Inspection on 24/10/05 for Saxon Lodge

This inspection was carried out on 24th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Saxon Lodge 30/12/08

Saxon Lodge 03/01/08

Saxon Lodge 09/10/06

Saxon Lodge 27/02/06

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Blenheim House

Prince Bishop Court

Park View (15)

Craigmore House

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

CARE HOME ADULTS 18-65 Saxon Lodge South Road Norton Stockton-on-Tees TS20 2TB Lead Inspector Ray Burton Unannounced Inspection 24th October 2005 10:00 Saxon Lodge DS0000062752.V260988.R01.S.doc Version 5.0 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 DS0000062752.V260988.R01.S.doc Version 5.0 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 DS0000062752.V260988.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Saxon Lodge Address South Road Norton Stockton-on-Tees TS20 2TB 01543 416106 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) Milbury Care Services Limited Mrs Christine Tray Care Home 7 Category(ies) of Learning disability (7), Physical disability (0) registration, with number of places Saxon Lodge DS0000062752.V260988.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection N/A Brief Description of the Service: Saxon Lodge is a service offering residential placements to children and young adults aged 16 – 25 with a learning disability and physical disability. The home has been specially designed and equipped to meet the needs of people with a high physical dependency. Saxon Lodge DS0000062752.V260988.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted on the 24th October and the 11th November 2005 and was one of two statutory inspections required under the Care Homes Regulations 2001. What the service does well: What has improved since the last inspection? What they could do better: This inspection covered 11 of the 22 key standards, all of which met the National Minimum Standard and some of which exceeded it. Saxon Lodge DS0000062752.V260988.R01.S.doc Version 5.0 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 DS0000062752.V260988.R01.S.doc Version 5.0 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 DS0000062752.V260988.R01.S.doc Version 5.0 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): 5 Residents had been provided with a Service Users Guide and contract. EVIDENCE: The Statement of Purpose clearly set out the aims, objectives and philosophy of the home. Each resident had been given a copy of the Service Users Guide. This was presented in a user-friendly format with photographs of the home and symbols and pictures to aid understanding. Also included was a Service Agreement that had been signed by the resident or his/her representative and Saxon Lodge manager. Saxon Lodge DS0000062752.V260988.R01.S.doc Version 5.0 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): 6,7,9 The homes care planning process ensured resident’s needs were identified and met. Residents were consulted about all aspects of their life and were supported to lead an independent lifestyle. EVIDENCE: Five care plans were examined, each was well organised and provided a comprehensive and detailed account of all aspects of the subjects life: nutrition, mobility, financial, social etc. Risk assessments and risk management strategies were in place and there was evidence that these had been developed in conjunction with the resident and next of kin. Regular reviews ensured that changing needs and wishes were quickly identified and addressed. Not all of the residents were able to communicate verbally, however alternative means of communication were employed: gesture, signs, symbols, computer, objects etc. There was abundant evidence that residents “owned” their plan and that they and their families had been involved in all aspects of the care planning process. One plan contained a pen picture written by the resident’s mother. Entitled “My Story” it was a moving account of her daughters life and contained much valuable information such as background, important life events, likes/dislikes, methods of communication, favourite things etc. Saxon Lodge DS0000062752.V260988.R01.S.doc Version 5.0 Page 10 All residents were fully consulted, at an appropriate level, about everything affecting their lives and were assisted by staff to exercise choice and make decisions. One resident, with staff support, was working towards achieving a level of independence where he would be able to live in his own home in the community. This resident lived in a single person flat, specially adapted to meet his needs, within Saxon Lodge and enjoyed spending time in it and carrying out everyday household tasks such as food preparation, cleaning etc. The social worker of one of the residents visited the home on the day of the inspection. In conversation with the inspector she said: “I am extremely pleased with the placement. There is a good staff team. The home exactly meets my service users needs, there are no problems.” Saxon Lodge DS0000062752.V260988.R01.S.doc Version 5.0 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): 11,12,13,14, Residents were treated with respect and presented with opportunities to lead fulfilling lives. Staff supported residents to continue their education and encouraged them to take part in appropriate leisure activities. EVIDENCE: It was observed during the