Care Home: Swillbrook House

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Ruskin Lodge
• Bushell House
• Langrigg House
• Parkside
• Dystlegh Grange
• Thornton Lodge

What the care home does well There is a well established staff team, which helps to give the assurance that people are familiar, comfortable and trusting of the people who support and care for them. The provider, manager and the staff team are committed to providing an excellent service. There is evidence to show that good relationships exist with health professionals. The provision of meals continues to be varied, nutritional and wholesome. Mealtimes also continue to be flexible and relaxed, enabling people to have choices and helps maintain independence. The provision of training is satisfactorily provided and it is evident that training has increased. It is evident that good and trusting relationships exist between service users and members of staff There continues to be a calm and relaxed atmosphere in the home, with a number of people commenting about the homely and big family atmosphere. What has improved since the last inspection? The previous requirements issued by CSCI have been satisfactorily addressed. This gives the assurance that the provider is committed to providing a good quality service. The improvements made have included, the increase of activities being provided in the home, it is apparent that many areas of the home have benefited from redecoration, the work carried out in the grounds is of a good standard and it is evident that the regulation 26 monthly reports are being regularly completed by the owner. Overall it is apparent that the provider has listened to the issues previously raised and satisfactorily addressed them. What the care home could do better: The loose pages / documentation in service users` files would benefit from being in ring binders or equivalent. This will help with the management of files and reduce the possibility of information going missing or being misplaced. The medication administration record (MAR) sheets would also be better maintained if they were in ring binders and to help remove any potential mistakes, it is recommended to place a photograph on the MAR sheets/ medication files of each individual. To continue with the good progress made, by maintaining the good standards that have been achieved. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Swillbrook House Rosemary Lane Bartle Preston Lancashire PR4 0HB     The quality rating for this care home is:   three star excellent service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Phil McConnell     Date: 0 8 0 7 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Swillbrook House Rosemary Lane Bartle Preston Lancashire PR4 0HB 01772690317 F/P01772690317 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Swillbrook Care Homes Ltd care home 23 Number of places (if applicable): Under 65 Over 65 23 old age, not falling within any other category Additional conditions: 0 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 23 Date of last inspection Brief description of the care home Swillbrook Care Homes Ltd owns Swllillbrook House. The Home is registered with the Commission for Social Care Inspection to provide care to older people of both sexes over the age of 65. Swillbrook House is located in the rural area of Bartle, Preston. The property is a large converted farmhouse with extensive gardens, a large patio area and outdoor space, with ample parking being available. The home is registered to care for 23 older people on both a permanent or respite basis. Due to the homes rural position most of the staff are from the local area. Care Homes for Older People Page 4 of 27 Brief description of the care home The home has 3 double bedrooms and 17 single bedrooms. A total of 15 bedrooms have toilet en suite facilities. There are 2 lounges, a dining room and a quiet area. A passenger lift is in place, which allows residents to move throughout the home independently. Appropriate aids and adaptations are provided to meet service users? individual needs. The present rate of charging is between £386-50 and £435-00. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: Various information was gathered in order to be able to assess the National Minimum Standards for Care Homes for Older People, including: The Annual Quality Assurance Assessment, this is a document which the registered manager completes every year and it contains information about the service being provided. We use this information, in part to focus on our inspection activity. An unannounced Key Inspection, which was carried out on the 6th of July 2009 by the Care Quality Commission (CQC). The registered manager ( Susan McWilliams ) was present throughout the inspection visit. There was also the opportunity to speak to some of the people who use the service in private, speak to some visitors and discussions also took place with some of the staff team. Care Homes for Older People Page 6 of 27 Peoples files were examined, with all relevant documentation being in place including, initial assessment documentation and care plans. A number of the staff files were examined and they also contained all of the necessary documentation needed for inspection purposes including, recruitment information and evidence of training that has been provided. Throughout the site visit there was the chance to observe the support and care that was being provided to individuals, which was done in a caring, appropriate and professional manner. The organisations policies, procedures and the health and safety documentation were examined and they were found to be up to date and satisfactory. A tour of the premises was carried out and it was evident that a number of improvements have taken place since the last inspection visit that was carried out by the Commission for Social Care Inspection (CSCI). What the care home does well: What has improved since the last inspection? What they could do better: The loose pages / documentation in service users files would benefit from being in ring binders or equivalent. This will help with the management of files and reduce the possibility of information going missing or being misplaced. The medication administration record (MAR) sheets would also be better maintained if they were in ring binders and to help remove any potential mistakes, it is recommended to place a photograph on the MAR sheets/ medication files of each individual. To continue with the good progress made, by maintaining the good standards that have been achieved. Care Homes for Older People Page 8 of 27 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 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There was sufficient evidence to show that peoples care needs will be satisfactorily assessed and determined if their needs can be provided, before a accommodation is offered. Evidence: Four service users files were examined, including the last person to go and live at Swillbrook House. All of the files contained sufficient, appropriate detailed and relevant information, which provided the care staff with the necessary guidance to provide a persons assessed needs. There were initial admission assessments in place, which had been carried out by local authority representatives. There was also evidence of assessment reviews being carried out for some of the people living at Swillbrook House. This helps to demonstrate that peoples needs are monitored, in order to ensure that their needs are Care Homes for Older People Page 11 of 27 Evidence: being met. Although the files did contain plenty of significant and appropriate information, they were in need of being better organised. The present files contain loose pages and it was recommended to the manager to use ring binder files or similar . This would help ensure that loose pages dont go astray and enable files to be better organised and maintained. