Saxby Lodge Residential Care Home

Ratings

• Overall

  Requires improvement

• Safe

  Requires improvement

• Effective

  Requires improvement

• Caring

  Good

• Responsive

  Requires improvement

• Well-led

  Requires improvement

Our view of the service

Date of assessment 22 May 2024 to 18 June 2024. We found three breaches of the legal regulations in relation to safe care and treatment, staffing and governance. Staff did not always assess risks to people's health and safety or mitigate them where identified. Medicines were not stored safely. Environmental risks were not consistently managed, and staff did not receive the support and supervision they needed. Governance systems and audits continued to be ineffective in identifying or addressing areas for improvement. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/ or appeals have been concluded. This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.

People's experience of this service

People and their relatives were consistently positive about the staff and described them as kind and caring in their approach and said they felt safe living at Saxby Lodge. People said there were enough staff and they had confidence that they were trained and knew how to care for them. One person told us, “They(staff) do a good job and it should be recognised.” While the people we spoke with expressed that they were generally happy with the care, our assessment found elements of care did not meet the expected standard. People told us there was a lack of opportunities for social engagement and planned activities were not taking place. This was having a negative impact on people’s quality of life. One person told us they had little opportunity to go outside, saying, “I would like to go out more often to get fresh air.” A relative told us, “There’s not enough to do. There’s nothing going on and people just sit around watching TV.” People described being supported to access health and care services when they needed them. One person told us how staff had accompanied them to a hospital appointment. People said they had choice about things that were important to them, including when to go to bed and when to get up. People could choose meals from a menu and told us they enjoyed the food which was freshly cooked. People said staff sought consent from them. When people lacked capacity to make specific decisions, staff supported them and made decisions that were in their best interest. People said they knew who the manager of the service was and described them as being approachable. A relative described improvements in communication and said they were confident of being informed and involved in decisions.