inspection that residents were treated with respect and that there was a relaxed and friendly atmosphere in the home. Routines were flexible, promoted independence and allowed residents to exercise personal choice and control over their lives (subject to their individual plan). Each young person living in the home was supported by staff to continue their education either at school (if in full-time education) or at a college of F.E. Care plans evidenced a close working relationship had been developed between the home and the relevant educational establishment to ensure each resident was given every opportunity to derive optimum benefit from the educational system. Saxon Lodge DS0000062752.V260988.R01.S.doc Version 5.0 Page 12 Care plans showed residents were encouraged and supported to take part in a variety of appropriate leisure activities both in-house and in the community: TV, music, shopping expeditions, visits to local pubs, cinema, theatres, trips out to the seaside. Saxon Lodge DS0000062752.V260988.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Personal and healthcare needs were met by staff from Saxon Lodge and appropriate community based professionals. EVIDENCE: It was apparent from staff comments and examination of care plans that the home worked as part of a multi-disciplinary team to ensure that each resident received the specialist input that was required to enable their needs to be met. Regular reviews were held to which appropriate professionals and family members were invited. One randomly selected review report showed that the following had been involved in review meetings: Resident, Mother, Key Worker (school), School Nurse, Community Nurse, physiotherapist, Reviewing Officer (Social Services), Manager and Senior Support Worker (Saxon Lodge). Specialist reports had been received from: Hospital Consultant, Physiotherapist, Occupational Therapist, Speech & Language Therapist, School Clinic, School. Constant monitoring of health was undertaken and healthcare needs addressed by residents own doctor and other community based professionals. None of the residents had been assessed as being able to control their own medication. All medicines were stored centrally in a secure facility and administered according to the homes policy and procedures by staff who had undergone suitable training. Saxon Lodge DS0000062752.V260988.R01.S.doc Version 5.0 Page 14 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): 22 The home had a satisfactory complaints procedure. EVIDENCE: The home had an appropriate complaints procedure, stating how complaints could be made, who would deal with them, the timescale for the process and what to do if not satisfied with the way in which the matter had been handled. A copy of the complaints procedure was included in the Service Users Guide that was given to each resident/relative upon admission. Saxon Lodge DS0000062752.V260988.R01.S.doc Version 5.0 Page 15 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): 24,25,26,27,28,29,30 Saxon Lodge provides comfortable, homely and safe accommodation and is able to meet the specialist physical needs of the residents. EVIDENCE: The location and design of the home was suitable for purpose. Saxon Lodge is a purpose-built two-storey building that has been registered to provide accommodation for young people between the ages of 16 to 25 who have learning disabilities and a physical disability. The home was designed after considerable input from appropriate professionals including occupational therapists and had been provided with a range of specialist disability equipment to enable the resident’s needs to be met e.g. en-suite assisted bathrooms with ceiling tracking from bedroom into bathroom, high low baths, hydro-tilt living room chairs. Furniture and equipment was of good quality and suitable for purpose. All rooms were accessible to wheelchair users. A passenger lift provided access to the first floor. A tour of the building revealed it to be maintained to a high standard. Décor was pleasant and cheerful. The home was clean and hygienic and free from offensive odours. Records showed that all necessary safety checks were carried out and maintenance of equipment carried out at required intervals. Posters, photographs, CD players, soft toys etc had individualised bedrooms so that they reflected the interests and personality of the occupant. Saxon Lodge DS0000062752.V260988.R01.S.doc Version 5.0 Page 16 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): These standards were not assessed on this occasion. EVIDENCE: Saxon Lodge DS0000062752.V260988.R01.S.doc Version 5.0 Page 17 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): These standards were not assessed on this occasion. EVIDENCE: Saxon Lodge DS0000062752.V260988.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x 3 Standard No 22 23 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 4 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 4 4 4 x 4 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Saxon Lodge Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x X DS0000062752.V260988.R01.S.doc Version 5.0 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 DS0000062752.V260988.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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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