Inspection on 13/01/06 for Swinton Hall Nursing Home Ltd

This inspection was carried out on 13th January 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Swinton Hall Nursing Home Ltd 21/09/07

Swinton Hall Nursing Home Ltd 05/12/06

Swinton Hall Nursing Home Ltd 17/10/05

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Swinton Hall Nursing Home Ltd 188 Worsley Road Swinton Manchester M27 5SN Lead Inspector Richard Dankwa Unannounced Inspection 13th January 2006 13:30 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 Swinton Hall Nursing Home Ltd DS0000064111.V278211.R01.S.doc Version 5.1 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. Swinton Hall Nursing Home Ltd DS0000064111.V278211.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Swinton Hall Nursing Home Ltd Address 188 Worsley Road Swinton Manchester M27 5SN 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) 0161 794 2236 0161 727 0047 Swinton Hall Nursing Home Ltd Mrs Shirley Lawton Care Home 62 Category(ies) of Old age, not falling within any other category registration, with number (52), Physical disability (10) of places Swinton Hall Nursing Home Ltd DS0000064111.V278211.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. A maximum of 10 persons aged 35 years and over but under 60 may be accommodated within the total numbers. Other service users within the maximum of 62 require either nursing care or personal care by reason of old age. Up to 18 service users who require intermediate care only and who are within the category of old age, may be accommodated within a designated area (lower ground floor) within the overall maximum of 62. Minimum nursing staffing levels as specified in the Notice issued in accordance with Section 25 (3) of the Registered Homes Act 1984 shall be maintained. 17th October 2005 4. Date of last inspection Brief Description of the Service: Swinton Hall provides accommodation for up to 62 older residents of varying categories. The home provides intermediate care for up to 18 residents on the lower ground floor, which is staffed independently from the main body of the home and has dedicated input from the Primary Care Trust. Up to 10 residents of 35 years and over can be accommodated within the overall maximum occupancy of 62 service users. Accommodation is on three floors with access to all areas enabled with ramps, a lift and portable chair lift. There is a large car parking area to the front of the property with enclosed grounds to the rear. The building is set back from the main road and is within easy access to the cities of Salford and Manchester. Swinton Hall Nursing Home Ltd DS0000064111.V278211.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the 13 January 2006. The home’s director, the manager and the charge nurse were all spoken to during the inspection. The opportunity was taken to talk to some of the residents and staff. The general state of the home was inspected. The paperwork kept at the home was also looked at. Staff members were directly observed as to how they supported the residents. The majority of the areas needing improvements during the last inspection had been carried out. Other areas requiring improvements were identified at this inspection visit. The previous report should be read together with this one to get a better picture of the home, as the Commission for Social Care Inspection did not look at all the standards on this visit. What the service does well: What has improved since the last inspection? What they could do better: All staff must receive regular supervision to enable them identify the training needs and the support they require to do their work effectively. The home must complete the redecoration of the toilet in the intermediate care unit and Swinton Hall Nursing Home Ltd DS0000064111.V278211.R01.S.doc Version 5.1 Page 6 put it into use. Training records should be available at all times for inspections. The home should provide formal training on the Protection of Vulnerable Adults. 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. Swinton Hall Nursing Home Ltd DS0000064111.V278211.R01.S.doc Version 5.1 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 Swinton Hall Nursing Home Ltd DS0000064111.V278211.R01.S.doc Version 5.1 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): 2, 4. The residents and their representatives were given all the necessary information about their stay in Swinton Hall and the service the home provided. EVIDENCE: All the residents and their representatives were given contracts and a Service User Guide that explained the terms and conditions of the home. The residents and their relatives visited the home to meet other residents before they made the decision whether to use the services of the home. The home sought advice and specialist services whenever it was necessary. There was an office in the home that was used by General Practitioners, staff from the Primary Care Team, District Nurses and staff from the social services. Swinton Hall Nursing Home Ltd DS0000064111.V278211.R01.S.doc Version 5.1 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. The care needs of the residents were documented allowing staff to meet the assessed needs of the residents. EVIDENCE: The care plans examined were detailed and up to date. All residents and their relatives were encouraged to help put their care plans in place . One of the residents said, “The care at the home was better than anywhere he has been, including the hospital”. Another resident said, “Nothing was too much trouble for any of the staff”. “When you need help they were there straight away”. The residents had risk assessments plans in place to safeguard them from harm. The care plans were