Inspection on 05/12/06 for Swinton Hall Nursing Home Ltd

This inspection was carried out on 5th December 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Swinton Hall Nursing Home Ltd 21/09/07

Swinton Hall Nursing Home Ltd 13/01/06

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 Elizabeth Holt Key Unannounced Inspection 5th December 2006 10:00 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.V293339.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.V293339.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.V293339.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. 13th January 2006 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. The fees range from £355.52-£537.31 per week. Swinton Hall Nursing Home Ltd DS0000064111.V293339.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place on the 5th December 2006. All the key National Minimum Standards (NMS) were reviewed during this inspection. Information was gathered as part of the inspection process which included a questionnaire completed by the manager which gave information about the residents, the staff and the building. Information held by the Commission, for example notifications of significant incidents was also reviewed. Time was spent talking to the residents, visiting relatives, the manager and the staff team about day to day life in the home and to establish what the home was like for the residents living there. A partial tour of the premises was undertaken and documents and care files for a number of individual residents were also examined. What the service does well: What has improved since the last inspection? Swinton Hall Nursing Home Ltd DS0000064111.V293339.R01.S.doc Version 5.1 Page 6 Since the last inspection the ongoing programme of redecoration and refurbishment continued. This included the particular toilet noted at the last inspection. A system had been developed for the personal development of each individual staff member. The team leaders have received mentorship training to provide all staff with ongoing supervision. Training had been provided for all staff in the Protection of Vulnerable Adults. The employment of an activities organiser who was very keen and enthusiastic has led to improvements in the development of social activities inside and outside the home to help provide a stimulating environment. 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.V293339.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.V293339.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): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Prospective residents are assessed before an offer of a place is made to the home. EVIDENCE: Residents and their representatives were given written contracts and a Service User Guide that clearly explained the terms and conditions within the home. Procedures are available to ensure that the needs of prospective residents are fully assessed before they are admitted to the home. The documentation for two residents recently admitted was clearly recorded and this included involvement of the prospective resident and his/her family. The written content of some of the assessments varied in detail with some containing more than others. For residents who are referred through Care Management arrangements the home obtains a summary of the Care Management Assessment prior to admission. Swinton Hall Nursing Home Ltd DS0000064111.V293339.R01.S.doc Version 5.1 Page 9 The home provides an intermediate care service. Residents admitted for intermediate care were assisted to maximise their independence and to return home. A separate office was available for the visiting professionals and staff to meet to discuss and plan the care required for the residents accommodated. Swinton Hall Nursing Home Ltd DS0000064111.V293339.R01.S.doc Version 5.1 Page 10 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, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the home. Each resident had an individual plan of care . However some areas of the care plans required improvements to ensure residents’ health, personal and social care needs are fully met. The systems and procedures for dealing with medicines protected the residents. EVIDENCE: A sample of care plans was examined from each unit. Each care plan contained details of the care and support the individuals needed from the staff team. Care plans included a social assessment of the individual. There was evidence to show resident/relative involvement of the drawing up of the care plan. Care plans on the intermediate care unit showed the daily living skills of the residents did improve and demonstrated that a discharge plan had been developed to allow them to return home. Residents spoken to were very pleased with the care and attention they received. One resident said,” all the staff are very kind and look after my needs well”. A discussion with the Swinton Hall Nursing Home Ltd DS0000064111.V293339.R01.S.doc Version 5.1 Page 11 manager highlighted the need to ensure the daily statements are recorded in detail and accurately reflect the care given. Individual risk assessments were completed . These also included assessments for falls, nutrition, pressure relief and moving and handling. Care plans for residents wounds were clearly recorded and showed wound mapping and the progress of the wound. Care plans were reviewed on a regular basis by the lead nurse and reflected the changing needs of the residents. At the time of this inspection there were no residents on the “End of Life Care Pathway”, a scheme involving various health professionals to ensure the residents end of life care needs are appropriately met. The home had recently been audited on their use of the documentation for the care pathway and the outcomes appeared positive. From observations made during the inspection and discussions with staff members and residents it appeared that the care staff and nurses treated the residents with respect and dignity. In the lounge area of the continuing care unit it was evident the staff knew the individual likes and dislikes of the residents accommodated. A visiting speech and language therapist was positive about the care the staff carried out following her advice and instructions. Several medication administration records (MAR) were examined. The recordings were accurate and codes were used appropriately. On examination of the controlled drugs register it was clear stock balances were accurate and regular checks were carried out. Swinton Hall Nursing Home Ltd DS0000064111.V293339.R01.S.doc Version 5.1 Page 12 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): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including visit to the home. Activities were provided and residents were able to maintain contact with family and friends. Residents were able to exercise choice and control over their lives. EVIDENCE: The home had recently employed an activities coordinator who was positive and enthusiastic about her role. Residents and staff confirmed that a residents meeting had been held to consult them on the activities they wished to be involved in. Examples of trips out and activities carried out included visiting a garden centre, local pubs for lunch, carol concerts and a pantomime. A game of dominoes was being enjoyed by a group of residents on the afternoon of the inspection. One resident said , “I look forward to getting up after my nap to participate in the activities in the home”. One resident had received Holy Communion from the minister and she felt happy that her needs were met. An open visiting policy was available and residents who could express a view said their relatives were made welcome. Visitors could enjoy the company of their relative in the privacy of their own bedroom or in the communal lounge. Two relatives confirmed they were always made to feel welcome and the visitors’ book confirmed there