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples care needs are provided in a person centered manner, helping to show that people are valued as individuals. Evidence: The care plans of four people were examined and they contained specific, detailed information, with guidance, enabling carers to provide a persons assessed needs. For example some of the information included, likes to be in bed at 9pm, with the curtains tightly closed and the window left open. The lights to be left on and have two blankets on the bed. Another persons care plan stated, likes juice at lunch time and coffee with her pudding. This helps to show that person centered care is promoted, with peoples needs and wishes actively carried out. It was also evident that care plans are regularly reviewed by the manager and the deputy manager. Specific information and satisfactory records were maintained in up to date individual log sheets, which listed details of visits and appointments from GPS, district nurses, dentists, opticians, podiatrists and physiotherapists. This demonstrates that peoples Care Homes for Older People Page 13 of 27 Evidence: health care needs are being monitored and provided for. The medicines were observed to be correctly and securely stored, with accurately recorded Medication Administration Record sheets (MAR). It was suggested to the manager, that it would be beneficial to maintain the MAR sheets in a ring binder or similar and to place a photograph on each persons MAR sheet .This would help avoid any confusion or any potential error. There were medication declaration forms in place that had been signed by people using the service, giving permission for staff to administer their medication. There was the opportunity to observe some interactions between some of the staff and some of the service users. It was apparent that people were being treated respectfully and with dignity. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a varied provision of activites, helping to give the assurance that people are receiving sufficient motivation and stimulation, in order to promote their wellbeing. Evidence: There was documented evidence to show that the provision of activities has increased since the last inspection visit. The AQAA says, we now have an individual activity programme sheet for each resident and encourage all residents to assist us to complete them. Four of the individual activity sheets were observed and they contained specific information of what peoples interests are and what they like to do or be involved in. There was a programme of activities advertised on the homes notice board. The manager said, we try to do something every day and on a Monday the hairdresser visits. During the inspection visit an Alphabet game was being facilitated by a member of staff and it was apparent that the majority of service users were taking part. It was commented that, nearly everyone joins in. This activity was seen to be creating quite an interest and providing stimulation to all involved. Care Homes for Older People Page 15 of 27 Evidence: The outside grounds have had some significant work carried out including, a new wide and even path that extends around the large rear garden. It was commented that people use this pathway on a daily basis and during the visit people were observed using this facility. The grounds have also been made more secure, with a good quality fence having been erected. There are also bird boxes, bird baths and bird feeders in the garden. This has also provided quite an interest to a number of people and consequently created some involvement for some of the people living at Swillbrook. A monthly newsletter is produced, giving information about the past and future events regarding, any outings, entertainment and activities. An open house policy is promoted at the home and in the feedback received, it was evident that visitors are welcomed. Some of the comments were, I am always made welcome and the staff are really friendly when I visit, everyone is nice, always friendly and there is always a lovely atmosphere in the home and the staff always seem to have enough time. It was evident that people are encouraged to bring into the home their own personal belongings, which helps promote individuality. Feedback received also demonstrated that people are enabled and empowered to make choices. The observed risk assessments confirmed that people are encouraged to be as independent as possible. The provision of meals within the home are considered to be good, varied and wholesome. Some of the comments were, the meals are always goodand its champion here, no one could grumble about the meals. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good policies and procedures in place, helping to show that people are protected as much as possible from abuse. Evidence: Swillbrook has a clear complaints policy and procedure in place and feedback received, demonstrated that people would know how to make a complaint. No complaints have been received by the Care Quality Commission (CQC) or by the previous Commission for Social Care Inspection (CSCI). There was the opportunity to speak to some visitors to the home and they were asked if they had ever had any reasons to complain about the service being provided to their relatives? One person responded by saying, I have no complaints, the opposite in fact, I cannot praise them enough. In discussion with some of the staff it was evident that they are fully aware of safeguarding issues and would know what to do if there was any suspicion or allegation of abuse made. Staff have received training regarding safeguarding adults and one person said, we have had refresher courses about abuse issues. It was clear that staff have the skills and training to help ensure people using the service are protected as much as possible from harm or abuse. Care Homes for Older People Page 17 of 27 Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environmental standards of Swillbrook House have improved, giving the assurance that people live and work in a safe, pleasant, comfortable and pleasant home. Evidence: A full tour of the premises was carried out and it was evident that a number of improvements have been made since the last inspection visit, which was carried out by the Commission for Social Care Inspection (CSCI). The improvements included, new carpets in the areas previously identified that could potentially cause trip hazards, many parts of the home have been redecorated, including peoples bedrooms and the poor lighting throughout the home has been