Inspection on 03/01/08 for Saxon Lodge

This inspection was carried out on 3rd January 2008.

CSCI found this care home to be providing an Excellent service.

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 09/10/06

Saxon Lodge 27/02/06

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 3 January 2008 09:30 rd Saxon Lodge DS0000062752.V356898.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 DS0000062752.V356898.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 DS0000062752.V356898.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Saxon Lodge Address South Road Norton Stockton-on-Tees TS20 2TB 01642 553795 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 Ltd Mrs Christine Tray Care Home 8 Category(ies) of Learning disability (8), Physical disability (8) registration, with number of places Saxon Lodge DS0000062752.V356898.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th October 2006 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. The current weekly charge ranges from £1350 to £1500. Saxon Lodge DS0000062752.V356898.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This was an unannounced inspection covering all of the key standards; it commenced on 03/01/08 and was completed on 14/01/08. This was a very positive inspection and the inspector found many examples of good practice in the home. The inspector looked round the building and examined care plans and other records. He also spoke to the manager, members of staff and relatives of service users. Because the people who live in the home cannot use speech to communicate they were not able to say if they enjoyed living at Saxon Lodge, however there was a relaxed and friendly atmosphere and it was obvious from their smiles and laughter that they were happy and at ease with each other and with staff. What the service does well: Saxon Lodge is a purpose-built home that has been designed specifically to meet the needs of the young people who live there. The home is extremely well equipped with many different aids to help people with mobility difficulties. This is a very well managed home with an enthusiastic and stable staff team who deliver an extremely high standard of personal care to the people living there. Care plans are comprehensive and detailed and clearly show how staff try to involve service users in their own care and work with them so that they achieve as much independence as possible and receive their care and support in the way that they prefer. The home has a thorough pre-admission procedure and staff work closely with the prospective service user, his/her family and appropriate professionals such as occupational therapists, specialist nursing services etc to ensure no-one is admitted unless their needs can be met. The mother of one of the service users said that prior to her son being admitted to the home she had great reservations as to whether staff would be able to meet his needs, however he quickly settled and she felt this was largely due to the thorough assessment process and to the specialist training given to staff to help them meet her son’s needs. Saxon Lodge DS0000062752.V356898.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Saxon Lodge DS0000062752.V356898.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Saxon Lodge DS0000062752.V356898.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5. People who use the service experience excellent quality outcomes in this area. The homes statement of purpose and service users guide provide prospective service users and their family with information to help them make an informed choice about the suitability of the home. The extended and detailed assessment process ensured only those whose needs could be met would be admitted. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home had a statement of purpose, updated in May 2007, setting out the aims, objectives and philosophy of the home. Service agreements, signed by the Saxon Lodge manager and the resident or his/her representative, were in place. Each resident had been given a copy of the service users guide, presented in a user-friendly format with photographs of the home and symbols and pictures to aid understanding. Examination of three personal files revealed that following referral a comprehensive and lengthy assessment process had been undertaken to Saxon Lodge DS0000062752.V356898.R01.S.doc Version 5.2 Page 9 ensure that only those whose needs could be met would be admitted to the home. The mother of one of the residents said that prior to her son being admitted to the home she had great reservations as to whether the staff would be able to meet his needs, however he quickly settled and she felt this was largely due to the thorough assessment process and to the specialist training given to staff to help them meet her son’s needs. Records relating to the last two service users to be admitted evidenced the home had co-operated closely with the prospective residents and their family and had engaged with appropriate professionals to conduct comprehensive assessments and develop strategies to meet identified need. Various major alterations had been made to the building to ensure physical needs could be met; these included the re-configuration of a flat formerly used as a stepping stone to independent living and the installation of specialist bathing and mobility equipment. The assessment period had lasted for approximately two months and during that time staff from Saxon Lodge had made several visits to the family home; these had been followed by planned “tea visits” to Saxon Lodge culminating in a weekend stay. This transition period had allowed the prospective residents to familiarise themselves with the home and get to know the current residents and members of staff. Saxon Lodge DS0000062752.V356898.R01.S.doc Version 5.2 Page 10 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): 6,7,8,9. People who use the service experience excellent quality outcomes in this area. Residents are placed at the centre of the care planning process and are supported to make choices and take control of their lives at a level appropriate to their skills and abilities. All care planning documentation is well maintained and up-to-date. Comprehensive risk assessments and risk management strategies are in place. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Service users files contained comprehensive and detailed care plans covering all areas of the individual’s life, clearly describing his/her needs and wishes and showing how they would be met. Thorough initial assessments were conducted of all areas of the service user’s life: health, mobility, personal care, feeding, communication etc. Continuous re-assessment ensured plans were accurate, up-to-date and that changing needs were identified and met. Saxon Lodge DS0000062752.V356898.R01.S.doc Version 5.2 Page 11 Conversation with the manager and members of staff and examination of care plans and other records showed how each service user was placed at the centre of the care planning process and had been involved, at an appropriate level, in the making of decisions affecting his/her life. Twenty-four hour care plans were presented in a user-friendly format with much use made of pictures etc. Regular review meetings were held attended by the service user and family, members of staff from Saxon Lodge and other appropriate professionals such as social worker, independent advocate etc. A social worker said: “ Since admission she has put on weight and has been well. The home is very flexible and person centred around her needs.” Their level of disability prevented service users from fully understanding the care planning process and lack of speech made it difficult for them to easily communicate their wishes however it was apparent that staff, always consulted with them and, constantly strove to help them make their wishes known by employing alternative means of communication such as: the use of pictures, signing, pointing, gesture and facial expression. None of the current service users had any concept of danger and were totally dependent upon others for their safety and wellbeing. Care plans showed that comprehensive and detailed risk assessments had been conducted in all areas of daily life, and risk management strategies put in place to enable each service user to lead as full a life as was possible and to participate in a wide range of activities safely and with appropriate support. Sometimes, to ensure safety, environmental changes had to be made e.g. removing electrical sockets and switches in a service user’s bedroom and relocating them in a position unreachable to the occupant. Although unable to take an active part in the running of the home all service users were encouraged to take an interest in what was going on and to participate at a level appropriate to their individual skills and ability e.g.: accompanying a member of staff when shopping, being involved in a baking session or merely being with a member of staff and observing what they were doing. Saxon Lodge DS0000062752.V356898.R01.S.doc Version 5.2 Page 12 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): 11, 12, 13, 14, 15, 16, 17. People who use the service experience good quality outcomes in this area. Service users were treated with respect and were presented with opportunities to lead fulfilling lives. Staff supported them to take part in appropriate leisure activities in the home and in the wider community. Service users were supported to develop and maintain family and friendship links. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Because of their inability to verbally communicate, service users were unable to tell the inspector if they were happy living at Saxon Lodge however there was a relaxed and friendly atmosphere in the home and it was obvious from their smiles and laughter that service users were at ease with members of staff and enjoyed their company. Saxon Lodge DS0000062752.V356898.R01.S.doc Version 5.2 Page 13 It was evident from conversation with staff, and inspection of care plans and daily records that routines were flexible and enabled staff to adapt to the needs and wishes of individual service users who were encouraged and supported to maintain existing skills, develop new ones and achieve as much independence as possible. The high staffing levels enabled service users to receive one to one attention and support from staff who provided each service user with opportunity to take part in a range of appropriate activities both in-house and in the community. A member of staff had recently been appointed as Activities Co-ordinator and it was confirmed by her and other members of staff that activity programmes were in place for each of the service users. An activity programme, designed to meet the needs and wishes of one service user, showed the following individual activities were regularly undertaken: massage/manicure/reflexology, hydrotherapy, music, sensory room/relaxation, arts & crafts, video/DVD, walks out, water play, personal shopping, baking. Other activities regularly enjoyed by people living in the home included: visits to places of local interest such as the coast and countryside, youth club, cinema, music/karaoke nights, special events/parties for birthdays, Christmas, Easter, Halloween etc., wheelchair dancing and ice skating. The mother of a service user said: “ He goes on trips and