Inspection on 17/10/05 for Swinton Hall Nursing Home Ltd

This inspection was carried out on 17th 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 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 13/01/06

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 HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Swinton Hall Nursing Home Ltd 188 Worsley Road Swinton Manchester M27 5SN Lead Inspector Michelle Haller Unannounced Inspection 17th October 2005 11:00 X10029.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.V257244.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 and Care Homes for Adults 18 – 65*. 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.V257244.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Swinton Hall Nursing Home Ltd Address 188 Worsley Road Swinton Manchester M27 5SN 0161 794 2236 0161 727 0047 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) 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.V257244.R01.S.doc Version 5.0 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. 3rd March 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.V257244.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken over two days for a period totalling 9 hours. The inspection process involved interviews with three residents and three residents’ representatives. Two members of staff were interviewed and in depth discussions with the manager and proprietor also took place. Fourteen care files and other records and reports pertaining to these service users where inspected. Other documents concerning the running of the home was also examined. A tour of the private and communal areas of the home was also undertaken and during the course of the inspection the interactions between staff and service users was observed. During the inspection the home was welcoming, clean and warm. Residents appeared well groomed and comfortable. Staff, residents and visitors to the home appeared at ease. One resident comment sums up the feelings of those interviewed and the general findings of the inspection. “I have home comforts….nice bed, companions, the foods good…I’m kept clean, staff are good and I get help with medication.” What the service does well: The home ensures that prospective residents and their families are able to make an informed choice about moving into Swinton Hall. The service provides support that ensures short-term residents maintain and develop independent living skills. Positive relationships have been fostered between those who live, visit and work at Swinton Hall. Service users are treated with respect and dignity, and their choices and preferences taken into account in relation to all aspects of living in the home. The home provides committed and enthusiastic staff. Palliative care in the home is provided with compassion and professionalism. Swinton Hall Nursing Home Ltd DS0000064111.V257244.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: 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.V257244.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Swinton Hall Nursing Home Ltd DS0000064111.V257244.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 5, and 6 (Older People), 2 (Adults 18-65) The home ensures that residents and relatives are provided with a residents’ guide and their needs are comprehensively assessed prior to their admission to the home. Prospective residents are able to spend a period of time in the home prior becoming a permanent resident. The home ensures that residents admitted for intermediate care are helped to regain their skills for living independently. The home ensures that the routine and specialist health care needs are met. Swinton Hall Nursing Home Ltd DS0000064111.V257244.R01.S.doc Version 5.0 Page 9 EVIDENCE: A total of 14 care files from the separate units in the home where examined. Each files contained comprehensive assessments of needs and corresponding care plans. Specialist assessments concerning the prevention of pressure sores where also completed. Three residents and their relatives where interviewed and each confirmed that they were able to visit the home prior to admission. The most recent admission acknowledged that they where provided with a copy of the residents’ guide. During the tour of the building the intermediate care unit inspected. The facilities included a domestic kitchen and the inspector was advised that a rehabilitation gym is being installed. Daily reports and care plans indicated that the independent living skills of residents did improve, and residents were able to return home following a period of time in the rehab unit. Those interviewed acknowledged that they had regained skills and where looking forwards to returning to their homes. Swinton Hall Nursing Home Ltd DS0000064111.V257244.R01.S.doc Version 5.0 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are 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 and 11 (Older People) and 6,9,16,18,19 and 20. Care plans do not routinely involve the residents or their relatives. The health, physical and emotional needs of residents are met. Residents are supported in mainlining control over their medication. Residents are treated with respect and dignity. Palliative and end of life care is given in accordance with the wishes of residents. Swinton Hall Nursing Home Ltd DS0000064111.V257244.R01.S.doc Version 5.0 Page 11 EVIDENCE: Fourteen residents’ care files where examined and each contained care plans that informed staff of the care and support required to meet the assessed needs of the residents. Report entries provided evidence of routine and specialist care provision that included podiatry, optician appointments; falls prevention; pressure area care, catheter care, diabetic care and palliative care. The care plans examined had been reviewed but it was clear that residents had not been involved in the process. The home needs to ensure that residents and their representatives are involved in the development and review of their care plans. The manner in which daily reports were written indicated that service users are treated with respect. Residents and relatives who were interviewed confirmed that staff where thoughtful, respectful and mindful of the choices made by service users. Comments included “The staff are all nice here- splendid- they are all very good with me.”; “I feel cared for in every way” and “I am pleased with the nursing here.” The home is part of a pilot scheme involving the local hospitals, doctors and nurses in planning to ensure that, the end of life wishes of residents is fulfilled. Specialist care plans have been developed that are detailed and agreed with the service user, their consultant, their general practitioner and the corresponding GP Practice. The assessment and intervention includes pain and stress recognition and control. It was noted that record keeping concerning this area of care is very precise. The home has now developed a satisfactory policy and guidelines for residents who self medicate. It was noted during the inspection that lockable cupboards where available in all bedrooms. Observations made during the period of the inspection indicated that staff treat residents with dignity and respect. One area of moderate concern is that the nurses’ station is in the lounge area of the Continuing Care unit. It was acknowledged that though confidentiality could be an issue, generally, discussions concerning residents took place in the less public conservatory area of the unit. Swinton Hall Nursing Home Ltd DS0000064111.V257244.R01.S.doc Version 5.0 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the 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 and 15.