Inspection on 01/11/05 for Saxonwood

This inspection was carried out on 1st November 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

Saxonwood 15/01/09

Saxonwood 04/09/07

Saxonwood 04/09/06

Saxonwood 31/05/05

Saxonwood 14/12/04

Saxonwood 13/07/04

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Saxonwood Saxonwood Road Battle East Sussex TN33 0EY Lead Inspector Andy Denness Unannounced Inspection 1st November 2005 09:00 X10015.doc Version 1.40 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 Saxonwood DS0000021203.V256287.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 Older People. 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. Saxonwood DS0000021203.V256287.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Saxonwood Address Saxonwood Road Battle East Sussex TN33 0EY 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) 01424 774336 Sussex Housing and Care Angela Sims Clements Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (36) of places Saxonwood DS0000021203.V256287.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. That only older people may be accommodated. That service users accommodated will be aged sixty five (65) years or over on admission. That the maximum number of service users to be accommodated will not exceed thirty six (36). 31st May 2005 Date of last inspection Brief Description of the Service: Saxonwood is a detached property situated in a quiet cul de sac in Battle. The town centre with its shops and access to bus and rail routes is a short walk away. Accommodation is provided in single rooms on three floors, two shaft lifts are fitted to assist access to the first and second floors. The home is registered to accommodate up to 36 older people, the registered provider is a local housing association, Sussex Housing and Care. Saxonwood DS0000021203.V256287.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced Inspection took place over a morning in November and lasted four hours. To help gather evidence on how the home is performing the Inspector sat and ate a meal with service users, met with staff and the home’s manager, examined a range of records and written information and undertook a short tour of the premises. In depth discussions took place with eight service users. 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. Saxonwood DS0000021203.V256287.R01.S.doc Version 5.0 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Saxonwood DS0000021203.V256287.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Saxonwood DS0000021203.V256287.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 5 and 6. Pre-admission procedures are good and help ensure that service users are appropriately placed in a service that is suitable to meet their needs. EVIDENCE: The management team undertake assessments of service users’ needs prior to them moving in; the assessments of the last two service users to move in were examined, they were of a good quality and clearly highlighted the areas where support from staff would be required. Service users spoken to said that that they or their relatives had the opportunity to visit the home and look around prior to moving in. The home does not provide an intermediate (rehabilitative) care service. Saxonwood DS0000021203.V256287.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. The policies, procedures and practices in the home regarding health, personal and social care needs are good and help ensure that identified service user needs in these areas are appropriately met by staff. EVIDENCE: Using the initial assessment of need undertaken by the management team as a starting point individual plans of care are compiled for each service user; these identify amongst other things what support service users require from staff to meet their day to day needs in relation to health, personal and social care needs. A selection of plans was examined, they were of a very high quality and the manager is to be commended for her hard work over the last year in improving this system. From records examined and discussions with service users it was evident that needs identified in the plans were being appropriately met by staff. Service users also confirmed that medical and other professional help is obtained for them when it is required. Some service users look after their own medication, records examined confirmed that risk assessments are undertaken when this is the case. However staff manage medication for the majority of service users; a monitored dosage medication system is used, Saxonwood DS0000021203.V256287.R01.S.doc Version 5.0 Page 10 storage and records were examined and found to be in order. Staff were observed to ensure service users the utmost respect when talking to them and the Inspector was told by service users that staff will always knock on their door and await an answer before entering and that all mail is passed to them for opening themselves. The home has a written procedure in place for staff to follow in the event of the death of a service user. The Inspector was told that if possible a service user who was dying would be supported to spend their last days in the home in familiar surroundings with people that they know. Service user wishes upon their death are recorded in the plans of care. Saxonwood DS0000021203.V256287.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 14 and 15. Arrangements in the home regarding social and recreational needs and meals are good and ensure service users choice and variety in all of these areas. EVIDENCE: From discussions with service users it was evident that a range of leisure activities are available to them, an activities organiser is employed for two days of the week to assist with this. Activities include bingo, art, exercise sessions, games and excursions; the Inspector sat with several service users during a regular craft session where crackers were being made for Xmas, they said that they greatly enjoyed these sessions. They said that they regularly go on excursions in the home’s mini bus to places of interest and have visited other homes owned by Sussex Housing and Care for social events. Service users confirmed that regular church services take place. The ‘Friends of Saxonwood’ a volunteer committee call regularly to visit service users and help fund raise for entertainment and birthday presents. Service users said that they have choices in all areas of their lives including how to spend their time, when to get up and go to bed etc. It was evident from records examined that a varied and wholesome menu is provided. The Inspector sat and ate with service users at lunchtime, the meal was well prepared and presented and obviously enjoyed by them. Saxonwood DS0000021203.V256287.