holidays to Center Parcs. There are always lots of activities.” Staff recognised the importance of service users keeping in touch with family and friends and helped to maintain contact by inviting them to birthday parties etc and by keeping an “important dates” list detailing significant birthdays, anniversaries etc and by sending cards for special occasions. Examination of records of food served showed service users were given a wide choice of food that reflected dietary requirements and individual preferences. In a questionnaire returned as part of the annual service review a social worker had commented: “All meals are thoughtfully prepared with each service user in mind i.e. dislikes, texture, amounts, preferences. Saxon Lodge DS0000062752.V356898.R01.S.doc Version 5.2 Page 14 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, 21. People who use the service experience good quality outcomes in this area. Healthcare and personal needs are met by staff who provide support in a sensitive and flexible manner in accordance with the wishes of the individual. Appropriate healthcare professionals provided advice and additional support. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Care plans contained detailed information about the service user’s general health, dietary requirements and details of any specific ailments or medical conditions. Some of the service users had complex health needs and the plans showed how the home worked as part of a multi-disciplinary team to ensure each person received the specialist input to enable needs to be met e.g. Speech therapists for assessment and advice relating to swallowing difficulties and occupational therapists to develop specific and individualised protocols for moving and handling. Saxon Lodge DS0000062752.V356898.R01.S.doc Version 5.2 Page 15 None of the service users was able to control his/her medication and all medicines were stored securely and appropriately and were administered according to the homes policy and procedures by members of staff who had received training, and been assessed as being competent, in the safe handling of medicines. Staff had an awareness of the importance of providing personal support in a sensitive and flexible manner and of adhering to the homes policy on single gender care. Requests for single gender care were documented in care plans. The home had a policy to deal with the ageing, illness and death of a service user and details of individual wishes were documented in the person centred plan. Saxon Lodge DS0000062752.V356898.R01.S.doc Version 5.2 Page 16 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): 22,23. People who use the service experience good quality outcomes in this are. The home has a suitable complaints procedure and policies and procedures to safeguard service users from abuse. Staff have received training in adult and child protection. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The home had an appropriate corporate complaints policy and 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 user-friendly complaints procedure was displayed in the entrance hallway and a copy given to service users and families on admission. Examination of the complaints record showed that no complaints had been received since the last inspection, however many positive comments had been made both as part of the annual service review and directly to the inspector during the inspection: “A marvellous service – I trust them with my son.” (A parent) “Great attention from staff.” (A parent) “We are very pleased with the care our son receives. He seems very happy at Saxon Lodge.” (Parents) Saxon Lodge DS0000062752.V356898.R01.S.doc Version 5.2 Page 17 “Always a pleasure to come into this well presented and cared for environment. Any discussions are always positive and dealt with in a very professional manner.” (Learning Leader from a school attended by a service user) All members of staff had received training in the prevention and recognition of abuse during their induction programme and subsequent training in the Protection of Vulnerable Adults (POVA) and Protection of Children Act (POCA). Saxon Lodge DS0000062752.V356898.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, 25, 26, 27, 28, 29, 30. People who use the service experience excellent quality outcomes in this are. The home provides comfortable, homely and safe accommodation and has been designed and equipped to cater for the specialist needs of the people who live there. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The location and design of the building is suitable for purpose. Saxon Lodge is a purpose-built two storey building registered to provide accommodation for young people between the ages of 16 to 25 who have learning and physical disabilities. The home was designed with considerable input from appropriate professionals including occupational therapists and has a range of specialist disability equipment: en-suite assisted bathrooms with ceiling tracking from bedroom into bathroom, high low baths, hydro-tilt living room chairs. All rooms Saxon Lodge DS0000062752.V356898.R01.S.doc Version 5.2 Page 19 are accessible to wheelchair users. A passenger lift provides access to the first floor. Additional equipment has been obtained and alterations, where necessary, have been made to the environment to meet individual need. The recently converted “rehabilitation” flat, where extensive alterations were carried out and ceiling hoists and specialist bathing facilities installed, demonstrates the provider’s willingness for the service to adapt to meet the needs of individuals. A tour of the building revealed it to be maintained to a high standard. Décor was pleasant and cheerful and the home was clean and hygienic and free from offensive odours. Furniture and equipment was of good quality and suitable for purpose. Bedrooms had been personalised to reflect individual taste and contained many personal items such as posters, photographs, CD players, soft toys etc. Overall the environment was excellent, however the building was beginning to show signs of wear caused, in the main, by wheelchairs knocking against walls and doors. The manager said a re-decorating programme was due to commence in the new financial year; also new furniture was to be purchased for the communal areas of the home. Saxon Lodge DS0000062752.V356898.