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Inspection carried out on 19 November 2016

During a routine inspection

This unannounced comprehensive inspection took place on 19 November 2016. This was the first time the service had been inspected under the current registration.

Saffrons Care Home is a care home which provides care and support for up to 20 predominantly older people. At the time of the inspection there were 17 people living at the service. Some of these people were living with dementia. The service is in a residential area of Eastbourne but close to the town centre. The accommodation is spread across three floors serviced by a passenger lift. There were two lounge areas where people could choose to spend their time.

The service had a registered manager in post who was also one of the two registered providers. Day to day management of the service was carried out by the registered manager supported by the other registered provider. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

There were enough staff to help ensure people’s health and social needs were met. Staff were effectively deployed across the service and people’s needs were met in a timely manner. Staff were friendly and compassionate in their approach to people. People commented; “Lovely staff, very caring and patient” and “The staff have been very helpful and are always around. You don’t have to wait long if you need them.”

Risk assessments were in place with information to guide staff on how to protect people from any identified risk. We observed staff supporting people in a safe way when they were helping to move them from their chair to a wheelchair. People’s assessments were reviewed and updated regularly to help ensure they reflected their changing needs.

People told us they received their medicines as prescribed. The system for storing medicines was safe but under review. The registered manager had ordered a medicines trolley and medicines fridge to ensure the storage of medicines was robust. While the recording of medicines which required stricter controls was accurate, the record book was not a bound ledger. We have made a recommendation to the provider to obtain a more robust ledger as advised by the National Institute for Health and Care Excellence (NICE).

Staff received an induction into their role when they started working at the service. Training was refreshed and staff told us it was effective. Recruitment processes were satisfactory; for example pre-employment checks had been completed to help ensure staff were suitable to work in the care sector.

People were protected from the risk of abuse because staff had a good understanding of the potential signs of abuse and how to report it. All were confident that any allegations would be fully investigated and action would be taken to make sure people were safe.

Staff supported people to be involved in and make decisions about their daily lives. People chose where they spent their time, when they got up and when they went to bed. Where people did not have the capacity to make certain decisions the service acted in accordance with legal requirements under the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards.

Care plans were well organised and contained information covering all aspects of people’s health and social care needs. Care planning was reviewed regularly and people’s changing needs recorded. Where appropriate, relatives were included in the reviews.

People were able to take part in a range of activities of their choice. Entertainers visited the service as well as people giving talks on different topics. Where people wanted to stay in their rooms this was respected by staff.

There were a variety of methods in use to assess and monitor the quality of the service. These included satisfaction surveys for people using the service and their relatives. Overall satisfaction with the service was seen to be positive and results of the most recent survey were available for people to view at various entry points to the service.

People using the service and visitors all described the management of the service as open and approachable and thought people received a good service. Relatives told us, “We chose this home because we had heard really good reports about it and we have not been disappointed” and “It’s run in a way which is homely. We always feel welcomed when we visit”.

Inspection carried out on 14 January 2014

During a routine inspection

There were nineteen people living in the home at the time of our visit. We spent time talking with people in their private bedrooms, in communal areas and during a meal time. People told us they felt happy living in their surroundings. Comments included. “I came here for two weeks but decided to stay as I was happy and it is as near my own home as you can get.”

Before coming to live in the home people had their individual needs and wishes assessed and recorded. We saw that this included respite care and emergency admissions. People told us they were treated with dignity and respect.

For each person living in the home there was a detailed plan of care in place that was regularly reviewed and updated to reflect people’s changing needs.

Records we examined showed us that staff received training in protecting people from risk of abuse. Staff that spoke with us were aware of their responsibilities to provide care in a safe manner.

In order to protect people that use the service, the home undertook a robust staff selection and recruitment process and staff were well trained and supported.

There were processes in place to audit and monitor the quality of the service being provided and people using the service were involved.

Comments from two family members that spoke with us included. “They are very good and speak to me about any concerns. I try to visit every day but when I go home I feel at ease because I know my Dad is being well looked after.”

Inspection carried out on 3 January 2013

During a routine inspection

We used a number of different methods to help us understand the experiences of people using the service. People we spoke with who lived at Saffrons told us “I am very happy with the level of care I receive” and “Staff are very nice, although I would prefer to be in my own home, that’s not possible, but I have no issues here it’s very nice."

During our inspection we found that people who used the service and/or their representatives were involved in decisions about their care and treatment. Care plans were personalised and identified the needs of people. Saffrons Care Home had a complaints policy and procedure in place. Evidence was seen that comments and complaints were listened to, and resolved in a timely and appropriate manner.

Inspection carried out on 14 February 2012

During a routine inspection

People we spoke with were able to tell us that they enjoyed living at Saffrons Care Home and were very pleased with the level of care provided. We were told “I like it here, its excellent” and “staff who look after you are lovely and understanding”. Another person told us “the food is very nice”.

Reports under our old system of regulation (including those from before CQC was created)