Saxlingham Hall Nursing Home

Saxlingham Hall accommodates people in a large period manor house in a rural setting. Bedrooms have en- suite toilets and a communal dining and living area is available on the ground floor. The extensive grounds are accessible to people.

Staff and the management team understood principles of person-centred care and recognised further work was required in this area. Whilst further work was required people and relatives provided examples where the delivery of care was person-centred because staff listened and knew people well.

People received their medicines safely and as prescribed. People were supported to stay safe as staff took action to identify and respond to risks. In some instances, risks had been managed very well and so people's quality of life had improved. Very few safeguarding concerns or incidents had occurred; when they had appropriate actions had been taken to help keep people safe. People were living in a clean and hygienic environment. Appropriate actions were taken in response to infection control.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People were supported to eat and drink enough although some people felt the food provided did not fully meet their preferences. People were supported by competent and knowledgeable staff who were well supported to meet people's needs. People were happy with the accommodation provided and the physical environment met their needs.

Staff were kind and respectful, they knew the people they supported well. Staff listened to what people had to say and responded to any issues or concerns they raised.

People, staff, and relatives were positive about the activities on offer. Where people preferred to spend time in their rooms this was also considered and one to one social visits were provided. Staff ensured people

were comfortable at the end of their lives and this included making sure anticipatory medicines were available.

A new management team was in place. Whilst they had only been in place for a few weeks they had a good understanding of the needs of the people living in the service and what needed to be improved. Staff were positive about the support and changes planned. Governance systems were in place to help ensure oversight of the service and drive improvements.