improved. This helps to promote the safety of people living at Swillbrook House. Bedrooms were also observed to contain peoples own belongings, photographs and furniture. This helps to show that familiarity is promoted, helping people to have a sense of belonging and maintaining their identity. The kitchen is open plan, which leads on to the dining room. The kitchen is satisfactorily equipped to meet the needs of the home and the dining room is bright and airy, with suitable dining tables and chairs. The laundry is well equipped and on the day of the site visit a new washing machine was being delivered. There are two main lounges and a quiet / meeting area, which are well maintained and decorated. It Care Homes for Older People Page 19 of 27 Evidence: was mentioned that, visitors often use the quiet area for spending time in private,with their relatives. New fencing has been erected around the large rear garden, with a new pathway, which is wide and even. This enables people to safely walk around the garden. During the site visit people were observed walking around the garden. The garden is very pleasant and it was evident that new plants and shrubs have been planted. As previously mentioned bird boxes, bird baths and feeders have been placed in the grounds, which has created interest and stimulation to some of the people living at Swillbrook house. The improvements made to the outside grounds are of a very good standard and overall the home was observed to be clean, hygienic, safe, well maintained and pleasant. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is an established, committed and well trained staff team, giving the assurance that service users receive a quality and excellent standard of service. Evidence: Swillbrook House was observed to be satisfactorily staffed, with most of the staff team having worked there for some time. This gives an assurance of continuity and familiarity for the people using the service. Some of the feedback received regarding the staff was, The staff are really nice, my mother is happy and content the staff aways have enough time. I have complete peace of mind with the care she receives this is a good place for her. The staff are lovely all of the staff are nice and always friendly and a recently bereaved family wrote, Our thanks to Sue (manager) and the staff who for the past eight years have eased mums life by providing such tender care and devotion as her frailty increased. They cared not only for her but about her and they supported us her family. We are forever in their dept, they are special people. There is a robust and thorough recruitment system in place, with staff files containing relevant and satisfactory evidence that the necessary information and checks have been obtained including, Criminal Records Bureau (CRB), application forms and two Care Homes for Older People Page 21 of 27 Evidence: written references. It was apparent that correct procedures are carried out , which helps ensure that only suitable people are employed to support and care for vulnerable people. There was available evidence to show that members of staff have received appropriate, relevant and satisfactory training. Some of the training being provided is, Dementia awareness, infection control, safeguarding adults, first aid, moving and handling and it was observed that the majority of staff have obtained the National Vocational Qualification (NVQ) at level two, with seven people having achieved this care award at level three. This helps to demonstrate that the provision of training is excellent and people using the service are supported and cared for by a well trained and skilled staff team. Some of the staff commented, I think its very homely Its like a big family here you look after people like it was your mum or dad, the best you can and this is the most rewarding job I have ever done. Throughout the inspection visit people were observed to be treated in a courteous manner. The staff and the manager were seen to interact with people in a non patronising, very sensitive and patient way. This demonstrates that dignity, respect and equality if positively promoted and practiced. Overall with the feedback received and in observation, it was apparent that the dedication and commitment of the staff team is of an excellent standard. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Swillbrook House is well managed, helping to give the assurance that people receive an excellent quality service. Evidence: There is a good established management structure in place, which includes the registered manager and a deputy manager. The registered manager has many years of experience in social care and she has been the manager at Swillbrook House for over seven years. She has achieved the Registered Managers Award, NVQ level four and she has kept up to date with relevant legislation and training, for example she and the deputy manager have recently received training in The Mental Capacity Act and in The Deprivation of Liberty Safeguards. The manager commented, this training will be passed on to the staff. Some of the comments regarding the management from people using the service, relatives and staff were, the manager is really easy to get on with the management Care Homes for Older People Page 23 of 27 Evidence: are approachable. I am always informed about anything regarding my relative the manager is very understanding and supporting and is there to listen if you have any problems and shes alright is Sue, (manager) she is very fair and approachable. There was sufficient evidence to show that the management and administration of Swillbrook House is of an excellent standard. The home has continued to maintain the Investors in People award, which is an external quality assurance monitoring organisation. As previously mentioned a monthly newsletter is produced providing information for people using the service, relatives and staff. Internal quality assurance monitoring surveys are also sent to relatives and the information received is used to improve the quality of service delivery. There were satisfactory procedures in place regarding individuals finances, with appropriate safeguards, helping to demonstrate that people are protected from potential financial abuse. The health and safety policy and procedures were examined and they were found to be up to date. All of the homes health and safety inspection certificates were also observed including, electricity, gas, fire extinguishers, portable appliances (PAT), legionella, clinical waste, emergency lighting and the lift inspection certificate. The inspection certificates were all up to date and correct. Care Homes for Older People Page 24 of 27 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 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, Care Homes 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 3 Peoples files would benefit from being better organised. This would help with the overall organisation and management of the files. It would be beneficial to place a photograph of the service user on their medicine record. This would help eliminate any potential error. 2 9 Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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!