(Older People) and 12,12,15 and 17 (Adults 18-65) Appropriate activities are offered to residents living at Swinton Hall. Residents can maintain contact with friends, family and the local community in accordance to their choice and needs. Residents are supported and encouraged to exercise choice over their lives. Meals provided at the home are varied, culturally appropriate and are enjoyed by the residents. Swinton Hall Nursing Home Ltd DS0000064111.V257244.R01.S.doc Version 5.0 Page 13 EVIDENCE: Swinton Hall employs an activities coordinator/hobby therapist; records demonstrated that each residents and their representatives had been interviewed in order to build a picture of the persons past and current interests. The majority of residents stated that there were enough activities going on in the home to prevent boredom. Activities included, monthly visits from a mobile library; painting, drawing and other arts and crafts; games such as dominoes and bingo; entertainers and sing-a-longs on a regular basis. Outings have included theatre trips, meals out, carol concerts and shopping trips. The variety of activities indicates that it should be possible for each service user to find something of interest. residents are also enabled to participate in religious celebrations according to their tradition. The manager confirmed that the advocacy groups Age Concern and Care Aware where representing residents living in the home. The local school places students for work experience at Swinton Hall and Salford University uses the home for student nurse placements. Swinton Hall service user guide states that friends and relatives can visit at anytime convenient to the resident. In the course of the inspection it was noted that service users where receiving visitors throughout the day. Residents stated that friends and relatives could visit whenever they wanted. Furthermore staff where aware of the routines of particular residents, ensuring privacy and choice was respected in the case of those who wanted to a share a meal with friends in the privacy of their bedroom, or those who would be going out with friends or family. Spouses where keen to confirm that their privacy was respected. All residents interviewed where content with the food provided. Comments included: “The food is lovely- you cannot fault it and we get a varied diet.”; “Its alright. Great breakfast.” and “I like the food very muchhotpots my favourite and I like fish and chips on a Friday.” The menu charts confirmed that a wide variety of traditional British meals where provided. Residents confirmed that they where informed of the choice of meals the previous evening. Dishes were prepared with ingredients suitable for most therapeutic diets and more specialist meals are prepared when necessary. Swinton Hall Nursing Home Ltd DS0000064111.V257244.R01.S.doc Version 5.0 Page 14 Records where kept of the food and drink intake of the most frail residents. Records are stored in accordance with the Data Protection Act 1998 and residents’ relatives that they had been able to read through some records concerning their relative. Swinton Hall Nursing Home Ltd DS0000064111.V257244.R01.S.doc Version 5.0 Page 15 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) 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 (Older People) and 22 and 23 (Adults 18-65) Service users, relatives and other representatives are confident that complaints will be taken seriously and treated with respect. The homes procedures for safeguarding service users could be improved. EVIDENCE: The home’s complaints procedure provides information that informs the residents and their representatives about their rights to make complaints, how to complain and in what timescale a complaint will be dealt with. The complaints record indicated that all complaints where fully investigated and the outcomes discussed with all concerned. Residents and their representatives stated that if they had any concerns these would be addressed to the Matron or the sister-in-charge of the unit. Those interviewed had never complained but stated that they where confident that any concerns would be dealt with. The home uses Salford City Councils abuse procedure. This is a robust document that is used throughout social and health care services in the City of Salford. Swinton Hall Nursing Home Ltd DS0000064111.V257244.R01.S.doc Version 5.0 Page 16 Adequate training concerning whistle blowing and prevention of adult abuse was not evident. The manager was keen to confirm that this training was provide through the NVQ 2 training, however not all staff have completed, or will be expected to complete, this course. Swinton Hall Nursing Home Ltd DS0000064111.V257244.R01.S.doc Version 5.0 Page 17 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) 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, 20, 21, 22, 23, 24, 25 and 26 (OP) 24, 25, 26, 27, 28 and 30(YA) A comfortable, safe and well maintained environment Swinton Hall is provides comfortable and safe communal and private accommodation. There are lavatories and washing facilities to meet the needs of residents. Specialist equipment is available in the home to maximise the independence of residents. Residents’ bedrooms meet their needs and suit their lifestyle. Swinton Hall Nursing Home Ltd DS0000064111.V257244.R01.S.doc Version 5.0 Page 18 EVIDENCE: A tour of the communal and private areas of all the units at Swinton Hall was undertaken. The home was found to be comfortably furnished and for the most part free from unpleasant odours. The fixtures and fittings in the home were well-maintained and residents where observed accessing all areas of the home. The majority