Inspection on 09/10/06 for Saxon Lodge

This inspection was carried out on 9th October 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 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 Key Unannounced Inspection 9th October 2006 11:30 Saxon Lodge DS0000062752.V315774.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.V315774.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.V315774.R01.S.doc Version 5.2 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.V315774.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th February 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 between £1350 - £1500. Saxon Lodge DS0000062752.V315774.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection covering all of the key standards of the National Minimum Standards for Care Homes for Adults and of the Supplementary Standards for care homes accommodating young people aged 16 and 17. The inspection commenced on 9th October and was completed on 16th October 2006. During the inspection a tour of the building was conducted, records and care plans examined and the inspector spoke to residents, one visitor, members of staff and the registered manager. What the service does well: Saxon Lodge is a purpose-built home that has been designed and equipped to meet the needs of young people with a high physical dependency. It is a pleasant well-maintained building with furniture and equipment that is of good quality and suitable for purpose. This is a well managed home with an enthusiastic and stable staff team that has received good training to help them support the young people who live there. The home was well organised and all records were up-to-date. Each resident had a care plan that was very detailed and provided a comprehensive picture of his/her needs. The plans showed how staff endeavoured to involve the resident and worked with him/her to ensure care and support was given in the way that the individual wanted. The home worked very closely with residents families and health and social care professionals and many very positive comments were received about staff and the service they delivered: “No problems with staff – they’re a good bunch here.” (Resident) “The care for my sister is excellent. I have nothing to say that is not positive. Staff are always welcoming. Activities and interaction is excellent. Every member of staff is absolutely fabulous.” (Relative) A parent when asked what improvements should be made in the next 12 months said: “None – I am totally pleased with Saxon Lodge and all the staff. My son is very happy.” Saxon Lodge DS0000062752.V315774.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.V315774.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.V315774.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 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The homes, statement of purpose and service users guide provided prospective residents and their family with information to help them make an informed decision about the suitability of the home. The extended and detailed assessment process ensured only those whose needs could be met would be admitted. 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 Saxon Lodge manager and the resident or his/her representative. Saxon Lodge DS0000062752.V315774.R01.S.doc Version 5.2 Page 9 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. A visitor to the home told the inspector that prior to his sister being admitted the manager and other members of staff paid several visits to the family home as part of the assessment process “over a long period of time.” A social worker had written “ good co-operation with other professionals, especially during introduction and admission time – excellent liaison and cooperation with all involved.” Examination of the personal file of the last resident to be admitted showed the transitional period had lasted three months, during which time the home had worked closely with other professionals to conduct in-depth assessments to determine the homes ability to meet his needs and to gauge compatibility with existing residents. The prospective resident had visited Saxon Lodge on three occasions. The manager and members of staff had visited the family home to speak to the family and observe the service user in his home environment, they had also identified environmental changes that would be required to be made to Saxon Lodge before admission. Staff had spent three days at a residential home where the prospective resident had been receiving respite care; whilst there they had continued with the assessment process and had observed care practice. Prior to the new resident being admitted to the home, all members of staff had received two days training to help them meet his needs. Saxon Lodge DS0000062752.V315774.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): 6,7,9 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents were placed at the centre of the care planning process and were supported to make choices and to take control of their lives at a level appropriate to their skills and abilities. All care plan documentation was well maintained and up-to-date, Comprehensive risk assessments and risk management strategies were in place. EVIDENCE: Observation during the inspection, conversation with the manager and staff and examination of care planning documentation and daily records evidenced that each resident received good personal and individual support. Saxon Lodge DS0000062752.V315774.R01.S.doc Version 5.2 Page 11 Three residents files were examined, each was very well organised and contained a comprehensive, up to date and detailed picture of all aspects of the resident’s life. The files showed how residents were placed at the centre of the care planning process and that, where possible, they had indicated their involvement and agreement by their signature. All necessary documentation, including relevant “Looked After Children” documentation was in place and upto-date. Care plans, which had been developed with the co-operation of relatives and appropriate professionals, had been individually tailored to meet the needs and aspirations of the individual; it was evident that staff encouraged and supported residents to be involved at an appropriate level in the development of their own plan and to make decisions about their own lives. Considerable effort had been made to try to make the plans meaningful to the individual resident. The 24 hour care plan was a very easy to read document making use of coloured icons and simple language. Designed to be written at a level appropriate to the comprehension