Inspection on 31/05/05 for Saxonwood

This inspection was carried out on 31st May 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 01/11/05

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 Announced 31 May 2005 10:00 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 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 Version 1.10 Page 3 SERVICE INFORMATION Name of service Saxonwood Address Saxonwood Road Battle East Sussex TN33 0EY 01424 774336 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Sussex Housing & Care Vacant Care Home 36 Category(ies) of Old age, not falling within any other category registration, with number (OP) of places Saxonwood Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: 1. That only older people will be accommodated. 2. That service users accommodated will be aged sixty five (65) years or over on admission. 3. That the maximum number of service users to be accommodated will be thirty six (36). Date of last inspection 14 December 2004 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 tp 36 older people, the registered provider is a local charity, Sussex Housing and Care. Saxonwood Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced Inspection took place over a morning and afternoon in May and lasted 5 ½ 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 twelve service users and information was also obtained from a comment card returned by one service user and a pre-inspection questionnaire completed by the manager. 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Saxonwood Version 1.10 Page 6 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 Standards Statutory Requirements Identified During the Inspection Saxonwood Version 1.10 Page 7 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 standard(s) 1, 2, 3, 4 & 5. Pre-admission procedures and information available to service users are good and help ensure that service users are appropriately placed in a service that is suitable to meet their needs. EVIDENCE: A statement of purpose and a service user’s guide have been produced for the home, these documents provide guidance for prospective service users about Saxonwood and the service provided by the manager and her staff; both documents were examined, they were of a good quality. Assessments of service users’ needs are undertaken by the management team prior to admission to the home; a selection were examined, they were of a satisfactory standard and covered all required areas of daily living. 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. All service users are issued with a contract detailing the terms and conditions of their stay at Saxonwood, this document contained all required information. One service user raised the issue of a recent rise in fees level due to change to his terms and conditions of residence, it has been recommended that he is informed in writing of the reasons for this. Saxonwood Version 1.10 Page 8 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 standard(s) 7,8 & 9. 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 manager 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. Since the last inspection improvements to the care planning system have been initiated and all plans examined were of a good quality. From records examined and discussions with service users it was evident that needs identified in the plans were being appropriately met by staff. It has been required that arrangements are put in place so that staff are aware when the very frail service user discussed leaves their room. 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, storage and records were examined and found to be in order. Saxonwood Version 1.10 Page 9 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 standard(s) 12, 13, 14 and 15. Arrangements in the home regarding social and recreational needs, visitors 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 art, exercise sessions, games and excursions; service users also said that they greatly enjoy the garden in the warmer weather. The home has a mini bus, which is used regularly for excursions; service users said that they had gone on an excursion to the seaside the previous week, which they had enjoyed. They also said that their visitors are made welcome by staff, can call at any reasonable time and are always offered refreshments. 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 service users, who were very complimentary of the meals provided for them. Saxonwood Version 1.10 Page 10 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 standard(s) 16 & 18. Current arrangements regarding complaints and adult protection matters are satisfactory and ensure that these matters are managed appropriately. EVIDENCE: The home has detailed complaints and adult protection procedures in place, both procedures were examined; they were of a satisfactory standard. Records examined confirmed that the manager handles complaints in line with written procedures. Service users said that they feel able to complain to the manager should they be unhappy with any aspect of the service that they receive. Saxonwood Version 1.10 Page 11 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 standard(s) 19, 20, 21, 22, 23, 24, 25 and 26. 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 meant an improvement to bedroom accommodation and to bathing facilities. The third phase is expected to start in the next year. An inspection of all areas of the environment 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; work is due to start in the next month to refurbish some bathrooms, which are currently institutional in style. 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 users who may have mobility problems. Service users spoke Saxonwood Version 1.10 Page 12 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. Written policies are in place regarding infection control and records examined confirmed that staff are trained in the subject. The laundry has recently been re-equipped with commercial washing machines and dryers, which comply with the requirements of national minimum standards. The home was clean and hygienic throughout. Saxonwood Version 1.10 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30. The current numbers and skill mix of staff ensure that service users’ needs are appropriately met. EVIDENCE: Staffing levels on the day of the inspection were satisfactory; numbers of staff on duty during the afternoon and evening have been increased since the last inspection; records examined confirmed that this is the case at all other times. Service users said that “the service is marvellous” and that “staff work very hard” and that they are always available should they require any assistance or support. Records examined confirmed that a good basic training is provided for staff, including first aid, fire prevention, moving and handling and infection control. 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 Version 1.10 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 35, 36, 37 and 38. Good management and administrative systems are in place which support staff in providing a good standard of care for service users. EVIDENCE: The manager, who has just applied to be registered with the Commission for Social Care Inspection, presented as experienced and competent, she is nearing the completion of her required management training. She demonstrated a clear understanding of the needs of older people. The home’s involvement in service users finances is limited to holding some personal spending monies for them. Balances and records regarding this were examined and found to be in order. A selection of the records required by regulation were examined, these were in order and were stored securely. Secure storage arrangements are available for service users to store valuables if they so wish. Records examined confirmed that the home has an effective quality assurance system in place. A selection of health and safety records was examined, these were in order. Regular risk assessments of the environment are undertaken Saxonwood Version 1.10 Page 15 and the environment appeared well maintained and safe. Any substances that may be hazardous to health are stored securely and written guidance is available in case of accidents with them. The home is fitted with a full fire protection system; records examined confirmed that it is tested regularly as is required and that fire drills take place at the prescribed intervals. Saxonwood Version 1.10 Page 16 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x 3 3 3 3 Saxonwood Version 1.10 Page 17 No Are there any outstanding requirements from the last inspection? 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. 1. Standard 7 Regulation 12(1)(a) Requirement That systems are put in place to inform staff when the very vulnerable service user discussed leaves their room. Timescale for action 31/6/05 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. 3. 4. Refer to Standard 20 28 31 2 Good Practice Recommendations That the home consider reintroducing a utility room on the floor discussed. That 50 of staff are trained to NVQ level by the end 2005. That the manager completes her required management training by the end of 2005. That the registered provider confirms in writing to the service user dicusssed the reasons for the recent fee increases. Saxonwood Version 1.10 Page 18 Commission for Social Care Inspection 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 Version 1.10 Page 19 - 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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