reviewed on a regular basis to reflect the changing needs of the residents. Swinton Hall Nursing Home Ltd DS0000064111.V278211.R01.S.doc Version 5.1 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): 15. The home provides wholesome appealing balanced diet in pleasing surroundings at times convenient to the residents. EVIDENCE: The home provided adequate wholesome appealing balanced diet. There was a menu in place that included choice for the residents. The menu was sent to the residents each morning for them to choose what they would like to eat on the day. The home provided special diets such low fat foods and low sugar diets. The home ensured that individual preferences were catered for such as liquidised and finger feeding foods. One resident said, “The meals were great”. The meals served during lunch on the day of the inspection appeared appetising. The residents eat in a comfortable, clean and pleasing dinning room. Others chose to have their meals in their room. The residents eat at the time of their choice. Swinton Hall Nursing Home Ltd DS0000064111.V278211.R01.S.doc Version 5.1 Page 11 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): 18. The home had policies and procedures in place to promote the wellbeing of the residents and protect them from harm and abuse. EVIDENCE: There were policies and procedures in place for the protection of vulnerable adults. All staff had received in-house training regarding this. However, they should receive formal training to further enhance their ability and confidence in dealing with an allegation of abuse. Swinton Hall Nursing Home Ltd DS0000064111.V278211.R01.S.doc Version 5.1 Page 12 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, 26. The residents live in a safe and well-maintained home. The home was clean and pleasantly decorated. EVIDENCE: The residents enjoyed a well maintained home. The home had a planned programme in place for redecoration and refurbishment. The resident’s bedrooms were well decorated and personalised. One of the toilets in the Intermediate care unit was out of action due to redecoration. This must be completed as soon as possible. The home had policies and procedures in place for dealing with infection control and the safe handling and disposal of clinical waste. The grounds were kept clean, safe, and well maintained. There was an easy access to the garden. There was no presence of offensive odour. Swinton Hall Nursing Home Ltd DS0000064111.V278211.R01.S.doc Version 5.1 Page 13 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): 28, 29. The home ensures that the right staff are employed to look after vulnerable people. This means that the residents’ interest and well being are safeguarded by the recruitment practices of the home. EVIDENCE: The majority of the staff had completed NVQ Level 2 or 3. Specialist training was provided such as dementia Awareness. All starters received home induction. The home had recruitment policies and procedures in place to safeguard the interest and well being of the residents. Staff files examined contained all the required information that the home must keep regarding persons working at the care home. However, the training records could not be easily located. The home should ensure that evidence of staff training is kept on staff files. All staff had Criminal Records Bureau check (CRB) and a Protection of Vulnerable Adults check (POVA) before they started working. Swinton Hall Nursing Home Ltd DS0000064111.V278211.R01.S.doc Version 5.1 Page 14 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): 33, 36. The home likes to find out from the residents and their relatives whether the home provides good service. The staff did not receive regular supervision. EVIDENCE: The home carried out surveys twice a year by sending questionnaires to residents and their relatives. Residents’ family meetings were held twice a year that formed part of the reviewing process of the home. The residents also participated in these meetings and their views underpinned the review and the development of the home. There was no evidence that the staff received regular supervisions. The home was devising a tool to be used for this purpose. All staff must receive regular supervisions to further assist them in supporting the residents appropriately. Swinton Hall Nursing Home Ltd DS0000064111.V278211.R01.S.doc Version 5.1 Page 15 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 3 X 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 X 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X 2 X X Swinton Hall Nursing Home Ltd DS0000064111.V278211.R01.S.doc Version 5.1 Page 16 Are there any outstanding requirements from the last inspection? Yes 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. 1 Standard OP19 Regulation 23 Requirement Timescale for action 15/02/06 2 OP36 18 The registered person must ensure that all areas of the home are kept in a good state of repair. The home must complete the redecoration of the toilet in the intermediate care unit and put it into use. The registered person must 01/03/06 ensure that staff receive regular supervision. (Previous requirement 01/03/06) 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 2 Refer to Standard 18 30 Good Practice Recommendations Formal training on POVA should be provided. Staff should have individual training profiles and they should easily be available for inspection at all times. Swinton Hall Nursing Home Ltd DS0000064111.V278211.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Swinton Hall Nursing Home Ltd DS0000064111.V278211.R01.S.doc Version 5.1 Page 18 - 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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