of the individual resident it was however acknowledged by the manager that in some cases the resident, because of his/her level of disability, would not be able to derive great benefit from it – nevertheless the document was a valuable quick and easy to read reference that provided staff with a thumbnail sketch of the residents needs, wishes, likes/dislikes and daily routines etc. Thorough initial assessments were carried out covering all aspects of the resident’s life: mobility, personal care, feeding, communication etc. Continuous monitoring and re-assessment ensured changing needs were identified and met. Comprehensive and detailed risk assessments were conducted and risk management strategies put in place. Residents were always consulted about issues affecting their lives and were helped to make their needs and wishes known. For those residents without speech, alternative means of communication were used: pointing, gesture, facial expression, signing etc. Circles of support had been developed and where a resident because of his/her level of disability was unable to contribute to the plan or be involved in the decision making process family members and appropriate others had contributed towards and approved the plan. Regular reviews of care, including “Looked After Children” reviews, were held to which all interested parties were invited. Saxon Lodge DS0000062752.V315774.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were treated with respect and were presented with opportunities to lead fulfilling lives. Staff enabled residents to continue with their education and encouraged and supported them to take part in appropriate leisure activities in the home and in the local and wider community. Residents were supported to develop and maintain family and friendship links. EVIDENCE: Care plans showed residents were encouraged and supported to develop their skills, to lead satisfying lives and to achieve as much independence as possible. Saxon Lodge DS0000062752.V315774.R01.S.doc Version 5.2 Page 13 Opportunity was provided for each resident to take part in a wide range of appropriate leisure activities both in-house and in the community: TV & videos, music, joining in with action songs, cooking, ball games, playing in the garden (especially the paddling pool), bike riding, swimming, walks around neighbourhood, shopping, visits to youth clubs, trips in the car to the seaside, cinema, theatre, “Wet & Wild” etc. Care plans also contained information about the educational needs of the residents, including Statements of Special Educational Needs and school reports where applicable. There was evidence of close co-operation between the home and the relevant educational establishment. Each resident received staff support to enable them to continue their education either at school or a college of further education. One resident told the inspector he was still happy with his placement at Saxon Lodge and “had no problems with the staff – they’re a good bunch here.” He said he was being helped to achieve the skills and independence necessary for him to be able to live by himself in the community. He said that his name had been placed on the council waiting list for a flat. At a previous inspection he had told the inspector that he was not very happy with his college placement as the groups were too large and he found the noise distracting, however now that he was a member of a smaller quieter group he was much more settled. He said that he had an electrically operated wheelchair and was able to go out by himself into the town and to visit friends. Although, because of their poor verbal skills, many of the residents were unable to tell the inspector if they were happy living at Saxon Lodge it was apparent there was a relaxed and friendly atmosphere in the home and that residents appeared at ease with staff. Daily records and conversation with members of staff indicated routines were flexible, promoted independence and individual choice and encouraged residents to participate in the day-to-day running of the home at an appropriate level and within the framework of individual plans and risk assessments. Staff recognised the importance of residents maintaining contact with family and friends and helped them to keep in touch by assisting with telephone calls and sending cards for special occasions such as Christmas and birthdays. A relative of one of the residents made the following comments: “The staff are always welcoming, myself and the rest of my family feel as if we are visiting X’s own home – we all feel comfortable………. We are often given drinks and meals, my father and I had our Christmas dinner here……..They keep in touch by letter and telephone calls and invite us to meetings……… There is always something going on such as Halloween and New Years Eve parties……… The food is good - there is a wide variety.” The relative told the inspector that staff would transport his sister to and from the family home for visits. Saxon Lodge DS0000062752.V315774.R01.S.doc Version 5.2 Page 14 The four-week menu and the record of food served showed residents were offered an imaginative, varied and balanced diet. Healthy eating was promoted and alternatives were always available should someone not wish to have the dish of the day. Saxon Lodge DS0000062752.V315774.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Healthcare and personal needs were met by staff who provided support in a sensitive and flexible manner in accordance with the wishes of the individual resident. Appropriate healthcare professionals provided advice and additional support. EVIDENCE: Care plans contained information about the person’s general health, dietary requirements and details of any specific ailment or medical condition. Some of the residents had complex health needs and the plans showed how the home worked as part of a multi-disciplinary team to ensure each resident received the specialist input that was required to enable their needs to be met. Saxon Lodge DS0000062752.V315774.R01.S.doc Version 5.2 Page 16 Conversation with members of staff and examination of care plans revealed an awareness of providing personal support in a sensitive and flexible manner; and of consulting with residents and supporting them to maintain as much independence and control over their own care as was possible. None of the residents had been assessed as being able to control their own medication. All medicines were stored appropriately in a secure facility and administered according to the homes policy and procedures by staff who had undergone suitable training. Saxon Lodge DS0000062752.V315774.