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 17. Complaints are managed appropriately and acted on if necessary and service users legal rights are protected. EVIDENCE: The home has a detailed complaints policy; records examined confirmed that complaints are investigated in line with the procedure. Service users said that they feel able to complain and are confident that their concerns would be acted on. Records examined showed that all service users are registered to vote service users said that they are assisted with postal votes if they require help. Saxonwood DS0000021203.V256287.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Physical standards throughout the home are very high ensuring that service users live in a spacious, comfortable, safe, well maintained environment which is suitable to meet their needs. EVIDENCE: Saxonwood is part way through a three-phase refurbishment. Phases one and two have been completed; this has resulted in improvements to bedroom accommodation and to bathing facilities. The third phase is expected to start within the next two years. An inspection of the premises confirmed that physical standards throughout are high. All bedrooms comply with the size requirements of national minimum standards; service users said that they are able to bring their own furniture with them and most have done so, this has resulted in pleasant personalised rooms. The majority of rooms are now ensuite and other bathrooms and WCs are also available; refurbishment work has just finished to several WCs and work is due to start on others in the very near future. Two shaft lifts are fitted to assist access to first and second floor accommodation and a range of aids and adaptations were seen to help service Saxonwood DS0000021203.V256287.R01.S.doc Version 5.0 Page 14 users who may have mobility problems. Service users spoke highly of the standard of their rooms and facilities. They have a choice of two lounges and a dining room to use, all of which are furnished and decorated in a homely comfortable style. Heating is provided by a gas central heating system with radiators in all rooms, all radiators are guarded and service users can control the temperature of their rooms themselves. Tests confirmed that hot water is delivered to wash hand basins and baths at a safe temperature. The laundry is equipped with commercial washing machines and dryers, which comply with the requirements of national minimum standards. The home was clean and hygienic throughout. At the request of a service user a new utility room is being developed so that service users can do their own laundry and prepare hot drinks. Since the last inspection improvements have been made to the garden including relaying of paths and the making safe of the pond. The garden is laid to lawn and flowerbeds and also has a small putting green and a vegetable garden. Service users were very complimentary of the gardens and the hard work done by the gardener and his assistant. Saxonwood DS0000021203.V256287.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 and 29. Service users needs are met by sufficient numbers of hard working, motivated and well-trained staff. EVIDENCE: Staffing levels on the day of the inspection were satisfactory with enough staff on duty to meet the needs of service users; this was confirmed in discussions with service users. Staffing includes management, care staff and ancillary staff including catering staff, cleaners, a laundress, a maintenance man, a gardener and an activities organiser. Service users spoke very highly of all staff, their comments included “ every carer is splendid”, “ staff couldn’t be better and “I’m wonderfully cared for”. Currently 50 of staff are not trained to NVQ level 2 as is required by national minimum standards, however the manager is confident of reaching the target by the end of this year. Records examined confirmed that robust recruitment procedures are followed, when new staff are employed, this includes the use of application forms, the following up of two references, ID checks, criminal record checks, Protection of Vulnerable Adult checks and the issuing of contracts of employment. Saxonwood DS0000021203.V256287.R01.S.doc Version 5.0 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 34 and 38. Excellent management and administrative systems are in place that support staff in providing the good standard of care received by service users. EVIDENCE: Since the last inspection the manager has been registered with the Commission for Social Care Inspection. She has completed the required level of management training and confirmed that she is close to completing her NVQ level 4 in care. She was present during the inspection and throughout demonstrated a clear understanding of the needs of older people. The Inspector was told that currently 50 of staff are not trained to the national NVQ level 2 as is required, however several staff are close to completing the course and the manager is confident that the target of 50 will be met in the near future. The insurance certificate for the home was seen; this confirmed that cover is set at the required level. A selection of health and safety records Saxonwood DS0000021203.V256287.R01.S.doc Version 5.0 Page 17 including tests of the fire precaution system assessments were examined these were in order. and environmental risk Saxonwood DS0000021203.V256287.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 Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Saxonwood DS0000021203.V256287.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. 1. 2. Refer to Standard OP28 OP31 Good Practice Recommendations That 50 of staff are trained to NVQ level by the end 2005. That the manager completes her required NVQ level 4 in Care training by the end of 2005. Saxonwood DS0000021203.V256287.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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. Extracts may not be used or reproduced without the express permission of CSCI Saxonwood DS0000021203.V256287.R01.S.doc Version 5.0 Page 21 - 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. 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