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Archived: Saxlingham Hall Nursing Home Requires improvement

The provider of this service changed - see new profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 16 October 2019

About the service

Saxlingham Hall is a residential care home and was providing personal and nursing care to 34 people at the time of the inspection. The service can support up to 36 people.

Saxlingham Hall accommodates people in a large period manor house in a rural village. There are communal dining and recreation areas, as well as extensive grounds.

People’s experience of using this service and what we found

People who used the service, and their relatives, were very happy with the care and support provided and spoke highly of the staff. One person commented, “The care I get is very good. I am here for respite care and so far all my needs are met. The nursing staff are very good and I can’t fault them. The staff are very polite and try hard to make you feel at home.”

We identified concerns with the way medicines were managed. Stocktaking procedures were not robust. It was not possible to be sure that people had received the correct amount of their medicines. Audits of medicines did not identify the issues we found which meant that the provider did not have good oversight of this aspect of the service.

Risks were mostly well assessed and managed. However, some environmental risks had not been identified and action taken to protect people from harm. The newly registered manager did not have sufficient oversight of these aspects of health and safety. Audits, although plentiful, were not always acted upon and effective in driving improvements.

The staff team worked collaboratively and well; staff felt supported. Stakeholder views were regularly sought and acted upon.

Staff were recruited safely and were clear about their safeguarding responsibilities. Staffing levels reflected the provider’s own assessed safe number. However, several people commented that there was sometimes a wait for staff to respond to call bells.

Staff were trained to carry out their roles and received a good induction when they were first employed. Access to health and nursing care was good and feedback from healthcare professionals was positive.

Staff showed an understanding of consent issues. People were supported to have maximum choice and control of their lives. Staff mostly supported them in the least restrictive way possible and in their best interests, however review of the use of a lap belt in armchairs was needed to make sure people were not being unlawfully restrained. We have made a recommendation about this.

The environment was suitable for people, although the communal lounge was quite small. People enjoyed the beautiful gardens and the views from their rooms.

Staff were kind and caring towards the people who used the service and their relatives. Staff promoted people’s independence and upheld their dignity. There were good relationships between staff and those they were caring for and feedback about staff was universally positive.

The service enabled people to follow their own hobbies and interests. Activities were varied, appropriate and inclusive. End of life care was good and we observed prompt responses to people's changing needs. Complaints were managed in accordance with the provider’s policy and action taken promptly.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection The last rating for this service was outstanding (published 14 January 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified a breach of regulation in relation to the management of medicines at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect soo

Inspection areas

Safe

Requires improvement

Updated 16 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 16 October 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 16 October 2019

The service was caring..

Details are in our caring findings below.

Responsive

Good

Updated 16 October 2019

The service was responsive..

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 16 October 2019

The service was not always well-led.

Details are in our well-led findings below.