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had a suitable complaints procedure and policies and procedures to safeguard residents from abuse. Staff had received training in adult and child protection. 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 given to each resident/relative upon admission. Examination of the complaints record showed that no complaints had been received since the last inspection. A visiting relative told the inspector that he had no complaints about the home or the care extended to his relative. He said that there were no problems whatsoever and he had never had any cause to complain but said any observations or requests were always dealt with straight away. 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. Saxon Lodge DS0000062752.V315774.R01.S.doc Version 5.2 Page 18 All members of staff received training in the prevention and recognition of abuse during their induction programme. Records showed training delivered during the last 12 months had included: Protection of Vulnerable Adults (POVA) and Protection of Children Act (POCA). In conversation members of staff had displayed an awareness of what constitutes abuse and knew what procedure to follow should such an incident be brought to their attention. Saxon Lodge DS0000062752.V315774.R01.S.doc Version 5.2 Page 19 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. 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. EVIDENCE: The location and design of the building is suitable for purpose. Saxon Lodge is a purpose-built two-storey building that is registered to provide accommodation for young people between the ages of 16 to 25 who have learning and physical disabilities. The home was designed after considerable input from appropriate professionals including occupational therapists and has been provided with 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 are accessible to wheelchair users. Saxon Lodge DS0000062752.V315774.R01.S.doc Version 5.2 Page 20 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 “rehabilitation” flat within the home has, following a recommendation from an occupational therapist, been specially adapted to meet the needs of the occupant. 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. Furniture and equipment throughout the home was of good quality and suitable for purpose. Bedroom had been personalised to reflect individual taste and contained many personal items such as posters, photographs, CD players, soft toys etc. Saxon Lodge DS0000062752.V315774.R01.S.doc Version 5.2 Page 21 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): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were protected by a competent staff team and by the homes policies and procedures on recruitment, training and supervision. EVIDENCE: On the days of the inspection there were sufficient numbers of staff on duty to meet the needs of residents. Examination of the staffing roster revealed the home was always well staffed. Examination of personnel files 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. Saxon Lodge DS0000062752.V315774.R01.S.doc Version 5.2 Page 22 Training records and conversations with the manager and members of staff showed the home had a good training policy and that all staff were encouraged to undertake training that would aid their personal development and help them meet resident needs. Recently completed training included: Food Hygiene, Manual Handling, Safe Handling of Medicines, Autism, Sexuality, Protection of Vulnerable Adults, Challenging Behaviour, First Aid, Communication, Nutrition, Epilepsy Awareness. The home employs 16 members of staff, 12 are qualified to NVQ level 3 in Care Supervision records showed that all members of staff received formal supervision on at least six occasions a year. Saxon Lodge DS0000062752.V315774.R01.S.doc Version 5.2 Page 23 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 home had policies and procedures that complied with current legislation and recognised professional standards and covered all aspects of the management of the home. Saxon Lodge DS0000062752.V315774.R01.S.doc Version 5.2 Page 24 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 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 residents and staff. Regular checks of the building and equipment were carried out and maintenance and servicing undertaken to ensure a safe and comfortable environment. 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 (with Regulation 26 reports sent to CSCI), Service user reviews, Staff meetings, Regular informal feedback from residents, relatives and visiting professionals. An annual service review with questionnaires sent to service users, relatives and appropriate professionals elicited the following comments: “Saxon Lodge is excellent in every way. One of the young people with whom I am involved has a high level of health needs. The dedication and commitment of staff to her is exemplary.” (Social worker 1) “May I take this opportunity to congratulate Chris Tray and her staff for working so successfully with my client. The commitment from Chris to make the placement work was 100 , without this my clients placement would surely have failed.” (Social worker 2) “I have always felt very welcome at Saxon Lodge. It seems a very caring place where residents are treated with both affection and dignity.” (Speech & Language Therapist) Observation during the inspection, conversation with a resident, visitor, staff and the manager indicated the interaction between residents and staff was good; and that the management approach created an atmosphere where everyone was encouraged to participate, at an appropriate level, in the running of the home. Members of staff displayed good insight into the caring role, were enthusiastic about their work and spoke highly about the management of the home. The registered manager is the holder of appropriate qualifications in management and care and has many years experience of supporting people with learning disabilities both in a clinical and residential setting. Saxon Lodge DS0000062752.V315774.R01.S.doc Version 5.2 Page 25 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 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 3 3 3 3 3 X Saxon Lodge DS0000062752.V315774.R01.S.doc Version 5.2 Page 26 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.V315774.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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.V315774.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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