Inspection on 18/01/06 for Saxon Lodge

This inspection was carried out on 18th January 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 Lodge 16/05/07

Saxon Lodge 17/05/06

Saxon Lodge 04/10/05

Saxon Lodge 18/02/05

Saxon Lodge 13/08/04

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Coopers Mill Ltd

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Paradise Lodge

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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 Saxon Lodge 20 Smith Street Shoeburyness Essex SS3 9AL Lead Inspector Valerie Buckle Unannounced Inspection 18th January 2006 11:00 Saxon Lodge DS0000039678.V277271.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 Lodge DS0000039678.V277271.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 Lodge DS0000039678.V277271.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Saxon Lodge Address Saxon Lodge 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) Southend on Sea Borough Council Manager post vacant 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.V277271.R01.S.doc Version 5.1 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)). 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 to adults with a learning disability. It is close to local amenities and has a good local bus and train links to the area. The home offers single bed accommodation on the ground and first floor. 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. Saxon Lodge DS0000039678.V277271.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two hours. Not all the standards were inspected at this inspection. A sample of records, policies and practices and procedures were inspected and a tour of the building took place. Three staff including the registered manager were spoken to, time was spent talking to the residents at lunchtime. All the residents and good practice recommendations arising from the last inspection had been met. There were no requirements arising from the inspection. What the service does well: What has improved since the last inspection? What they could do better: As the future of the home has not as yet been determined, the home should start planning of the living space improvements with a view to looking at the future of the home and the residents. A planned improvement to the home is to install a shower room upstairs and remove one toilet. On the ground floor a new toilet is to be fitted because the current toilet is too low for resident to use. Saxon Lodge DS0000039678.V277271.R01.S.doc Version 5.1 Page 6 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 Lodge DS0000039678.V277271.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 Lodge DS0000039678.V277271.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): 1,2,3 Saxon Lodge offers a good level of information to people thinking of using the homes service. A comprehensive assessment is available to assess prospective residents before admission to the home. Prospective residents are able to visit the home before making a decision about living there. EVIDENCE: The homes policy and procedures on admission and the information in their statement of purpose and service users guide confirmed that a thorough preadmission assessment process takes place ensuring that the home can meet the needs and aspirations of the residents. There are no planned admissions to the home at present as the future of the home is yet to be determined. Currently the home has three vacancies, making the total number of residents living at the home to be ten. Saxon Lodge DS0000039678.V277271.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, 10 Individual residents care plans and risk assessments are devised for all residents. Residents are encouraged and supported to make decisions and participate in some aspects of daily life at the home. EVIDENCE: Two care plans and risk assessments seen were detailed and informative and easily accessible to staff giving clear guidelines to staff on actions to take to minimise risks. A policy and procedure on confidentiality was seen, residents use their own rooms, or the small visitors room for meetings with their families or visiting professionals to discuss issues of privacy. Key workers deal with residents monies as one of the residents living at the home are able, their finances were seen to be appropriately recorded and kept safe in a locked cabinet. Saxon Lodge DS0000039678.V277271.R01.S.doc Version 5.1 Page 10 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): 11,12,13 All residents are encouraged to be involved and pursue leisure interests and hobbies of their choice. Day care facilities and education provision is available for most residents. EVIDENCE: In each residents care plans there is an activities timetable, which shows financial and informal activities undertaken each week. Activities at the home are provided depending on residents needs and wishes, activities include cooking, gardening, shopping, going out for lunch, walks, watching TV or videos or relaxing. Most of the residents go to Day Centres and residents who are able discuss issues about the home and their choices of activities. The homes activities book details residents’ involvement in the activities provided. Wherever possible residents are supported by staff to maintain independent living skills and engage in small tests. During the course of the inspection, two residents were seen having lunch in the dining room, staff were seen to be very friendly and supporting them at the dining table. The atmosphere was very relaxed and homely. Saxon Lodge DS0000039678.V277271.R01.S.doc Version 5.1 Page 11 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): 20,21 Procedures are in place for the