Inspection on 18/07/06 for Swan Hill House

This inspection was carried out on 18th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Swan Hill House 11/07/07

Swan Hill House 19/12/05

Swan Hill House 20/06/05

Swan Hill House 21/09/04

Swan Hill House 11/05/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Swan Hill House Swan Hill Shrewsbury Shropshire SY1 1NQ Lead Inspector Pat Scott Unannounced Inspection 18th July 2006 09:15 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Swan Hill House DS0000020728.V297502.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Swan Hill House DS0000020728.V297502.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Swan Hill House Address Swan Hill Shrewsbury Shropshire SY1 1NQ Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01743 360803 01743 344351 Mrs Carol Daker Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (27), Physical disability (1) of places Swan Hill House DS0000020728.V297502.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 28 service users. The home may accommodate 27 Older Persons and one person with a physical disability under the age of 65 years who is named in the attached schedule (not to be displayed). 19th December 2005 Date of last inspection Brief Description of the Service: Swan Hill House is a privately owned Care Home registered with the Commission for Social Care Inspection to provide a service for 27 older people and one person with a physical disability under the age of 65 years. It is a well established home situated close to the centre of Shrewsbury Town. The Home is owned by Mrs Carol Daker. She is also the registered manager and has day-to-day management responsibility for the Home. The accommodation offers comfortable living facilities with an attractive enclosed and well-maintained garden. There is an established staff group providing service users with consistency in a warm comfortable atmosphere. Swan Hill House makes its services known to prospective service users in: The Statement of Purpose and Service Users Guide. Large print copies are available. The inspection report is mentioned in the service users guide and how a copy can be obtained. The care home rates are reviewed annually on 1st April each year and service users are notified one month in advance. The only additional charges to service users are for hairdressing, chiropody and counselling therapy. This is clearly laid out in the terms and conditions and statement of purpose. Fees for Swan Hill House as of 1st April 2006 are: £297.60-£495. All service users pay monthly Swan Hill House DS0000020728.V297502.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, staff records kept in the home, medication records, discussion with people who use the service, discussion with the staff team, discussion with the manager and owner, tour of the premises, previous inspection reports, quality assurance process, Fire Authority reports, Environmental Health Office reports. What the service does well: What has improved since the last inspection? What they could do better: The registered provider must employ suitable means of keeping bedroom doors open other than by door wedges. The door to room 12 does not close into its frame which must be rectified. Medicines received into the home must be recorded to ensure that there is no mishandling. Service users are able to take responsibility for their own medication if they wish, but should be encouraged to use their lockable facility in which to store medication. Swan Hill House DS0000020728.V297502.R01.S.doc Version 5.2 Page 6 The induction standards should be amended to meet those for ‘Skills for Care’. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Swan Hill House DS0000020728.V297502.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Swan Hill House DS0000020728.V297502.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives have the information needed to choose a home which will meet their needs They have their needs assessed and a contract which tells them about the service they will receive. EVIDENCE: The statement of purpose and service users guide are reviewed annually. This information is clear, jargon free and easy to understand. Prospective service users are able to view the home and also have a trial stay. This was confirmed by service users spoken with. Care plans contained full needs assessments that were conducted prior to service users being admitted. These documents confirmed that the assessment had been conducted professionally and sensitively and had involved the family or representative of the prospective service user. Swan Hill House DS0000020728.V297502.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The care planning system is in a format that provides staff with the information they need to satisfactorily meet service users needs. The health needs of service users are well met with evidence of good multi disciplinary working taking place on a regular basis. Personal support in this home is offered in such a way as to promote and protect service users privacy, dignity and independence. EVIDENCE: 4 care plans seen as part of the case tracking process were well written and up to date and had been regularly reviewed. Reviews had been signed by the service user where able. They were written in a way that reflected the wishes of each individual and their diverse needs e.g. dietary needs, activity/social/emotional support, political views and spiritual and religious views. Swan Hill House DS0000020728.V297502.R01.S.doc Version 5.2 Page 10 Care plans demonstrated that staff actively promote the service users’ right of access to the health service both within the home and the community. Appointments are planned or arrangements are made for professionals to visit frail service users. The systems to store, administer and dispose of medication in the home are well managed but need to be more robust. Medication received into the home is not recorded. One service user who self medicates had all her medicines set out on her bedside cabinet. The detail of medicines recorded in the care plans was very good with information about why they were prescribed and what side effects could be expected. Staff were seen and heard to respect service users’ privacy and dignity. They were allowed to go about their usual routines and sit where they liked. The staff were seen to constantly interact with service users and it was evident that relationships are close but still professional. Care staff are allocated to service users each day and service users are provided with cards so that they know who their carer is for the shift. Service users spoken with were very complimentary about their life in the home. One stated that “when I came here it was to continue my life, but with a little help, and not to be prepared by staff for the next world. Staff here have enabled me to do that”. Another said that she was “Absolutely thrilled with every aspect of the service” Swan Hill House DS0000020728.V297502.