This inspection was carried out on 15th October 2009.
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.
Annual service review
Name of Service: Swimbridge House Nursing Home The quality rating for this care home is: The rating was made on: two star good service 1 4 1 0 2 0 0 8 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?
No 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: Joanne Walsh Date of this annual service review: 1 5 1 0 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Swimbridge Welcombe Lane Barnstaple Devon EX32 0QT 01271830599 01271830107 Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Mrs Margaret Myers Mrs Jaspreet Singh Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Mr John Kushmira Singh Number of places (if applicable): Under 65 Over 65 0 24 The maximum number of service users who can be accommodated is 24 The registered person may provide the following category of service only: Care home with nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following category: None 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 Swimbridge House is a modern, detached two-storied purpose built building situated in the rural area of Swimbridge in North Devon, it is registered to provide care with
Annual Service Review Page 2 of 6 Registered manager is now Jaspreet Singh. 1 4 1 0 2 0 0 8 nursing for up to 24 older people. There is level access throughout the home with a passenger lift to the first floor. Swimbridge House has 20 single bedrooms, most with en-suite facilities, 2 double/shared rooms are available if requested. There is a communal lounge and dining room on the ground floor and access to the garden area. The home has a car park and is set in lovely grounds surrounded by fields and countryside. The home is situated in an area which is not served by public transport and therefore can be accessed by private vehicles only. A pre-school nursery has been opened adjacent to the home in part of the surrounding grounds. The range of fees can be obtained directly from the home. Chiropody, hairdressing, personal toiletry items and newspapers/magazines are not included in the fees. The home also makes a charge if any people need a member of staff to escort them anywhere. Current information about the service, including the CQC inspection reports is available upon request from the manager and displayed in the hallway for those people that may wish to look at it. 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. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? We received the AQAA when requested and it contained most of the information we required. Some areas could have been expanded to show how the home intends to improve services over the next 12 months. We carried out a Random inspection on 1st October as a result of a safeguarding alert and we wanted to assure ourselves that peoples personal and health care needs were being met. This report can be made available on request, and essentially we are satisfied that needs are being met, but we have made several requirements in respect of ensuring that plans for care give better details and instructions to staff about how to meet peoples needs. We particularly want to ensure that plans of care include risk assessments where cot/bed sides are being used, better wound care plans and clear plans of care where bowel care has been identified as being an issue for an individual. We will be asking the home for an action plan to show us how they intend to comply with the regulations we have set, and we will complete a further random inspection later in the year. This will be to check on compliance of the requirements made. As part of the ASR process we sent surveys to the people who live at the home and we received 5 back. Overall the comments were very positive and included Friendly small home, warm and clean, comfortable rooms and sitting areas well arranged. Staff have time to speak to residents and visitors. Lovely cakes for tea. It is a good and caring home My x always looks clean and bright and always dressed well. Communication with x is difficult but staff cope with their needs very well. Annual Service Review Page 4 of 6 We also received 4 surveys from staff who said that they were given good support and training and staffing levels were sufficient to meet the needs of the people they care for. We are satisfied at this current time that the home provide good outcomes for people living there. They have been fully engaged in the safeguarding process and have implemented some positive changes as part of their own investigation. This includes reinstating daily care plans for staff to complete in respect of what personal care and support each person has had each day and evening. This helps to monitor how well peoples needs are being met. What are we going to do as a result of this annual service review? We will be completing a further random inspection later in the year. Annual Service Review Page 5 of 6 Reader Information
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