Random inspection report
Care homes for older people
Name: Address: Swimbridge House Nursing Home Swimbridge Welcombe Lane Barnstaple Devon EX32 0QT two star good service 14/10/2008 The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Joanne Walsh Date: 0 9 0 2 2 0 1 0 Information about the care home
Name of care home: Address: Swimbridge House Nursing Home 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 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr John Kushmira Singh care home 24 Number of places (if applicable): Under 65 Over 65 24 old age, not falling within any other category Conditions of registration: 0 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 Date of last inspection Brief description of the care home 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
Care Homes for Older People Page 2 of 8 1 4 1 0 2 0 0 8 Brief description of the care home 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. Care Homes for Older People Page 3 of 8 What we found:
We carried out this random inspection on the 9th February primarily to check on compliance of the requirements we had made during the previous random inspection completed on 14th October 2009. The main areas that we wanted to check centered on ensuring that plans of care included risk assessments and enough clear details to ensure that all aspects of an individuals person and health care needs could be met. We did not therefore look at all key standards and this report should be read in conjuction with the last key inspection report. We case racked two people with complex nursing needs. We also spoke to one of those individuals about how well they felt their care and support needs were being met. We spend a short amount of time observing carers and we spoke with the nurses on duty. We found that there had been significant improvements in the plans of care. For the two peoples records that we looked at we saw that the home had good well maintained records and assessments. This helps to inform staff what idviduals needs are and how these should be met. Both individuals records had a nutritional risk assessment, an assessment for the risk of pressure areas, a moving and handling risk assessment and plan, a bed rail risk assessment. We saw that there was also individual fire evacuation assessments and a section to record social histories called Life and social biopic. Both individuals had wound treatment and evaluation plans. One person had come in with a pressure area and it was evidenced that this was now improving. The other person had issues relating to their peg feed tube site. We could see that the home had sought clinical advice and guidance about this via the GP, dietitian and the clinical nurse specialist in tissue viability. Plans now also contain much clearer instructions on what staff should do if the individual has a bowel problem. We saw that the plan of care stated for one person If constipation continues for more than 3 days refer to the bowel care pathway and protocol. We saw that this folder was easily accessible to staff and contained information about types of treatment for constipation and other bowel conditions. Importantly staff now keep records, particularly for those where bowel care is identified as a potential issue. Charts show if an individual had had their bowels open or not and this can then easily be tracked by nursing staff as to whether treatment and advice be sought. We saw that the nursing daily notes contained information and observations about the individuals emotional as well as physical well being. There is a brief plan of care folder in each room and these are completed by care staff and record what care and support has been delivered each day. The nurses audit and monitor these to ensure that everyone is getting their personal care needs met. We spoke to one of the people we case tracked. They said that they spent most of their time in their room, that this was their preference. They felt that their care needs were being well met. They said that staff were very kind and helpful, some better than others, but would like them to spend a little more time chatting. This person said that they could not currently access the telephone as it did not work in their room. We have asked the home to look at how this can be resolved to enable this person and anyone else who
Care Homes for Older People Page 4 of 8 is nursed in bed to access a phone should they wish. The nurse in charge said that the phone reception does not work in some of the bedrooms but does in others. The home needs to make sure that it finds a way for all rooms to have access to make and receive call in private if they so wish to. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 7 Plans should include a Mental Capacity assessment and whee possible plans should be agreed and reviewed with the individual and/or their representative. All individuals should be able to have access to make and receive calls in private. 2 13 Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 summary 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. Care Homes for Older People Page 8 of 8 - 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!
