Inspection on 26/09/06 for The Saffrons

This inspection was carried out on 26th September 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

The Saffrons 27/06/08

The Saffrons 11/10/05

The Saffrons 16/06/05

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 20 Saffrons Road Eastbourne East Sussex BN21 1DU Lead Inspector Paul Taylor Unannounced Inspection 26th September 2006 10:10 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 The Saffrons DS0000021262.V304866.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 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 DS0000021262.V304866.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Saffrons Address 20 Saffrons Road Eastbourne East Sussex BN21 1DU 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) 01323 720430 dagmarwilliams@btinternet.com Mr Richard Williams Mrs Dagmar Williams Mrs Dagmar Williams Care Home 24 Category(ies) of Old age, not falling within any other category registration, with number (24) of places The Saffrons DS0000021262.V304866.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The maximum number of residents to be accommodated is twentyfour (24). Residents must be older people aged sixty-five (65) years or over on admission. 11th October 2005 Date of last inspection Brief Description of the Service: Saffrons is registered to provide residential care for twenty four 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 18 single rooms and 3 double rooms. Seventeen of the rooms have en suite facilities. Communal areas include a large service users lounge and a dining room and quiet area in the new extension at the rear of the home. There is a well-maintained enclosed garden to the rear, which is accessible to all service users. A lift enables access to all floors, although two rooms have a short flight of steps leading to them. The home has two assisted bathrooms and an assisted shower. The home does not advertise its services. Referrals are received from people who know of the home by reputation or who have been advised to approach the home by the social services department. The cost of a staying at the home is between £384 and £460 per week. The Saffrons DS0000021262.V304866.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection took place at The Saffrons on Tuesday 26th September 2006. The inspection commenced at 10.10 a.m. and finished at 4.30 p.m. During the inspection the Inspector met with three service users, three visitors to the home, three members of staff, the proprietors (one of whom is the registered manager) and spoke to the relative of a prospective service users over the telephone. There were thirteen service users living at the home at the time of the inspection. Additionally the Inspector examined three pre admission assessments, three care plans, the record of medication, fire safety records, recruitment records, the complaints record, training records, accident records, daily communication log and other safety records such as electrical testing certificates and gas safety certificate. The Inspector also toured the premises and observed interactions between the members of staff on duty and the service users living in the home. Five questionnaires had been completed by service users and returned to the Inspector. What the service does well: The Saffrons provides a good level of care to the people who live there. The staff team are competent and well supported by approachable proprietors who monitor the home conscientiously. The home makes visitors welcome and the atmosphere experienced by the service users in the home leads to an open and inclusive environment. Service users medical and health needs are known and met and the menu offered is varied and healthy. Service users are kept safe by the home’s recruitment process and the staff knowledge of adult protection, additionally the home’s complaints process is accessible and service users who met with the Inspector were confident that they are listened to by the staff and proprietors. The home was very clean and it was clear that the proprietors had put a lot of work into the new extension and ongoing refurbishment of the premises. The Saffrons DS0000021262.V304866.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 Saffrons DS0000021262.V304866.R01.S.doc Version 5.2 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 The Saffrons DS0000021262.V304866.R01.S.doc Version 5.2 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 and 6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have their needs assessed before moving into the home, this ensures that they are living in an appropriate environment. EVIDENCE: The Inspector examined three pre admission assessments. These were thorough and contained information with regards to personal care, wellbeing, dietary needs, sight and communication, mobility, continence, history of falls, medication, social and religious interests, mental state and family contacts. The Inspector also spoke with the relative of a prospective service user and he confirmed that he had been consulted about his mother’s needs prior to her admission. The home does not offer intermediate care. The Saffrons DS0000021262.V304866.R01.S.doc Version 5.2 Page 9 The Saffrons DS0000021262.V304866.R01.S.doc Version 5.2 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 the following standard(s): 7,8,9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are living in a home where their health needs are met, medication is administered safely and they are treated with dignity and respect. EVIDENCE: Three care plans were examined by the Inspector. These had been drawn together using information gained during the pre admission assessment. They were detailed and had been endorsed by the members of staff and manager when they had been reviewed on a monthly basis. The views and preferences of the service users and their relatives were recorded in the care plans. There was a risk assessment in place in each care plan with regards to the management of falls and mobility problems. Health needs had been identified in the pre admission assessments and in the care plans. All service users were registered with local general practitioners and the Inspector saw evidence of liaison and visits with health professionals such as district nurses, general practitioners and dental and hospital visits for check ups. Each service users ability to self care had been assessed and The Saffrons DS0000021262.V304866.R01.S.doc Version 5.2 Page 11 members of staff who spoke to the Inspector knew who needed what help and how they preferred this to be done. The Inspector saw records which showed that service users had been regularly weighed. The Inspector was shown the recording of medication administered in the home by a senior member of staff on duty. The medication is kept in a locked metal cabinet in a locked ‘walk in’ cupboard. The recording of