Inspection on 25/01/07 for Swanhouse

This inspection was carried out on 25th January 2007.

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

Swanhouse 14/02/06

Swanhouse 15/03/05

Swanhouse 17/08/04

Swanhouse 09/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Swanhouse 4 Swanland Avenue Bridlington East Yorkshire YO15 2HH Lead Inspector Diane Wilkinson Unannounced Inspection 25th January 2007 10:00 Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 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 Swanhouse DS0000019834.V328809.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 Adults 18-65. 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. Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Swanhouse Address 4 Swanland Avenue Bridlington East Yorkshire YO15 2HH 01262 678805 F/P01262 678805 susanropero@hotmail.com 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) Mr John Paul Ropero Mrs Susan Ropero Mrs Susan Ropero Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th February 2006 Brief Description of the Service: Swanhouse is a care home that is registered to provide care and accommodation for a maximum of three service users of either sex who have a learning disability. The home is owned and operated by the registered providers, who also live in the property. The home endeavours to promote a service users independence, develop their life skills and enable them to build self-esteem and confidence. The home is situated in the centre of Bridlington close to many local amenities, such as Leisure World, the Spa Theatre and shopping facilities, as well as local transport facilities. The fee paid by service users is £295.00 per week, with additional charges for chiropody, hairdressing, toiletries and extra holidays (one holiday per year is paid for by the registered providers). Information about the home is provided to service users and others in the home’s statement of purpose and service user guide. The care home itself occupies a large period property, which is laid out on two floors and provides service users with a comfortable homely environment. There are three single rooms, two having en-suite facilities and the other being situated next to the communal bathroom. There is a small secure garden to the rear of the property. Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report is based on information obtained from the pre-inspection questionnaire completed by the registered providers, information received by the Commission for Social Care Inspection (CSCI) since the last inspection of the home and from the site visit on the 25th January 2007. The unannounced site visit is part of a key inspection and was undertaken by one inspector over one day; the site visit commenced at 10.00 am and finished at 3.00 pm. The site visit consisted of a tour of the premises and examination of documentation, including three care plans. On the day of the site visit the inspector spoke on a one to one basis with all service users, care staff, the registered manager/provider and the registered provider. Surveys were sent out to seven health and social care professionals and to one relative; they were returned from one health care professional and the relative. A letter was received from the relatives of another service user. All comments received were very positive, such as ‘Swanhouse is one of the more pleasant of accommodations I have ever visited’ and ‘We are happy with all the services provided by Mrs. S. Ropero, Mr. J. Ropero and Swanhouse staff……an excellent relationship exists for all concerned’. Feedback from surveys was given to the registered manager on the day of the site visit (anonymously). Comments from discussions with staff and service users, and respondents to surveys, will be included throughout the report. The inspector would like to thank the three service users, staff, the registered provider and the registered provider/manager for their assistance on the day of the site visit, and to everyone who responded to surveys. What the service does well: The home cares for and supports service users well; the registered provider/manager and staff have the skills to manage the changing needs of service users. Service user records are well presented and are in a format understood by service users. Health care needs, including any changes and contact with health and social care professionals, are thoroughly recorded. The workbooks used by service users are an excellent record of their achievements and service users expressed pride in these. Service users are encouraged and supported to take part in various leisure activities both at home, at the day centre and within the local community. Responsible risk taking is encouraged. Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 6 Relatives expressed a high degree of satisfaction with the care provided by the home, and made particular mention of the good communication skills of the registered provider/manager; this helps them to maintain contact with their relatives. Staff are well trained and say that they feel well supported by the registered provider/manager. Service users and staff are encouraged to take part in meetings where they are able to express their views about the running of the home. The home is a comfortable, clean, welcoming and safe place to live. What has improved since the last inspection? What they could do better: 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. The summary of this inspection report can be made available in other formats on request. Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are involved in their assessment of needs and are confident that their needs will be met. EVIDENCE: No new service users have been admitted to the home for over 4 years. There are care need’s assessments in place for existing service users and community care assessments and care plans have been received from the local authority Care Management team. This documentation has been used as the basis to formulate a care plan for each service user. Health and social care professionals, including community psychiatric nurses and consultant psychiatrists, are involved appropriately in the assessment of care needs. Service users sign their care plans to evidence their involvement and there is evidence that the interests and needs of family carers have been taken into account. Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The promotion of individual needs and choices enables service users to be fully involved in all aspects of life in the home and the local community. EVIDENCE: The registered manager has developed an individual care plan for each service user; these are signed by service users to evidence their involvement. The inspector discussed care plans with each service user and all indicated that they were aware of their care plan and its purpose. Any involvement from health and social care professionals is recorded in a service user’s care plan, such as hospital appointments/stays, appointments with mental health workers and psychiatrists and dental appointments. The registered provider/manager has started to introduce some relevant documentation in an ‘easy to read’ format, for example, information about weekly fees. Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 10 All care plans include information about available advocacy services. Day to day choices made by service users are recorded in their care plan, such as where they have spent the day, any activities undertaken, visits out of the home and visitors seen. All service users have a key worker who can communicate well with them; this was observed by the inspector on the day of the site visit. Care plans are reviewed by the local authority and in-house. All service users attend a day centre that is operated by the registered manager/provider (at separate premises). They learn daily living skills such as the management of money, literacy and numeracy and computing skills. Service users also have workbooks at Swanhouse and continue with learning and leisure pursuits undertaken at the day centre whilst at home. All service users showed the inspector their workbooks; these include photographs taken whilst on holiday and on outings, learning activities, birthday cards etc. and all service users expressed pride in their achievements. One survey and one letter returned by relatives recorded that they are kept informed of important matters affecting their relative and that they are satisfied with the overall care provided. One relative said, ‘Susan has always made us very welcome and keeps us informed of how …. was getting on and the various activities he was involved in’. Service users told the inspector that they choose their own clothes; one told the inspector about their planned shopping trip the next day. One service user recorded in the home’s quality survey, ‘I choose my colours of my room’ and the registered provider/manager confirmed that service users are able to choose the décor for their bedrooms whenever they are due to be redecorated. Service users walk to the day centre or take a taxi if the weather is poor; they are unaccompanied by staff on occasions and this has been assessed as a safe activity for service users. One service user said in the home’s quality survey, ‘I use a taxi and also go out in the mini-bus’. The registered provider/manager manages the finances for two service users; appropriate records are in place to evidence that this is handled in the interests of the service users and both have a bank account. Care plans include all correspondence received from the Department of Works and Pensions. Service users have access to their own money at all times; the inspector observed that they were all given money to take to the day centre. Care plans include risk assessments for such areas as using the stairs, personal vulnerability and traffic danger. There is evidence that responsible risk taking is supported; two of the service users go to Church unaccompanied on a Sunday morning but there are controls in place to ensure their safety. There is a written procedure about how to deal with unexplained absences by service users. Service users carry ID as an extra safety measure when they spend time in the local community. Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users’ lifestyles are community focussed providing them with the opportunity and confidence to make informed, independent choices within the security of a supported living environment. EVIDENCE: As previously referred to, service users attend a day centre on a regular basis. Service users told the inspector about activities they undertake at the day centre; these include baking, colouring, literacy/numeracy and ‘pamper’ sessions. Service users continue with these activities when they remain at home for the day, and they showed their workbooks to the inspector on the day of the site visit. A service user’s likes and dislikes are recorded in their plan of care. The registered provider/manager informed the inspector that Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 12 service users are responsible for cleaning their own lounge; this was confirmed by service users on the day of the site visit. Service users told the inspector that they enjoy having meals out and that they regularly go to a local restaurant. Service users told the inspector that they are going on holiday to Morecambe again this year; they talked about the people who own the hotel, who they now consider to be friends. Service users have two or three holidays per year, one of which is paid for by the registered providers. They have regular days out in addition to holidays; some of these are with the day centre and some are with the registered providers. There is evidence in care plans that service users have been allocated a postal vote. Service users were due to go out to the day centre on the day of the site visit, but did not leave the home until late morning, as they wanted to show the inspector their workbooks and their bedrooms. A taxi was ordered for them so that they arrived at the day centre in time for lunch. There is evidence that service users are assisted to maintain contact with relatives and friends. Any contact is recorded in care plans, and service users told the inspector about visits from relatives. Service users have made friends at the day centre and the registered provider/manager told the inspector that they have friends to tea on occasions. The inspector observed that service users are able to choose whether or not to take part in certain activities, and on occasions one of the service users will decide to stay at the home rather than attend the day centre; staffing levels permit this. The inspector observed that staff talk to and interact with service users in a positive manner. Bedroom doors are lockable so that service users can protect their privacy if they wish to do so. Weekly menus were sent to the inspector along with the pre-inspection questionnaire – there is a four-week menu in operation. Healthy eating is promoted at the home and the service users told the inspector that, ‘today is healthy eating day at the day centre’. Menus record that service users have a choice at breakfast, lunchtime and evening meal, and that service users are also offered supper. Some lunchtimes the service users have their meal at the day centre. The registered provider/manager explained that the menu has to be flexible, as they sometimes decide to go out for a meal ‘at the last minute’. Service users have their own area of the kitchen that includes a fridge, a freezer and a kettle; they are supported to make drinks and snacks for themselves. This is sustained by independent living skills sessions at the day centre. Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 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 enables service users to be fully involved in meeting all aspects of their personal and health care needs. EVIDENCE: The inspector observed on the day of the site visit that service users are able to choose their own clothes and hairstyle and that their appearance reflects their personality. None of the service users have expressed concern about being assisted with personal care by a member of the opposite sex, but there are male and female staff available should this be an issue. Service users told the inspector that they are able to get up and go to bed at a time chosen by them. Each care plan includes a list of all health care professionals that are involved with that service user, and all contacts with health and social care professionals are thoroughly recorded. Very detailed information is recorded about the specific health care needs of service users, including visits to GP’s Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 14 and Consultants, hospital admissions and emotional behaviours. One service user has recently been admitted to hospital for surgery – this was negotiated between the registered provider/manager and the service user’s relatives. The registered provider/manager informed the inspector that she is currently accessing health care professionals for advice about another service user and that she is receiving excellent support; this is enabling the home to continue to meet the changing needs of this service user. There is a record of all medication taken by each service user in their care plan. Care plans also record that none of the current service users wish to handle their own medication. Medication is held securely at the home; only the registered providers have access to it. Any changes in medication prescribed to service users are recorded in detail, and any side effects or changes in behaviour are recorded and fed back to health care professionals. The inspector examined medication records; these are completed accurately and any medication not taken by service users is recorded and returned to the Pharmacist. The registered provider/manager has completed accredited medications training and the senior support worker is due to undertake this training shortly. Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear and user friendly complaints and protection procedures enable service users to feel safe and confident to voice their opinions. EVIDENCE: All service user care plans include a copy of the home’s complaints procedure. There is a complaints log in use but there are no entries; the registered provider/manager informed the inspector that there have been no complaints made. Relatives told the inspector (in surveys) that they are aware of the home’s complaints procedure and that they have never had to make a complaint. The survey returned by a health care professional records that they have never received any complaints about the home. Service users are protected by the home’s policies and procedures regarding abuse and finances. The inspector spoke with the senior member of staff on duty on the day of the site visit and it was evident that they had an understanding of adult protection issues and what action to take should an incident occur; this included the purpose of the whistle blowing policy. Staff have undertaken appropriate training on adult protection. Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 16 The inspector examined the records held for service user monies. These evidence that cash is handed to service users and they sign their ‘pocket money’ book to evidence receipt of the money. Money is also paid into a service user’s own bank account – service users go to the bank accompanied by a member of staff. Again, service users sign their ‘pocket money’ book to evidence their agreement. Receipts are not retained – this is because the money is handed to service users and they pay for their purchases/services. One member of staff left the home following disciplinary proceedings that resulted in them being demoted. This was due to an issue regarding adult protection and the registered provider/manager was advised that the CSCI should have been notified of this incident so that advise could have been given about the correct procedures to follow. Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a safe, homely environment that is well maintained. EVIDENCE: The home is comfortable, bright, airy, clean and well maintained. The environment is domestic in style and the property is in keeping with other properties in the area. The home offers access to local amenities such as Leisure World, the Spa Theatre, shops, hairdressers and cafes, and has easy access to local transport. The premises are accessible to all service users – two of the service users are accommodated on the first floor and both are able to use the stairs without assistance. Care plans include specific information about the room occupied by each service user, such as the room size and the provision of en-suite facilities. Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 18 There is a Business Plan and Annual Development Plan in place for 2006/7; this incorporates a maintenance programme. Furnishings and fittings are of good quality – one of the service users has recently had a new shower unit fitted in their en-suite facility. CCTV cameras are installed in the premises – these are placed to monitor the rear of the property and are only used after service users have gone to bed. The Fire Officer has recently visited the home and records evidence that they were satisfied with the fire safety arrangements that are in place. Service users have a laundry basket in their bedrooms and bring their own laundry into the kitchen area to be washed; service users have their own washing machine. The washing machine is domestic in nature, as the registered providers live within the care home and all appliances are domestic in nature. Laundry is carried through the kitchen in the laundry basket to increase infection control; no ‘foul’ laundry is handled by service users or staff. There is an infection control policy in place at the home. Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by the home’s recruitment procedures. The assessed needs of service users are met by well-trained staff. EVIDENCE: In addition to the registered provider/manager and the registered provider, two staff are employed by the home; a senior support worker and a support worker. The senior support worker has recently achieved NVQ Level 3 and the registered provider has also achieved NVQ Level 3 and an in-depth training programme via the British Institute of Learning Disability (BILD). The inspector spoke with the senior support worker on duty on the day of the site visit and observed their interaction with service users; it is evident that they have the skills and experience necessary for the tasks they are expected to perform, and that they are good listeners, accessible and approachable and interested in the needs of service users being met. Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 20 Previous inspection reports of the home indicate that it operates a thorough recruitment procedure but as no new staff have been employed at the home since October 2004 it was not possible to examine any recent recruitment practices on the day of the site visit. Staff records examined by the inspector evidence that there are CRB checks in place for both employees; one of the CRB checks has been renewed as an additional security measure, as the worker has been employed at the home for some years. Two written references were obtained at the time that the staff were recruited. Staff have been issued with a contract of employment. There is a training and development plan in place and this records that staff have received induction training and all mandatory training, including first aid and infection control. Staff told the inspector that they are supported and encouraged to attend training programmes to keep their skills and knowledge up to date. Staff have undertaken food hygiene and abuse awareness/adult protection training over the last year and there are plans in place for staff to undertake accredited medications training and first aid training in the coming months. The registered provider/manager informed the inspector that they are waiting to receive a list of training programmes to be provided by BILD over the next year. Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. High levels of consultation and regular reviews by the registered manager ensure that service users are looked after in an environment that is both safe and inclusive. EVIDENCE: The registered provider/manager is qualified, competent and experienced to run the home. There is evidence that she keeps her practice up to date; she has achieved NVQ Level 4 in Management and Care and the Registered Manager’s award, and informed the inspector that she is due to update medications training shortly. On the day of the site visit the inspector observed that the home is properly managed; each service user has a written Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 22 statement of terms and conditions or contract, the registration certificate is displayed in the entrance hall and policies and procedures are in place, updated and implemented. Surveys and letters received by the inspector indicate that the registered provider/manager does ‘over and above’ what is required of her in her role as manager. One relative said, ‘Susan would also keep us informed of ……’s personal development and her hopes for ….’s future. She has always been innovative, endeavouring to make …….’s days varied, interesting and full’. They also wrote about their relative’s recent hospital admission that was organised by the registered provider/manager, including negotiation with the service user’s relatives regarding funding, future health care needs etc. Service users completed a satisfaction survey in January 2007. The inspector observed that the previous survey was undertaken in January 2006. The survey invites service users to comment on the care they receive at the home, including the activities they undertake. The inspector was informed that the outcome of surveys is collated and that this information is stored with each service user’s records. The inspector examined minutes of residents meetings – these are also held every two months. All service users and two members of staff attended the most recent resident’s meeting – minutes evidence that service users requested that they have a holiday in Morecambe again this year, and that the fire alarms and issues regarding personal hygiene were also discussed. Staff meetings are held every two months; the inspector observed that dates have been booked and circulated to staff for 2007. Staff informed the inspector that they are able to raise issues and make suggestions at staff meetings, and that these are listened to. Service users are informed about forthcoming inspections; this inspection was arranged at ‘short notice’ and all service users had chosen to remain at home to meet the inspector and show the inspector their individual records and accommodation. All safe working practices are observed by the home. There is a fire risk assessment in place and a safety statement that records the arrangements to promote safe working practices. The fire alarm system has been checked by a qualified person and in-house fire tests take place. Staff have undertaken training on health and safety topics and there are appropriate policies and procedures in place. There is documentation in place to enable accidents and incidents to be recorded but no accidents have occurred. The gas boiler has been serviced and a new gas cooker has been purchased; this has a current ‘declaration of safety’. Electrical wiring was tested in March 2006 and was found to be in a satisfactory condition, and portable appliances have been tested. Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 X 3 X X 3 X Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action 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 Refer to Standard YA23 Good Practice Recommendations The CSCI should be notified of any staff disciplinary issues that involve allegations of abuse or neglect so that they can ensure that appropriate action is being taken. Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Swanhouse DS0000019834.V328809.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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