Inspection on 16/06/05 for The Saffrons

This inspection was carried out on 16th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

The Saffrons 27/06/08

The Saffrons 26/09/06

The Saffrons 11/10/05

The Saffrons 09/12/04

The Saffrons 07/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

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 The Saffrons The Saffrons 20 Saffrons Road Eastbourne East Sussex BN21 1DU Lead Inspector Jon Wheeler Unannounced 16 June 2005 9:30 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. The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service The Saffrons Address 20 Saffrons Road Eastbourne East Sussex BN21 1DU 01323 720430 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) Mr Richard Williams Mrs Dagmar Williams Mrs Dagmar Williams Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (OP) 19 of places The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1 The maximum number of service users to be accommodated is nineteen (19). Date of last inspection 9 December 2004 Brief Description of the Service: Saffrons is registered to provide residential care for nineteen older people. It is a three-storey building, situated in an attractive, quiet residential area of Eastbourne, with the front of the building overlooking Saffrons Park. The home is within walking distance of Eastbourne town centre, the local amenities and the railway station. There are 13 single rooms and 3 double rooms. Communal areas include a lounge and dining room. There is a well-maintained enclosed garden to the rear, which is accessible to all service users. There are sufficient bathing and toilet facilities, with twelve bedrooms having en-suite facilities. A lift enables access to all floors, although two rooms have a short flight of steps leading to them. There is a well-kept secluded garden to the rear of the property. The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection started at 9.30am on 16 June 2005 and lasted for five and half hours. The inspection included a tour of the premises; talking to residents, relatives and staff; reading documentation, care plans, records and policies and reviewing the administration and recording of medication. What the service does well: What has improved since the last inspection? There has been work to review and update the care plans. There is continuing review of the care of all service users to ensure the home is able to meet their needs. The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 Page 6 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. The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 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 standard(s) 3, 4, 5. Residents generally have an appropriate pre-admission assessment and are able to visit the home before moving in. An established and experienced staff team meets the needs of the residents. EVIDENCE: There was documentary evidence of a pre-admission assessment having been carried out by the manager before prospective new residents moved in. The pre-admissions assessment identified the range of needs and support required of new residents. One resident was receiving respite care from the home, but did not have a comprehensive pre-admissions assessment, prior to his stay. The resident did not meet the category of the registration of the home as he was below the lower age limit. The home had not applied for a variation to its registration before admitting the resident. However, the resident said that he was being well-looked after by the home and staff were observed providing sensitive and respectful care. Another resident who had recently moved in to the home said that she and her family had been involved in the pre-admissions process and had been able to visit the home before she moved in. She said that she had seen her The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 Page 9 prospective bedroom, the communal areas and met some of the other residents as part of the pre-admissions visit. She confirmed that the manager had told her the range of services offered to ensure the home was able to meet her needs. Staff were able to describe in detail the needs of all the residents permanently living in the home, and how those needs are met. The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 Page 10 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, 9, 10. Generally care plans contained sufficient detail to enable the staff to meet the needs of the residents. There is a policy for the administration of medication although recording of administering medication was not robust enough to ensure the well-being of residents. Residents are treated with dignity and respect in the home. EVIDENCE: All but one care plan viewed contained sufficient information and support guidelines to enable staff to identify and meet the needs of the residents. These care plans included risk assessments, support plans and had evidence of regular review. One resident was in the home for a period of respite care and his care plan did not provide enough detail about his needs or how his needs should be met. Staff were able to describe the care provide to residents to meet their changing needs such as ageing and related disability and mobility problems. The home has a policy and procedure for the administration of medication. All staff who administer medication have undertaken a relevant training course. The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 Page 11 Whilst the medication was stored securely, there were several gaps in the recording when medication had been administered. All the residents spoken with said that the managers and staff in the home treated them with dignity and respect. Residents confirmed that they were able to have privacy in their own bedrooms. The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 Page 12 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, 15. Residents are generally provided with a range of activities in the home. Visitors are encouraged to visit residents in the home. The home provides a varied, appealing and nutritious diet. EVIDENCE: There was evidence of a range of activities being offered to residents, including gentle exercise sessions, crafts and church services. Some of the residents are able to go out independently. Three of the residents spoken with said they went out in to Eastbourne to the shops and other local facilities. Residents said they were able to choose whether or not they took part in activities. One resident spoken with said that she would prefer to have a wider range of activities which offered stimulating talks and discussions. It is recognised that not all residents wanted more activities provided. All the residents spoken with said that their visitors are always made welcome in the home. One relative spoken with said that she felt welcomed in the home and could visit at any reasonable time. There was evidence of a varied and nutritious menu, which