were a number of visitors to the home. Care Swinton Hall Nursing Home Ltd DS0000064111.V293339.R01.S.doc Version 5.1 Page 13 plans included some information about the residents’ social and recreational interests however a discussion highlighted that although a record is held of the activities carried out this should be included in the care plan. From speaking to residents and staff it appeared that residents are able to exercise choice and control over their lives. Residents’ bedrooms showed they are able to bring personal possessions into the home. Meals provided at the home are varied, wholesome and nutritious and are enjoyed by the residents. There was evidence that the residents had a choice of what they wished to eat. Meals were provided in a pleasant dining room and some residents chose to eat in the privacy of their bedroom. Swinton Hall Nursing Home Ltd DS0000064111.V293339.R01.S.doc Version 5.1 Page 14 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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has the systems and procedures in place to allow people to express their complaints/concerns and to protect residents from abuse. EVIDENCE: The home had the policies and procedures in place which gave residents/relatives the information required to make a complaint. The home held a record of complaints and on examination none had been recorded since the last inspection. Residents and relatives stated they were comfortable in raising any concerns or complaints with staff members at the home. The manager had received “train the trainer Protection of Vulnerable Adult training” and this was in the process of being cascaded to all other staff in the home. Staff spoken to were aware of the action to take in the event of an allegation of abuse. A member of staff from the Adult Protection Unit at Salford had attended the home to talk to the relatives of residents regarding Adult Protection procedures. Swinton Hall Nursing Home Ltd DS0000064111.V293339.R01.S.doc Version 5.1 Page 15 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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The premises are comfortable, safe and the homes environment including the standard of hygiene was well maintained. EVIDENCE: A tour of all the units at Swinton Hall was made. The home felt comfortable and homely and all areas of the home were clean. The home had an ongoing programme for the redecoration and refurbishment of the home. Resident’s bedrooms were well decorated, homely and personalised. The redecoration of the toilet identified in the previous report had been addressed as part of the ongoing maintenance programme. Policies and procedures were in place for dealing with infection control and the safe handling and disposal of clinical waste. Provision was in place for equipment necessary to promote the comfort and/or independence of residents with different needs. Swinton Hall Nursing Home Ltd DS0000064111.V293339.R01.S.doc Version 5.1 Page 16 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): 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The number, deployment and training of staff was sufficient to meet the residents’ assessed needs. Procedures for staff recruitment were in place to protect residents. EVIDENCE: On the day of the inspection the skill mix and staff numbers appeared satisfactory to meet the needs of the residents accommodated. Staff were observed to respond to residents using the call system efficiently. Staff were respectful of the residents and demonstrated a knowledge of their individual care needs. The home employs 41 care staff members of which, 25 have successfully achieved NVQ level 2. The home had recruitment and selection policies and procedures in place to safeguard the interest and well being of the residents. A sample of staff files were reviewed and these contained the a completed application form, written references, dates of employment and induction training. Newly recruited staff spoken to confirmed they had received a thorough induction training. Staff spoken to were very positive about the training and development opportunities they received. There was records of the individuals training and development plans. A new development within the home to assist staff’s Swinton Hall Nursing Home Ltd DS0000064111.V293339.R01.S.doc Version 5.1 Page 17 learning and development needs was the use of a dedicated computer for learning. Individual staff members can access appropriate courses and receive certificates following completion of the training. One of the ancillary staff said ” I enjoyed the palliative care training course and the staff have supported me to complete this.” During the last twelve months all care and nursing staff had completed the Gold Standard Framework for Palliative Care and the Liverpool Pathway. The home were now providing syringe driver training to other care homes who required the training. Residents spoke very favourably of the staff team and one of the residents said, “the staff come and chat to me during the day”. All staff had Criminal Records Bureau checks (CRB) and a Protection of Vulnerable Adult check (POVA) before they started working. Swinton Hall Nursing Home Ltd DS0000064111.V293339.R01.S.doc Version 5.1 Page 18 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): 31, 33, 35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has the systems in place to monitor the service based on people’s views. The home was seen to promote the health, safety and welfare of the residents and staff. EVIDENCE: The manager is an experienced Registered Nurse and is supported by a dedicated staff team. The manager is fully aware of her duties and responsibilities and demonstrated her knowledge of the residents well. Staff said the manager was approachable and would listen and act upon concerns/issues raised. The home has the policies and procedures in place to manage the financial interest of the residents. A sample of personal monies was examined and there was evidence of staff signatures to confirm the balance. Swinton Hall Nursing Home Ltd DS0000064111.V293339.R01.S.doc Version 5.1 Page 19 A questionnaire was available to seek the views of residents/relatives and the manager commented the results were acted upon. Fire safety checks were being carried out in line with relevant guidance. Staff had received fire training in June 2006. A system was in place for recording the personal development of staff and records are held for each staff member employed. The home was in the process of reviewing the Health and Safety risk assessments. The pre-inspection questionnaire showed that health and safety checks were being carried out. Accidents were recorded and monitored and the care plans reflected any necessary interventions to minimise the risk to the individual. Swinton Hall Nursing Home Ltd DS0000064111.V293339.R01.S.doc Version 5.1 Page 20 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 X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x 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 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Swinton Hall Nursing Home Ltd DS0000064111.V293339.R01.S.doc Version 5.1 Page 21 NO 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. Standard Regulation Requirement Timescale for action 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. Refer to Standard OP7 Good Practice Recommendations The daily statements should be detailed and clearly reflect the care delivered. Swinton Hall Nursing Home Ltd DS0000064111.V293339.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection CSCI, Local office 11th Floor West Point 501 Chester Road Old Trafford, Manchester M16 9HU 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.V293339.R01.S.doc Version 5.1 Page 23 - 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. 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