of rooms have ensuite toilet and bathing facilities. In addition there is at least one assisted bathing facility on each unit in addition to separate toilet and washbasin areas. Grab-rails, heightened toilet seats, pressure relieving cushions, footstools and other equipment required to promote comfort or maintained independence was in use throughout the home. Bedrooms on all units of the home were examined, and the majority of these contained personal items, this included residents’ rooms on the intermediate care unit. A number of the bedrooms had been redecorated since the previous inspection and the improvement plan includes refurbishment of a shower room. Swinton Hall Nursing Home Ltd DS0000064111.V257244.R01.S.doc Version 5.0 Page 19 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 29 and 30 (Older People) 32,34, and 35 (Adults 18-65) Staff are employed in sufficient numbers and skill mix to meet the needs of the service residents. The home operates robust recruitment policy and guidelines however comprehensive records confirming the identity of staff are not maintained. Staff are trained and competent to do their jobs. EVIDENCE: The duty rosters during this inspection identified that there were 28 staff providing support to 60 residents throughout the day. The staff included qualified nurses; ancillary care staff and domestic staff. Residents and their relatives stated that there seemed to be plenty of staff available to complete task and spend time with the residents. Swinton Hall Nursing Home Ltd DS0000064111.V257244.R01.S.doc Version 5.0 Page 20 Staff who where interviewed stated that in addition to attending an interview, they provided two references and waited for the completion of Criminal record Bureau checks prior to working in the home. However records concerning the identity and other information detailed in Schedule 2 of the Care Standard Regulations 2001 where not maintained. Records and training workbooks confirmed that all staff are provided with appropriate induction, foundation and ongoing professional training that is in keeping with the guidelines of the Skills for Care initiative and other professional bodies. The home makes the most of training provided by the local Primary Care Trust and Salford City Council. Courses attended by staff includes: Introduction to dementia; introduction to challenging behaviour; attending to personal physical care needs, palliative care; tissue viability training, food hygiene and infection control. Senior staff have also attended courses concerning mentoring of junior staff. The matron stated that in-house training on a different aspect of care is offered most weeks. Swinton Hall Nursing Home Ltd DS0000064111.V257244.R01.S.doc Version 5.0 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) 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, 36 and 38 A competent well-qualified manager runs the home. The ethos of the home is beneficial to service users. Further input is required to demonstrate that the quality assurance systems are adequate. Swinton Hall Nursing Home Ltd DS0000064111.V257244.R01.S.doc Version 5.0 Page 22 Staff supervision needs to be formalised. The health, welfare and safety of residents, staff and others in the home are safeguarded. EVIDENCE: The registered manager is a qualified nurse and completed a Registered Manager Award in 2004. Additional training including Teaching skills, Dementia Care, First aid and staff mentoring, has been undertaken in the past year. Discussion with staff confirmed that the manager is well respected and able to offer guidance and support when required. Staff interviewed were clear about their roles and responsibilities in relation to caring for residents. Residents where content with the management approach in the home and the manager was considered easy to talk to and approachable. The statements made by staff, residents and relatives confirmed that the management structure in the home was clearly understood. Questionnaires are currently used to monitor the quality of the service provided at Swinton Hall- the results of the questionnaire are not analysed. Further work is necessary before the quality monitoring meets the minimum standards. Individual supervision for staff is not provided and this needs to be established in the home. The manager stated and records confirmed that staff had received training in moving and handling, first aid, food hygiene and infection control. Health and safety posters where also strategically posted throughout the home. Records also identified that that Fire safety equipment was adequately maintained. The home employs contractors to ensure all equipment and services including gas services, water cleanliness, passenger lifts and other equipment are serviced and maintained, in accordance with the appropriate guidelines. Accidents are recorded, monitored and interventions introduced to reduce any identified risks. Swinton Hall Nursing Home Ltd DS0000064111.V257244.R01.S.doc Version 5.0 Page 23 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 3 2 x 3 3 4 3 5 3 6 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 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 2 ENVIRONMENT Standard No Score 19 3 20 3 21 3 22 3 23 3 24 3 25 3 26 3 STAFFING Standard No Score 27 3 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 x 33 2 34 x 35 x 36 2 37 x 38 3 Swinton Hall Nursing Home Ltd DS0000064111.V257244.R01.S.doc Version 5.0 Page 24 Yes Are there any outstanding requirements from the last inspection? 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 2 Standard OP36 OP33 Regulation 18 24 Requirement The registered person must ensure that staff are provided with regular supervision. The registered person must develop quality assurance systems that enable those involved with the home to comment on the services provided. The registered person must ensure that all records detailed in schedule 2 of The Care Homes Regulations are maintained in the home. The registered person must ensure that all staff are provided with training concerning whistle blowing and the prevention of adult abuse. The registered person must ensure that relatives and residents are actively involved in the review of care plans. (Previous time scale 01/04/05 not met) Timescale for action 01/03/06 01/03/06 3 OP29 17 01/12/05 4 OP18 13 01/03/06 5 OP7 15 01/03/06 Swinton Hall Nursing Home Ltd DS0000064111.V257244.R01.S.doc Version 5.0 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Swinton Hall Nursing Home Ltd DS0000064111.V257244.R01.S.doc Version 5.0 Page 26 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. 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