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Swarthmore Housing Society Limited Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 9 October 2019

About the service

Swarthmore Housing Society Limited is a residential care home it is registered to provide personal and nursing care for up to 40 people. At the time of the inspection 29 older adults were being supported. Accommodation is located over two floors in one adapted building. People had access to extensive well-maintained gardens.

People’s experience of using this service and what we found

Medicines were not always being managed in line with current best practice.

Systems of governance and oversight were not sufficiently robust to have identified the issues we found in relation to managing risks and the management of medicines.

Risk management was not always comprehensive and up to date. People who had been identified at risk did not always have documentation in place to guide staff.

Several people did not have current and up to date Deprivation of Liberty Safeguards in place. However, we were aware this had been applied for within the specified time to the local authority.

Records were not always completed correctly to document the support people were given.

People’s care plans did not always reflect their support needs. Some care plans had conflicting information recorded.

People were supported to follow their interests and take part in activities that were socially relevant to them. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People had a choice of food and specific dietary requirements were catered for.

The management was aware of the culture of the service. We were aware there were ongoing issues relating to a member of staff. Where performance of staff was an issue this was dealt with accordingly. The service promoted and supported fairness and an open culture for staff to air their views and concerns.

Staff received safeguarding training when they first joined the service. Staff we spoke with told us they knew what abuse was and they would report any concerns following the correct procedure.

Staff were caring and respected people as individuals. Staff ensured people’s privacy and dignity needs were respected during personal care. People could be as independent as they wanted to be.

People and relatives spoke highly about the service and said Swarthmore was … “A great place to live” One person commented, “I am as happy as I would be anywhere.”

There was a wide range of activities for people to engage in and to follow their hobbies. The service encouraged people to take active roles in their community.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was Good (published10 January 2017).

Why we inspected

This was a planned inspection based on the previous rating.


We have identified breaches in relation to safe care and treatment and good governance.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas


Requires improvement

Updated 9 October 2019

The service was not always safe.

Details are in our safe findings below.


Requires improvement

Updated 9 October 2019

The service was not always effective.

Details are in our effective findings below.



Updated 9 October 2019

The service was caring.

Details are in our caring findings below.



Updated 9 October 2019

The service was responsive.

Details are in our responsive findings below.


Requires improvement

Updated 9 October 2019

The service was not always well-led.

Details are in our well-Led findings below.