal medication records. A daily audit of medication is carried out by staff and records were made available for inspection. The pharmacist or surfaces periodically and a record was available of advice given. It was noted that in some cases protocols for PRN (to be taken as required) medication had not always been completed which could mean staff may not be fully aware as to the symptoms and /or why this medication should be given. This was pointed out to the Manager who agreed to ensure all protocols were completed. From information provided in the Home’s annual quality assurance assessment, all staff are trained to administer medication. Staff are also currently attending training updates including issues related to death and dying. Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 17 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 7 23 People who use the service experience good quality outcomes in this area. People who use the service have the opportunity to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse and self harm. This judgement has been made using available evidence including a visit to the service. EVIDENCE: An effective complaints procedure is in place and since the last inspection, one complaint had been recorded and the Home was able to demonstrate that this had been thoroughly investigated and the outcomes resolved satisfactorily with the complainant. Meetings of residents regularly take place and minutes are available. Questionnaires given to residents asking for their comments of the service provided, were ideally illustrated with pictures and symbols enabling residents to understand and respond appropriately. Following completion of the Home’s survey, an action plan had been completed which included arrangements to ensure staff meetings and residents meetings take place on a regular basis. Other positive comments from relatives included comments such as very high standards, appreciate the staff. Since the last inspection, many of the staff have attended prevention of harm to vulnerable adults training and another eight staff are to attend these sessions shortly. Staff were aware of the reporting procedures to be followed in cases of abuse or suspected abuse. Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 18 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 & 30 People who use the service experience good quality outcomes in this area. The premises are well maintained to enable people who use the service to live in a safe, comfortable environment. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The premises were clean and hygienic with regular maintenance taking place of services and equipment. It was noted that the gas safety servicing certificate was due for renewal on the 12th May 2007. There are lounge/dining room facilities which are spacious for the use of residents and an additional quiet room has been created on the first floor which is also used for residents to see visitors. Some of the individual bedrooms although not meeting the minimum standards for space requirements, are fit for purpose for the current resident group. Since the last inspection, the flooring in several bedrooms has been renewed and residents have been consulted regarding the choice of decorating, Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 19 furniture and curtains. Bedrooms have been personalised with familiar objects and items which reflect the interests of individual residents. All bathrooms and toilets are suitable for residents who have some limited mobility. A shaft lift is not available but at the time of inspection, residents were able to access the stairs. The Home plans to spend more money on internal decoration once the future of the home has been established. Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 20 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): 32,33,34 & 35 People who use the service experience good quality outcomes in this area. Staff in the home are trained, skilled and in sufficient numbers to support people who use the service. Recruitment policies and practices are in place to ensure residents are properly supported and protected. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The Registered Manager leads the staff team with two assistant officers. Staff rotas had been submitted prior to the inspection and staff available during the site visit were in sufficient numbers to provide the support and care required by residents who were in the home at the time. Others were attending daycare facilities. Adjustments to the staffing establishment had been made to enable additional staff to be available at weekends to give greater opportunities to accompany residents to pursue leisure activities in the local community. As already mentioned in this report, the Home does not have a cook on the establishment which means that care staff are responsible for Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 21 preparing the main meals on a rota basis. It is regarded by the Inspector that the service would benefit from an additional staff member who had specific responsibility for catering arrangements which would also give added continuity in meal preparation. Staff recruitment records were available which included copies of Criminal record Bureau checks, written references, medical fitness as well as proof of identification. Evidence of recruitment checks carried out for agency staff was also available. Where agency staff are required, improved continuity has been achieved by ensuring that a regular core group of agency workers are used in the home as required. Application forms and job descriptions had also being completed. New staff are monitored at 6, 12 and 18 week intervals after which, annual appraisals take place, documentation was available including induction records and certificates of training courses completed. Since the last inspection, a more comprehensive training programme has been established and other courses are being arranged to ensure staff have the skills necessary to meet the needs of residents. Feedback from the surveys carried out by the Home showed that relatives were complimentary about the staff and that they were a committed team. Part of the action plan instigated by the management is to keep the night staff up-to-date through supervision as well as giving them the opportunity to attend staff meetings. Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 22 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 & 42 People who use the service experience good quality outcomes in this area. The management and administration of the home is based on openness, respect and has effective quality assurance systems in place. Procedures are in place to monitor the health, safety and welfare of residents. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The Registered Manager is experienced, competent and has completed the N.V.Q. Level 4 in health and social care. She is also planning to do the Registered Managers Award. Other staff have delegated responsibility within the home which includes medication, petty cash, and arranging staff meetings. Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 23 The Registered Provider works well with the management team of the Home and regular monitoring visits take place to ensure that levels of care are maintained to a high standard. Reports of these visits are regularly sent to the Commission for Social Care Inspection. Policies and procedures have been updated and others are currently being reviewed. A quality assurance exercise involving surveys with residents, relatives, advocacy and other health care professionals is carried out every November with records showing findings and actions needed to be taken. This demonstrates that the Home is listening to users of the service to promote higher standards of care and to provide improvements in support taking account of individuals needs, preferences and future plans. Risk assessments were in place for a safe working environment which included records of hot water temperatures which are reviewed weekly. Evidence was also available of health and safety checks which had been carried out including special equipment in the home. Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 24 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 3 33 4 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 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 x 4 x x 3 x Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 25 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 YA17 Regulation 16(i) Sched 4 (13) Requirement The Registered Person must provide, in adequate quantities, suitable, wholesome & nutritious food which is varied and properly prepared & available at such time as may reasonably be required by service users. Records of food provided for service users must also be insufficient detail to determine whether the diet is satisfactory and nutritious. Timescale for action 30/06/07 Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 26 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 YA1 Good Practice Recommendations The Service User’s Guide should be produced in suitable formats for the people using the service (e.g. appropriate language, pictures and symbols). This is to help with communication as well as illustrating information about the service provided. The existing staffing establishment should be increased to allow for a cook to be available at specific times during the day for the preparation of meals . This would provide greater continuity in the preparation of meals and would enable other staff more time to interact and support residents. 2. YA33 Saxon Lodge DS0000039678.V338958.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 DS0000039678.V338958.R01.S.doc Version 5.2 Page 28 - 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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