had freshly cooked food, including fruit and vegetables. All the residents spoken with said that the food in the home was of a good quality. They also confirmed that a choice of The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 Page 13 meals was available. The cook was able to cater for the dietary requirements of each of the residents. The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 Page 14 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. Service users and relatives are able to raise concerns using a robust complaints procedure. An adult protection policy and relevant staff training address the safety of service users. EVIDENCE: Residents spoken with said they felt able to raise any concerns with the manager/proprietors. Two of the residents said they felt their concerns were always dealt with swiftly and effectively. There was documentary evidence that complaints and concerns are addressed swiftly and effectively. There was documentary evidence of staff having attended an adult protection course. Staff were able to describe the adult protection procedures in the home. The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 Page 15 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, 26. Whilst the home is generally clean and tidy and offers a homely environment, some areas require repair and refurbishment. There are sufficient bathroom and toilet facilities that meet the needs of the residents. Residents are able to personalise their rooms. EVIDENCE: The home was clean and tidy at the time of the unannounced inspection. There are sufficient cleaning staff to ensure the home is kept clean and tidy. Residents have comfortable bedrooms which they are able to personalise with their own furniture, pictures and belongings. The home provides a comfortable and homely environment. Communal space in the home includes a lounge and a dining room. There is a well-kept enclosed garden at the back of the home, which is accessible to residents. There are sufficient bathing and toilet facilities in the home. twelve bedrooms have en-suite facilities. There are a range of bathing adaptations including an assisted bath, a bath with a seat and a shower with a seat. The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 Page 16 Whilst there was evidence of an on-going maintenance programme in the home, some areas need repairing or renovating. A carpet on the ground-floor was worn and a potential trip hazard and therefore needs replacing. Some radiators in the home require covering. One shower head was not stored correctly and therefore could not ensure the safe delivery of water, in line with water safety guidelines. It is a continuing requirement that the kitchen is refurbished as the lino was worn, with holes in it, some kitchen cupboards and drawers were damaged and worn. The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 Page 17 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, 30. There are sufficient staff on each shift, with the required training, skills and experience to meet the needs of the service users. EVIDENCE: The rota indicated that there are sufficient staff on each shift. There is an experienced and skilled staff team who were able to describe the needs of the residents and the individual support that each of them required. Staff were clear about their roles and responsibilities and were observed providing dignified and sensitive support. All the service users spoken with praised the staff, describing them as skilled, dedicated and friendly. There was documentary evidence of a range of staff training courses, including training on adult protection, moving and handling and NVQ courses. Staff reported that they were able to access relevant courses to enable them to meet the needs of the service users. The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 Page 18 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) 32, 33, 38. The homeowners are skilled and experienced practitioners who are approachable and sensitive to the needs and rights of the residents. There is work required in some areas of the home to ensure the health and safety of the residents. EVIDENCE: The residents spoken with all described the home as providing a caring and friendly service. The residents and staff described the manager/proprietors as being approachable, caring and supportive. The proprietors and staff work hard to ensure the needs of all the residents are met. There was evidence that the home is run in the best interests of the residents, where they are treated with dignity and respect. There is a range of health and safety checks within the home. there was documentary evidence of daily temperature checks of the fridges and freezers, The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 Page 19 as well as regular checks of the fire systems and fire equipment. However, a number of fire doors were found to be propped open with wedges and an Immediate Requirement was made for all wedges to be removed. Cleaning chemicals and bleaches were found in a number of the en-suite facilities in residents’ bedrooms. An Immediate Requirement was left for all cleaning chemicals to be kept securely in locked cupboards. The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 Page 20 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 x x 2 2 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 3 3 3 3 3 2 3 STAFFING Standard No Score 27 3 28 x 29 x 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 x 3 3 x x x x 2 The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 Page 21 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 15 (1) Requirement All care plans contain sufficient detail to enable staff to identity and meet the needs of all the residents. Medication is adminsistered and recorded in line with policy and practice. The home applies for a variation to its registration to enable it to provide care to a named resident. The carpet identified during the inspection is replaced. Door wedges are removed from fire doors. All radiators are appropriately covered to ensure the health and safety of residents. All bleaches and chemicals are stored safely in locked cupboards. The kitchen is refurbished. The shower head in the shower room is stored appropriately. Timescale for action 16/7/05 2. 3. 9 4 13 (2) 4 16/6/05 1/8/05 4. 5. 6. 7. 8. 9. 19 38 25 38 19 38 13 (4) 23 (4) 13 (4) 13 (4) c 16 (2) g 13 (4) c 16/8/05 16/6/05 16/9/05 16/6/05 16/12/05 16/6/05 The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 Page 22 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. Refer to Standard 12 Good Practice Recommendations The home reviews the range of activities it offers residents. The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 Page 23 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 The Saffrons H59 H10 S21262 The Saffrons V218065 160605 stage 4.doc Version 1.20 Page 24 - 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!