safe handling, recording and storage of medication. EVIDENCE: No resident living at the home, look after or administer their own medication, each resident has their own medication file, these files were seen to be appropriately recorded. Protocols for as and when required medication is in place and medication was stored satisfactorily. Most of the residents living at the home have a long-term plan in relation to sickness and death, this is included in their care plan. The policy of the home is to care and support residents who are ill at the home for as long as possible, unless the residents require nursing or medical care. Saxon Lodge DS0000039678.V277271.R01.S.doc Version 5.1 Page 12 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 A Protection of Vulnerable Adults policy and procedure is available which ensures residents to be safeguarded from abuse or neglect. EVIDENCE: All staff have completed POVA training, regular refresher courses take place and issues are discussed at staff meetings. Staff training files were seen to be very comprehensive and it was evident that training courses take place regularly. Information about the protection of vulnerable adults was seen displayed and included the flow charts of the procedure. Saxon Lodge DS0000039678.V277271.R01.S.doc Version 5.1 Page 13 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): 24, 25, 27, 30 Saxon Lodge provides a safe well maintained environment, which is accessible to residents and meets their individual needs. Resident’s rooms were personalised to individual taste of the residents. EVIDENCE: The home continues to provide a well-furnished homely environment for the residents. The home was seen to be clean and fresh, resident’s bedrooms were seen to be personalised and decorated to their individual taste. There were sufficient bathrooms and toilets to meet the needs of the residents living at the home. Bathrooms and toilets were decorated and clean. The manager explained that a new toilet is to be fitted on the ground floor, as the present toilet is too low for residents to use. Saxon Lodge DS0000039678.V277271.R01.S.doc Version 5.1 Page 14 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, 33, 35 The staff team are experienced and knowledgeable of residents needs and are trained and competent to do their job. Staff are supported and employed in sufficient numbers to meet the needs of residents and cover the rota. EVIDENCE: Since the last inspection where issues were raised concerning staffing levels and the use of agency staff, a new staffing rota showed that sufficient staff are on duty throughout the day and night and that agency staff are only used in emergency situations. The rota showed three staff on duty in the mornings, four staff on duty in the afternoon and two waking night staff. The manager said that three new staff have been transferred to the home who are qualified and experienced, and further new staff member in March. All staff members with the exception of one have completed NVQ training, one staff member is an NVQ assessor and one staff member has completed the Registered Managers Award. Staff training files were seen, these were comprehensive, all staff have completed mandatory training, with regular updates. Other areas include POVA and epilepsy training courses planned, include dementia and Insight and Awareness, which is a case on learning disabilities and covers twelve units of training. All agency staff who work at the home complete an initial induction sheet and a further induction procedure is also Saxon Lodge DS0000039678.V277271.R01.S.doc Version 5.1 Page 15 completed by them and the manager. An induction booklet is in place at the home for all new permanent staff. Three staff spoken to during the inspection said they enjoyed working at the home and felt supported by management. Saxon Lodge DS0000039678.V277271.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, 40, 41, 42, 43 The home is well managed by a qualified and experienced manager and is run in the best interests of the residents. Policies, procedures and records are in place, which protect residents. EVIDENCE: Since November 2005, the home has been managed by a qualified and experienced manager who was previously registered manager of another home. Application for registration of Saxon Lodge is being processed but the manager said this will only be a temporary position until a new manager is recruited this year. A sample of policies, procedures and records were seen which included Health and Safety of the home, a generic risk assessment, individual risk assessments for residents, two residents files, records of medication and residents monies, activities, and staff training files. Saxon Lodge DS0000039678.V277271.R01.S.doc Version 5.1 Page 17 A three yearly quality monitoring system was in place, questionnaires about the quality of care provided have been completed by residents/their families, staff and professionals involved in the care of the residents, a report of the findings has been written and a copy of this report has been sent to the CSCI. Saxon Lodge DS0000039678.V277271.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 3 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 3 25 3 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 3 X X 3 3 3 3 3 Saxon Lodge DS0000039678.V277271.R01.S.doc Version 5.1 Page 19 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. 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. Refer to Standard Good Practice Recommendations Saxon Lodge DS0000039678.V277271.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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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