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, 36. People who use the service experience excellent quality outcomes in this area. Residents are protected by a competent staff team and by the homes policies and procedures on recruitment, training and supervision. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Saxon Lodge has a strong and stable staff team with good knowledge of individual service users and their needs. Members of staff have benefited from a good training programme; records showed that in addition to mandatory training staff had received instruction in many areas specific to the needs of individual service users e.g. Postural Drainage, Midazolam Administration, Autism, Nutrition. 80 of staff was qualified to a minimum of NVQ level 2 and 74 to NVQ level 3. Monthly staff meetings, also attended by service users, ensured all members of staff are involved in the overall running and organisation of the home. Saxon Lodge DS0000062752.V356898.R01.S.doc Version 5.2 Page 21 Supervision records showed all members of staff received a minimum of six formal supervision sessions a year. On the days of the inspection there were sufficient numbers of staff on duty to meet the needs of service users. Examination of the staffing roster revealed the home was always well staffed with a minimum of four on duty during the day, increasing to five for evenings and weekends. A visiting social worker made the following comments: “Good staffing levels at all times. The staff show an interest and commitment to residents and provide excellent personal care and support.” Examination of six personnel files showed them to contain all required documentation and evidenced that, prior to a new member of staff commencing employment, the home obtained two suitable references and conducted all necessary checks including Criminal Records Bureau (CRB). Saxon Lodge DS0000062752.V356898.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, 38, 39, 40, 41, 42, 43. People who use the service experience excellent quality outcomes in this area. This is a well managed home with an enthusiastic and competent staff team that continually strives to improve standards. The health, safety and welfare of service users are protected by the homes record keeping and policies & procedures. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The registered manager has the required qualifications, experience and knowledge in both management and care and is highly competent to run the home. She provides strong leadership and has a management style that is empowering and supportive. Members of staff, both directly to the inspector Saxon Lodge DS0000062752.V356898.R01.S.doc Version 5.2 Page 23 and in questionnaires as part of the 2007 Annual Service Review, were very positive about the manager and the way the home was run: “The manager is always available.” “She is very approachable and supportive and the training we receive is good.” “This is a close knit team with a manager who is very supportive and helpful.” As part of the same review a social worker said: “I think Chris is a very good manager.” The home had policies and procedures that complied with current legislation and current good practice and covered all aspects of the management of the home; these were regularly reviewed. Records were kept to safeguard service user’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 manager and staff were aware of their responsibilities under Health & Safety legislation. Policies and procedures were in place to cover the health, safety and welfare of service users and staff. Records showed that regular checks of the building and equipment were carried out and maintenance and servicing undertaken to ensure a safe and comfortable environment. It is apparent that the home is being run in the best interests of the service users and that the manager and staff have a strong commitment towards ensuring all service users enjoy a fulfilling lifestyle and are supported to achieve as much independence as possible. The home had various systems, both formal and informal, to measure success in meeting its aims, objectives and statement of purpose and to ensure service users rights and best interests were safeguarded: Regulation 26 visits conducted by the company’s Operations Manager, regular service user reviews, annual service audit and review, staff meetings. Saxon Lodge DS0000062752.V356898.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 3 2 4 3 4 4 3 5 3 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 4 26 4 27 4 28 3 29 4 30 3 STAFFING Standard No Score 31 X 32 3 33 4 34 3 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 3 3 X LIFESTYLES Standard No Score 11 4 12 4 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 4 4 3 3 3 3 4 Saxon Lodge DS0000062752.V356898.R01.S.doc Version 5.2 Page 25 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.V356898.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 DS0000062752.V356898.R01.S.doc Version 5.2 Page 27 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!