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are able to participate in social activity and keep in contact with family and friends. Residents receive a healthy, varied diet according to their assessed requirement. EVIDENCE: The way in which activities are provided places an emphasis on more meaningful pastimes tailored to individual needs. A dedicated staff member is allocated to provision of this service in the afternoons on a Monday to Thursday basis. Service users stated that their leisure needs are provided for in a way that respects them as individuals. Details are displayed in the entrance hall and include social gatherings, arts and crafts or exercise classes. Service users spoken with stated that they may receive visitors at any reasonable time of the day and that they are always made very welcome by the staff. A service user commented that “Visitors are also provided with a meal if they wish-free of charge”. Swan Hill House DS0000020728.V297502.R01.S.doc Version 5.2 Page 12 The home employs separate catering staff. A new cook has been employed and service users stated that “The food had always been good, but since the chef started its got even better”. The availability, quality and presentation of food ensures that service users receive a wholesome, appealing and nutritious diet. Other service users spoken with could not fault the food provided. Menus for the week are in the entrance hall and the daily menu is also displayed. Swan Hill House DS0000020728.V297502.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to a robust, effective complaints procedure that enables them or their supporters views to be listened to and acted upon. Staff are provided with induction and on-going training regarding adult protection. This provides staff with the relevant knowledge to safeguard service users from many types of abuse. EVIDENCE: The CSCI has not received any complaints about the home. Nor have their been any adult protection issues. Service users were seen to speak easily to staff and were comfortable in their company. Staff are skilled in communicating with people to ascertain their well being. A comments/suggestions box is in the hallway for anyone to use. Swan Hill House DS0000020728.V297502.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Swan Hill House is comfortable and homely and service users live in a safe, well-maintained environment. EVIDENCE: Rooms entered into were personalised according to individual wishes and tastes. Two bedroom doors had been wedged open, one with a wooden wedge and the other with a chair. The door to bedroom 12 did not close into its frame. Communal areas were clean and comfortable and varied in presentation. Quiet areas have been created on landings that allows service users to sit in private or with visitors. Service users have access to a beautiful garden which is very well maintained. The laundry is equipped to deal with soiled linen. Swan Hill House DS0000020728.V297502.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. EVIDENCE: The file of the most recently recruited member of staff was seen which showed that robust recruitment practices had been carried out. This staff member had received induction. The induction standards should be amended to meet the changes in ‘Skills for Care’. A yearly training matrix was seen. Staff files confirmed that planned training is provided and there are many equal opportunities to improve themselves for the benefit of service user care and customer satisfaction. The level of staff trained to level NVQ2 stands at 45 with two more staff having started the course. Service users commented that they feel safe with the staff caring for them and they felt that the home employs people that are capable of carrying out their care duties. Swan Hill House DS0000020728.V297502.R01.S.doc Version 5.2 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The ethos of the home is based on openness and respect with effective quality assurance systems developed by qualified, competent management to achieve good outcomes for service users in all areas of care. EVIDENCE: The registered manager, Mrs Daker, has the required qualifications and experience to meet the standards and aims and objectives of the home. Senior staff have undertaken qualifications beyond the basic requirements, e.g. all duty managers have achieved NVQ level 4 in care and the registered managers award. Through discussion and observation the management team demonstrated that together they manage the service efficiently, providing quality care to service users. They seek to develop staff to improve their skills to create a confident staff team. Swan Hill House DS0000020728.V297502.R01.S.doc Version 5.2 Page 17 Service users confirmed that the system in the home for accessing money works well. Records are kept. Quality assurance takes place throughout the service in both a formal and informal manner. Meetings, surveys, day to day contact all provide records to show that service user satisfaction is at the heart of the service. The home keeps records to show that the health and safety of service users is promoted and protected. Swan Hill House DS0000020728.V297502.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 3 3 3 3 Swan Hill House DS0000020728.V297502.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2 3 Standard OP19 OP19 OP9 Regulation 23(4)(a) 23(4)(c)(i ) 13(2) Requirement The registered provider must ensure that bedroom doors are not wedged open. The registered provider must ensure that the door to bedroom 12 closes into its door frame. The registered provider must make arrangements to record the receipt of medicines into the home. Timescale for action 18/08/06 18/08/06 18/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP9 OP30 Good Practice Recommendations The registered provider should encourage service users who self medicate to use their lockable facility. The registered provider should amend the induction standards to comply with the changes in ‘Skills for Care’. Swan Hill House DS0000020728.V297502.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Swan Hill House DS0000020728.V297502.R01.S.doc Version 5.2 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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