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Inspection on 04/01/10 for Swansea Terrace Nursing Home

Also see our care home review for Swansea Terrace Nursing Home for more information

This inspection was carried out on 4th January 2010.

It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Swansea Terrace Nursing Home The quality rating for this care home is: The rating was made on: two star good service 3 0 1 1 2 0 0 7 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   Yes You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Anthony Cliffe Date of this annual service review: 1 8 1 1 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 108-114 Watery Lane Ashton Preston PR2 1AT 01772736689 Telephone number: Fax number: Email address: Provider web address:   sobhimathew@yahoo.com Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category physical disability Conditions of registration: Swansea Terrace Care Home Limited Number of places (if applicable): Under 65 Over 65 0 5 44 0 The registered person may provide the following category of service only - Care home with Nursing - Code N. To service users of the following gender: Either. Whose primary care needs on admission to the home are within the following categories: Old age not falling within any other category - Code OP. Physical Disability - Code PD (maximum number of places: 5). The maximum number of people who can be accommodated is: 44. Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Swansea Terrace is situated in the docklands area of Preston and it is close to shops, cinema and restaurants. The home provides nursing care to older people. The home comprises of 42 single bedrooms and 1 double bedroom. Bedrooms are situated on the ground and first floor, with access being available by a passenger lift. There are lounge and dining areas on the ground floor. Annual Service Review Page 2 of 6 New manager appointed April 2009 3 0 1 1 2 0 0 7 Information about the range of fees for accomodation and nursing care can be obtained by contacting the manager directly. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) on time. The information they gave us about how they had improved since the last key inspection and annual service review was brief and they did not say how the improvements made had made a difference to the people living there so we were unsure if improvements had been made as a result of asking people living at the home what they wanted to change. They did not tell us very much about the views of the people living at the home but told us that the home has monthly meetings with people living at the home and every three months with relatives so we think this is how the manager finds out what they want or what they are doing to make sure their services provides good outcomes for them. The AQAA tells us that as a result of listening to people that live at the home an activities coordinator has been employed to work six hours a day for five days a week but we were not told if people wanted other changes to be made. The AQAA says this had increased the opportunity for people to be involved in the local community so activities are based around the choices of people. The AQAA told us that improvements had been made in the last 12 months that would improve the quality of the service offered to people. The improvements identified were what we would expect to see in a care home offering a good level of care. For example weekly menus, table cloths with crockery and trips out. So we could not see significant improvement which would improve the quality of life for people living at the home. There is a new person in charge of the home, and this person filled in the AQAA. They have now applied to be registered with us, though they have been doing the job for over 7 months. We have been told that the home has bee taken into administration and is now being managed by another organisation. We have been assured that the administrators will manage the home appropriately so the quality of services offered Annual Service Review Page 4 of 6 will not be affected. People living in the home have given us mixed views. They said the always, usually or sometimes said they received the health care they needed and that staff were usually or sometimes available to provide care and support. Comments received were, Have more staff. There are never enough staff to look after the patients. Patients have to wait a long time for the staff to help. New carpets, a qualified manager and needs more cleanliness. We are loosing all the lovely nurses, senior nurse and carers. Make enough staff available, make enough clean bed sheets available, have regular family meetings and a mini bus as promised. Other comments received, The standard of care has gone down. Better communication and listen a bit more. We find it not a very homely place. We received 21 surveys back from staff that again contained mixed views. Staff said they were either always or sometimes provided with information to help them provide care and support to people living at the home. Staff said there were always or never enough staff available to provide care and support to people living at the home. Staff said support from the manager was either good or poor with the manager either regularly or never providing support and supervision to staff. Staff raised concerns about the cleanliness and housekeeping in the home saying that carpets were dirty and odorous and kitchen in need of repair. Staff said that communication in the home about the needs of people living there varied so information about the care of people is inconsistent. We received three surveys back from doctors one of which said the home sometimes sought advice about the health and social care needs of people and acted upon it but never respected peoples privacy and dignity. A comment received was, Manage the individual patients medical needs better and monitor medication. They can be disorganised in their use of doctors, the communication within the home may be poor. They also seem to want a lot of doctor reassurance. Also occasional poor observations of clients. There is a high percentage of staff who hold an NVQ level 2 qualification so the home has well above the expected national average of suitably qualified staff. An NVQ level 2 qualification is a nationally recognised qualification in social care. We received no complaints about Swansea Terrace care home in the last year. They have told us that they had received one complaints. A staff survey told us about a concern regarding staff practise, which we have asked the home manager to look into and report back to us. The home told us they had made no safeguarding referrals on the last 12 months and we have received no safeguarding concerns about the home. The safeguarding procedure is how the local council and other agencies involved respond to and manage allegtaions of abuse against vulnerable adults and children. What are we going to do as a result of this annual service review? The Care quality Commission will continue to monitor information about this service and will carry out an inspection when required. We have concerns about how the home is being managed and how this is affecting outcomes for people living at Swansea Terrace so will do a random inspection before the 2nd December 2009. Annual Service Review Page 5 of 6 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 6 of 6 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!