Inspection on 27/02/06 for Saxon Lodge

This inspection was carried out on 27th February 2006.

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

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

Other inspections for this house

Saxon Lodge 30/12/08

Saxon Lodge 03/01/08

Saxon Lodge 09/10/06

Saxon Lodge 24/10/05

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 27th February 2006 10:00 Saxon Lodge DS0000062752.V273405.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 DS0000062752.V273405.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 DS0000062752.V273405.R01.S.doc Version 5.1 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) londonroad@tiscali.co.uk 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.V273405.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th October 2005 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.V273405.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection commenced on 27th February and was completed on 28th February 2006. It was the second of two statutory inspections required by the Care Standards Act 2000. The inspection covered eleven of the key standards, the remainder having been assessed during the inspection conducted on 24th October 2005. What the service does well: What has improved since the last inspection? 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. Saxon Lodge DS0000062752.V273405.R01.S.doc Version 5.1 Page 6 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.V273405.R01.S.doc Version 5.1 Page 7 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): 2 The home had a robust pre-admission procedure that ensured only those whose needs could be met would be admitted. EVIDENCE: Conversation with the manager and members of staff, and examination of the personal files of three residents showed that following referral, a rigorous and extended assessment process had been undertaken involving the prospective resident and his/her family, Saxon Lodge staff and other appropriate professionals. The pre-admission process for each prospective resident was conducted over a period of several months. Examination of the personal file of the most recently admitted resident showed the process had taken four months; during which time in-depth assessments were carried out to determine the homes ability to meet needs and to gauge compatibility with existing residents. After admission there was a trial period followed by a review to determine the suitability of the placement. Saxon Lodge DS0000062752.V273405.R01.S.doc Version 5.1 Page 8 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): These standards were assessed during the inspection conducted on 24th October 2005. EVIDENCE: Saxon Lodge DS0000062752.V273405.R01.S.doc Version 5.1 Page 9 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): 15,16,17 Staff encouraged and assisted residents to maintain family and friendship links. Resident’s rights and responsibilities were respected. Healthy eating was promoted. EVIDENCE: The manager and staff considered it important that residents should maintain family and friendship links, and worked closely with relatives to ensure they were kept fully informed about the progress of their family member. Visitors were encouraged and, if it were not possible for a relative or friend to come to Saxon Lodge, a member of staff would take the resident to visit them in their own home. General observation during the inspection, examination of care plans and associated documents, and conversation with a resident and members of staff indicated the daily routines in the home were flexible. Independence, individual choice and freedom of movement were promoted within the framework of individual plans and risk assessments. Saxon Lodge DS0000062752.V273405.R01.S.doc Version 5.1 Page 10 There was a very flexible approach to menu planning and, although there was a four-week menu in place, residents frequently chose alternatives to the dish of the day. The record of food served, however, showed healthy eating was promoted and residents were encouraged to have a balanced and varied diet. Saxon Lodge DS0000062752.V273405.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): These standards were assessed during the inspection conducted on 24th October 2005. EVIDENCE: Saxon Lodge DS0000062752.V273405.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 The home had policies, procedures and systems in place to safeguard residents from abuse. EVIDENCE: Policies and procedures (including the Stockton-on-Tees Area Child Protection Committee procedures, Counter Bullying and Absence without Authority) were in place to ensure the safety and protection of residents and to respond to any suspicion or allegation of abuse. All members of staff received appropriate training in the prevention and recognition of abuse during their induction programme. A programme of ongoing training ensured all members of staff attended refresher training. Saxon Lodge DS0000062752.V273405.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): These standards were assessed during the inspection conducted on 24th October 2005 EVIDENCE: Saxon Lodge DS0000062752.V273405.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): 32,34,35 Residents were protected by a competent staff and by the homes policies and procedures on recruitment, training and supervision. EVIDENCE: The home followed Milbury Care Services corporate recruitment policies and procedures that ensured a rigorous selection process was adhered to. Examination of personnel files revealed that information required by Schedules 2, 4 & 6 of the Care Homes Regulations 2001 was in place. Training records and conversation with the manager and two members of staff indicated the staff team had the skills and experience necessary to meet resident need. All new members of staff received a thorough induction and there was a corporate training programme. Training had recently been undertaken in the following areas: Epilepsy Awareness, Manual Handling, Food Hygiene, Safe Handling of Medicines, LDAF, Fire Safety, POVA, Extended Feeding, Introduction to Learning Disabilities. In addition 15 members of staff had successfully completed NVQ Level 3 (Children & Young People) and one had successfully completed NVQ Level 4 (Children & Young People). The home now has 80 of staff qualified to NVQ Level 3. Saxon Lodge DS0000062752.V273405.R01.S.doc Version 5.1 Page 15 Supervision records showed that all members of staff received formal supervision on at least six occasions per year. Saxon Lodge DS0000062752.V273405.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): 37,39,42 This is a well managed home with an enthusiastic and competent staff team. The health, safety and welfare of residents is protected by the homes record keeping and policies and procedures. EVIDENCE: The registered manager has many years experience of supporting people with learning disabilities both in a clinical and residential setting. She is the holder of the following qualifications: R.N.M.H., Certificate in Management Studies, C&G 325/2 Foundation Management of Care, E.N.B. 998 Teaching and Assessing, D32/D33 Assessors Certificate, Registered Managers Award. She is currently working towards NVQ level 4 in Care (Children and Young People). Saxon Lodge DS0000062752.V273405.R01.S.doc Version 5.1 Page 17 Members of staff were enthusiastic about their work and felt their contribution toward the running of the home was appreciated. They said they received good management support and supervision and said they were encouraged to undertake training that would aid their professional development and help them to meet resident’s need. The home had appropriate policies and procedures that complied with current legislation and recognised professional standards. Records were kept to safeguard resident’s rights and best interests and to ensure the safe and effective running of the home. These were up-to-date and stored appropriately. The home had various systems both formal and informal to measure success in meeting its aims, objectives and statement of purpose and to ensure residents rights and best interests were safeguarded: Monthly service reviews conducted by Milbury’s Operations Manager, Key worker system, Regular service user meetings, Monthly and annual quality assurance audits and Milbury’s “Letting Us Know What You Think” procedure – all of which sought the views of residents, family members and other appropriate parties. Saxon Lodge DS0000062752.V273405.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 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 x 23 3 ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x 3 x 3 x x 3 x Saxon Lodge DS0000062752.V273405.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 DS0000062752.V273405.R01.S.doc Version 5.1 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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