Background to this inspection
Updated
6 June 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by one adult social care inspector and an expert by experience. An expert by experience is a person who has experience of using or caring for someone who uses this type of service. Their area of expertise was in older people living with dementia.
Service and service type: Saxby Lodge is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
This inspection was unannounced on day one.
What we did:
Prior to the inspection we reviewed all information we held about the home, such as details about incidents the provider must notify CQC about. We also reviewed the Provider Information Return. Providers are required to complete this document with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
During the inspection, we spoke with 11 people who used the service, to ask about their experience of the care provided and three visiting family members. We also spoke with four visiting professionals. We observed staff providing support to people in the communal areas of the service. This was so we could understand people's experiences. By observing the care received, we could determine whether or not they were comfortable with the support they were provided with. We looked at four people’s care records and at their medicine records.
We spoke with the joint providers one who was the registered manager and six staff members. We looked at the staff members files around staff recruitment, supervision, appraisal and staff training records. We also looked at quality monitoring records relating to the management of the service.
Updated
6 June 2019
About the service:
We carried out an unannounced comprehensive inspection of Saxby Lodge on 29 and 30 April 2019. Saxby Lodge is a ‘care home’ that provides care for a maximum of 19 older people, some of whom of living with dementia. At the time of the inspection 19 people were using the service.
People’s experience of using this service:
The management team and staff knew people well and understood their likes and preferences and health needs. Staff were caring and spent time chatting with people as they moved around the service. Relatives told us they were welcome at any time and any concerns were listened and responded to.
People, professionals, relatives and staff told us the service was very well managed. Staff showed a true fondness for the people they cared for and there was a warm, friendly and welcoming atmosphere. One person said; “I don’t think there’s anything they could do better here.”
People were supported by a staff team that were both caring and compassionate and treated them with dignity and respect. People received person centred care and support based on their individual needs and preferences. Staff knew about people's life history, and their communication needs.
Risks of abuse to people were minimised because staff demonstrated a good awareness of each person's safety needs and how to minimise risks of abuse for them. The environment was safe, and regular health and safety checks were carried out.
People were supported by staff who had the skills and knowledge to meet their needs. Staff understood and felt confident in their role. Staff were recruited safely in sufficient numbers to ensure people’s needs were met. There was time for social interaction and activity with staff.
People’s health had improved because staff promoted healthy active lifestyles. They worked in partnership with a range of healthcare professionals and followed their advice.
People were supported in the least restrictive way possible; the policies, systems and culture in the service supported this practice.
People's concerns and complaints were listened and responded to. Accidents, incidents and complaints were used as opportunities to learn and improve the service.
People gave us positive feedback about the quality of care being delivered. They said the management team and members of staff were approachable, listened and acted on feedback.
Rating at last inspection: Good. (last report published 19 December 2016).
Why we inspected: This was a planned inspection based on the rating at the last inspection. At this inspection, the service remained rated Good overall.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see full report which is on the CQC website at www.org.uk