Inspection on 27/10/05 for Swanland House

This inspection was carried out on 27th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Swanland House 27/11/08

Swanland House 28/11/06

Swanland House 30/01/06

Swanland House 27/01/05

Swanland House 06/09/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Swanland House 41 West End Swanland North Ferriby East Yorkshire HU14 3PE Lead Inspector Karen Ritson Unannounced Inspection 27th October 2005 09:30 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 Swanland House DS0000019730.V268752.R01.S.doc Version 5.0 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. Swanland House DS0000019730.V268752.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Swanland House Address 41 West End Swanland North Ferriby East Yorkshire HU14 3PE 01482 634159 01482 633328 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) Mrs Elizabeth Anne Stevenson Mrs Elizabeth Anne Stevenson Care Home 20 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (20) of places Swanland House DS0000019730.V268752.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th January 2005 Brief Description of the Service: Swanland House is a privately owned care home and is a Grade 2 listed building. The home is registered to offer care and accommodation for 20 older people, including those with dementia. The interior and the décor are of a traditional design. There are eight shared rooms and four single rooms. The garden is very pleasant and there is a car park for staff and visitors. The home is close to the centre of the village and local amenities, including a public house, shops, a café and hairdressers. The home is accessible to all service users via the use of ramps, a passenger lift and a stair lift. Swanland House DS0000019730.V268752.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 27th October 2005 and took nine hours to complete, which includes time for preparation and for writing the report. Three service users, two members of staff and a GP were spoken to during the inspection. Their comments are detailed within the report but the general feeling was that the care offered was of a high standard. The atmosphere was relaxed, with service users and staff happy to chat with the inspector. The manager was not on duty on the day of the inspection but the senior carer on duty, Gill Adamson, was available throughout the inspection and provided much assistance with the inspection process. What the service does well: What has improved since the last inspection? What they could do better: Required improvements to the running of the home are identified through the homes quality assurance system. None were identified during this inspection. This report has generated no requirements. Swanland House DS0000019730.V268752.R01.S.doc Version 5.0 Page 6 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. Swanland House DS0000019730.V268752.R01.S.doc Version 5.0 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 Swanland House DS0000019730.V268752.R01.S.doc Version 5.0 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): 3 and 6 Service users are assured their care needs will be met. EVIDENCE: The home carries out an assessment of needs prior to admission and this is reviewed and updated regularly. Service users and visitors said staff knew what their care needs were and felt that these needs were met. All required areas are covered. This home does not offer intermediate care. Swanland House DS0000019730.V268752.R01.S.doc Version 5.0 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 Service users health care needs are met. EVIDENCE: Care plans are detailed and reviewed by the key worker on a monthly basis. All professional involvement in service users care is recorded separately on file. Medication is suitably stored and staff have received training in the safe handling of medication through the pharmacy. Medication administration was observed at lunchtime. This followed policy and procedure. Staff said they felt confident in handling medication. Service users said their privacy was respected and that all medical examinations took place in private. Bedroom and bathroom doors are lockable, with access for staff in an emergency. A GP was spoken to during the inspection and he commented that the surgery had a good working relationship with the home. He further commented that the home managed the range of service users needs well, and felt that those with dementia and those with minimal care needs alike received a responsive service. Swanland House DS0000019730.V268752.R01.S.doc Version 5.0 Page 10 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. Service users have choice and control over the way they live their lives. EVIDENCE: Service users and relatives said that there were organised activities and that staff regularly spent time on a one to one basis with individuals. A visitor said the home was good at organising parties where all felt welcome. One visitor said that the service users did not go on any outings arranged by the home and that there was a heavy reliance upon families to arrange this. The proprietor later informed the inspector that there were weekly outings arranged every week of the year and that visitors would be reminded that these were available. Those service users who are reasonably independent are encouraged to go out unaided where feasible. One service user commented that grab rails to the main door would help her feel sufficiently confident to venture out of doors unaided. The senior carer in charge had already been made aware of this and the grab rails were to be fitted shortly. Visitors are welcome at any time. Service users said they had control over when they got up and went to bed each day, they could