medication was accurate and reflected that which had been outlined in the care plans. Three service users who met with the Inspector during the course of the inspection confirmed that they receive their medication regularly and at times which they prefer. The Inspector saw a written record of medication training given to the members of staff responsible for it’s administration. The three service users who met with the Inspector were unanimously positive about the staff approach and respect for their wishes and dignity. The Inspector observed members of staff knocking on doors before entering rooms throughout the inspection. The care plans contained advice for the staff to follow in areas of sensitivity such as personal care, washing and continence so that service users dignity can be maintained. The Saffrons DS0000021262.V304866.R01.S.doc Version 5.2 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 the following standard(s): 12,13,14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to partake in a variety of activities and are able to receive visitors when they wish. Food provided in the home is of good quality and enables to service users to have a healthy diet. EVIDENCE: The three service users that met with the Inspector said that activities that they had been offered included reminiscence discussions, a crossword corner, manicures, arts and crafts, outings with relatives, bingo as well as having dominoes and cards available. The three service users who spoke with the Inspector said that they had enough to do and it was up to them whether they joined in activities or not. The Inspector met with three visitors to the home. They all confirmed that they arrive unannounced at the home when they visit and are made very welcome by the members of staff on duty. Additional to the visits from relatives, the service users are able to attend a church service in the home and a mobile library also provides books on an occasional basis. A mobile shop visits the home three times a year and there are links with a local children’s nursery which provides the occasional carol concert. The Saffrons DS0000021262.V304866.R01.S.doc Version 5.2 Page 13 The proprietors to the home do not involve themselves in the financial affairs of the service users. Information with regards to advocacy is displayed on the home’s notice board in the hallway and there is a booklet with information about advocacy and contact groups in the service users lounge. Service users are encouraged to bring personal possessions into the home and to personalise their rooms. During a tour of the premises the Inspector saw that all the rooms in use contained personal items and mementos. The Inspector examined the home’s menu. This was a six-week rolling menu which offered variety and choice. The three service users who met with the Inspector were very positive about the quality of food, one service user said that the food was the best thing in the home. The three members of staff who met with the Inspector were of the opinion that the food provided in the home was of good quality. Specific dietary needs and preferences of service users were known to the staff and this information was also contained in the care plans. One of the pre admission assessments examined by the Inspector contained very specific information with regards to the presentation and preparation of food for a service user who was due to be admitted to the home in the week following the inspection. The home had recently completed an extension and the dining room was now part of this. The dining area was large, comfortable and well lit. The Inspector did not join the service users for a meal but did observe a mealtime very briefly. This was seen to be relaxed and unhurried. The Saffrons DS0000021262.V304866.R01.S.doc Version 5.2 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 the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users in the home are kept safe by the home’s complaints and adult protection procedures. EVIDENCE: The service users that met with the inspection knew about the complaints system and to whom they could complain. The home’s complaints system was displayed on the notice board in the hallway and included the correct detail so the Commission for Social Care Inspection. This had been a recommendation made at the last inspection. The Inspector examined the home’s complaints record. There had been two minor complaints made by service users since the last inspection. These had been responded to within forty-eight hours and a clear record made of how they had been resolved. No complaints about the home have been received by The Commission for Social Care Inspection. All the members of staff who met with the Inspector knew what to do in the event that they concerns about the welfare of a service user. There is policy and guidance in place for the staff to follow in the staff handbook if they have adult protection concerns. The manager informed the inspection that she and another member of staff had attended a ‘Train the Trainers’ course in adult protection, this course had been organised by East Sussex Social Services Department. She said that this had enabled her to provide ‘in house’ training to the staff team. The Saffrons DS0000021262.V304866.R01.S.doc Version 5.2 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 the following standard(s): 19,25 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean and well maintained and provides a comfortable environment for the service users. EVIDENCE: The home had recently opened a new extension which contained four bedrooms. The extension also contained a new dining room and a ‘quiet’ area which the service users can use if they do not wish to be in the more lively environment of the main lounge. The extension included access via a ramp for disabled service users or disabled visitors and a ramp to access the rear garden. The rest of the home was in generally good condition although the ceiling outside of two unused rooms was in need of redecoration. The Inspector saw a record of maintenance issues attended to by one of the proprietors. Minor repairs had been completed promptly. During a tour of the premises the Inspector noted that a radiator in one of the service users rooms was not covered. The proprietors agreed that this would be done by the end of December. The Inspector also noted that a light bulb in The Saffrons DS0000021262.V304866.R01.S.doc Version 5.2 Page 16 the assisted shower room on the top floor was exposed. The proprietors agreed that they would approach an electrician for advice on this matter in order to make it more safe. The Inspector saw a record of water temperatures and this showed that hot water was being maintained at a safe temperature. The home employs cleaning staff. The home was very clean at the time of the inspection and the general cleanliness of the home was mentioned by service users and visitors. One service user told the Inspector that ‘Everything is clean, hoovered and dusted.’ The laundry is situated in the basement. The laundry floor was impermeable and the walls were of readily cleanable tiles. Staff who met with the Inspector were aware of the need for hygiene control and were aware of the risks of cross contamination and infection control. The Saffrons DS0000021262.V304866.R01.S.doc Version 5.2 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 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, 28,29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users in the home are cared for by an appropriately trained and recruited staff team who have the skills to care for them. EVIDENCE: The Inspector saw a duty roster and met with three members of staff. There were three members of staff on duty at the time of the inspection and the proprietors confirmed that they support staff in their duties when needed. One service user told the Inspector ‘The managers are good, they’re hands on.’ The staff who met with the Inspector said that there are enough staff on duty. Service users said that they were attended to promptly when they wanted a member of staff, one service user said the ‘Staff are very good indeed.’ The home has one member of staff who sleeps in at night. The proprietors said that the staffing will be increased when service user numbers in the home go up. There were thirteen service users in the home at the time of the inspection. The proprietors provide support to staff on an ‘on call’ basis during the night, they live nearby and can be contacted by staff on duty in the event that they are needed. Additional to the care staff who work in the home, there are also two cleaners and a cook. Out of a staffing complement of thirteen, four have attained N.V.Q. Level Three in Care, three are undertaking N.V.Q. Level Two in Care and the proprietors intend to enrol other staff onto the course when they have successfully completed their probationary periods. The Saffrons DS0000021262.V304866.R01.S.doc Version 5.2 Page 18 The Inspector examined recruitment records of three members of staff. These contained all the information required by The National Minimum Standards. The Inspector saw records of training made available to the staff team. The home also has an induction programme which uses the Skills for Care and General Social Care Council booklets as guidance. Records of training attended by members of staff included moving and handling, first aid, protection of vulnerable adults, medication, food hygiene, fire training, dementia care, food hygiene and health and safety. The Saffrons DS0000021262.V304866.R01.S.doc Version 5.2 Page 19 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): 31,32,33,35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The proprietors are approachable and ensure that service users views and safety are safeguarded by the home’s monitoring systems. EVIDENCE: The registered manager is also one of the proprietors and has worked in the home for nine years. Her qualifications include N.V.Q. Level Four in Management, the Registered Manager’s Award and the Advanced Certificate in Care. She is also a Registered Nurse. The Inspector saw evidence of training attended by the manager; this included adult protection and training in medication administration. The home has clear lines of accountability and members of staff were clear about the role of the proprietors. There was very good unanimous feedback with regards to the approach of the proprietors from both service users, visitors and members of staff. During the inspection the The Saffrons DS0000021262.V304866.R01.S.doc Version 5.2 Page 20 Inspector was told that the proprietors ‘listen to you’, ‘easy going and supportive’ and ‘they go the extra mile.’ The proprietors keep a record of when they meet with members of staff to discuss issues. The Inspector recommends that these meetings contents are recorded in more detail rather than just being recorded that they have happened. Service users views are sought formally in yearly questionnaires and in their care plans as well as informally in the day to day interactions with the staff and proprietors. The Inspector saw written records of input from relatives in the home’s communication book and in letters contained in care plans. The proprietors have quality assurance systems in place whereby key records such as care plans and safety records are regularly audited and endorsed when this has been done. The home’s development plan included the construction of the recently completed extension which included four additional bedrooms and dining room and quiet room as mentioned earlier in the report. The Inspector saw plans for ongoing refurbishment throughout the home, for example one of the rooms was due to have new carpet laid in the week following the inspection. The proprietors do not involve themselves in the financial affairs of the service users. The Inspector saw records of training which covered subjects such as moving and handling, fire safety, first aid, food hygiene and infection control. Records of safety checks seen by the Inspector included Portable Appliance Testing of electrical items, risk assessments with regards to falls and service users vulnerability in the community, fire safety equipment, gas certificate, electrical wiring certificate, certificate of public indemnity insurance, lift maintenance, water temperature monitoring and risk assessments with regards to radiators. The Inspector examined a record of accidents, this had been completed satisfactorily and the information was also contained in the service users care plans. The Saffrons DS0000021262.V304866.R01.S.doc Version 5.2 Page 21 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 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 2 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X X X 3 The Saffrons DS0000021262.V304866.R01.S.doc Version 5.2 Page 22 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. 1. 2. 3. Standard OP19 OP25 OP25 Regulation 23 (2) (b) 13 (4) (c) 13 (4) (c) Requirement That the ceiling outside of rooms 16 and 17 is redecorated. That the light in the upstairs shower area is checked by an electrician to ensure it is safe. That the radiator in room 24 is covered. Timescale for action 30/11/06 30/11/06 31/12/06 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 OP32 Good Practice Recommendations That the home achieves a ratio of 50 of the staff team trained to N.V.Q. Level Two in Care. That the content of meetings between the proprietors and staff are minuted. The Saffrons DS0000021262.V304866.R01.S.doc Version 5.2 Page 23 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 The Saffrons DS0000021262.V304866.R01.S.doc Version 5.2 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. 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