choose what they did with their day according to capacity and said staff would help arrange particular activities. Service users also reported that they enjoyed the food. Preferences, dislikes or allergies are recorded and taken into consideration. Specialist and softened Swanland House DS0000019730.V268752.R01.S.doc Version 5.0 Page 11 diets are catered for and service users who require help with feeding are assisted in a caring and respectful manner. Swanland House DS0000019730.V268752.R01.S.doc Version 5.0 Page 12 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 and 18. Service users complaints are acted upon and they are protected from abuse. EVIDENCE: There is a simple, clear and accessible complaints procedure in place at the home. This is included in the service user guide. A record is kept of all complaints made. Those spoken to said they felt all complaints would be listened to and acted upon. The home has appropriate policies and procedures in place that are designed to safeguard service users from all types of abuse. A video is used to train staff about the protection of vulnerable adults from abuse. Staff receive training in abuse awareness through induction, foundation and NVQ training. Service users said they felt well cared for and that they felt safe in the home. Swanland House DS0000019730.V268752.R01.S.doc Version 5.0 Page 13 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 and 26 The home is well maintained, clean and hygienic. EVIDENCE: The home is extremely well presented and maintained. On the day of inspection the tables were attractively set for the midday meal in the dining room with linen napkins and smart tablecloths. All communal areas reflected the homes’ history as a private dwelling, with quality furnishings and tasteful decoration. Each room was decorated with the service users preference in mind. A selection of lounge space is available with quiet areas upstairs for more private contemplation or for receiving visitors. There were sufficient bathing facilities and occupational therapy equipment for those service users in the homes’ care. The laundry has two new washing machines and dryers. Service users and visitors alike commented upon the attractiveness of the surroundings and said there were no difficulties with the laundry. Swanland House DS0000019730.V268752.R01.S.doc Version 5.0 Page 14 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 Service users welfare is protected by well -trained staff in adequate numbers. EVIDENCE: The staff rota shows which staff are on duty at any time of the day and night, and in what capacity they are employed. There are additional staff on duty at peak times of activity during the day. Service users and staff said there were sufficient staff to carry out their duties without needing to rush and there was always time for a chat. At least 50 of staff have achieved NVQ Level 2 in care. Staff are recruited according to policy and procedure. Two references were seen on file for each member of staff. Staff said they were offered regular training in relevant subjects such as dementia care and Parkinson’s disease in addition to the statutory TOPPS induction and foundation training. Swanland House DS0000019730.V268752.R01.S.doc Version 5.0 Page 15 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): 31,33,35 and 38. The home is run in the best interests of the service users. EVIDENCE: The registered provider/manager has completed the NVQ 4 Registered Manager’s award and has a nursing qualification. There are effective quality assurance and quality monitoring systems in place at the home. Service user meetings are held, and a questionnaire is given to service users and relatives at six monthly reviews. Service users, relatives and health professionals are consulted via survey and the outcomes are recorded in the annual service review. Full staff meetings are held every six months, and mentor meetings are held every three months. The home has achieved the Investors in People award and QDS (the local authorities quality assurance scheme) Parts 1 and 2. Monthly audits take place in-house – these cover a different topic every month and the outcome is recorded. The latest audit was concerning confidentiality. Swanland House DS0000019730.V268752.R01.S.doc Version 5.0 Page 16 Service users and visitors are encouraged to speak to the inspector when visiting the home and a number of service users did so during this inspection, being happy to give an opinion as to the level of care offered. All service users manage their own financial affairs or are assisted by a family member or solicitor. Some personal allowances are held by the home. The records were checked and found to be accurate. Service users and families said there were no problems with the financial arrangements and service users felt their money was safe. All health and safety documentation was up to date, with all certificates in place for systems and appliances. Swanland House DS0000019730.V268752.R01.S.doc Version 5.0 Page 17 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 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 3 X 4 X 3 X X 3 Swanland House DS0000019730.V268752.R01.S.doc Version 5.0 Page 18 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 OP1212 Good Practice Recommendations It is recommended that the management look into the provision of outings for those who express an interest and for whom this is appropriate within a risk assessed framework. Swanland House DS0000019730.V268752.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Swanland House DS0000019730.V268752.R01.S.doc Version 5.0 Page 20 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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