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Archived: Swallow Wood Care Home

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Inspection report

Date of Inspection: 6 July 2011
Date of Publication: 26 September 2011
Inspection Report published 26 September 2011 PDF | 68.87 KB

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We reviewed all the information we hold about this provider, carried out a visit on 06/07/2011, checked the provider's records and talked to people who use services.

Our judgement

The health, personal and social care needs of the people living in the home were being met by the service and staff; and people using the service had confidence in the staff looking after them.

User experience

People who spoke with us said they were very satisfied with the care and support offered by the staff. Discussion with people using the service revealed that they were happy with the way in which personal care was delivered by the staff, and they said that the staff respected their wishes and choices regarding privacy and dignity.

People told us they were able to make their own decisions about their daily lives most of the time; that staff were supportive and listened and acted on what they said.

We observed that there were good interactions between the staff and people, with friendly and supportive care practices being used to assist people in their daily lives. We saw and heard staff giving care to people who remained in their rooms during our visit. Staff regularly came to check on these individuals, and through out the day offered them drinks, food and pressure care.

We spoke with four people who were busy knitting and having a chat with each other and the activity co-ordinator. They told us that they enjoyed the activities on offer and regularly took part in group sessions and events going on in the home. Family and friends were seen visiting in the home and people told us that they could go out with their relatives at any time.

Other evidence

As part of our visit to the service we looked at four care plans and other records of care. We found that the care plans detailed the needs and abilities of individuals and documented people’s social interests, likes and dislikes, spiritual needs and wishes regarding death and dying. However, most of the information in the plans was focused on the physical aspects of care and was not significantly person centred.

The care plans contained risk assessments to cover daily activities of living such as use of bed rails, mobility, eating and drinking, falls and pressure care. The care plans also reflected the changes to people’s needs and the action required from the staff to meet those needs. For example one person’s risk assessment for nutrition was reviewed monthly and staff had documented when the risk had increased and carefully monitored for any weight loss. Staff referred this person to a dietician and their plan subsequently documented they required nutritional "build up" drinks because their nutritional intake was poor. The staff then completed daily food and fluid charts for this person to document their daily intake and output and monitor their nutritional wellbeing.

The provider employed two activity co-ordinators who worked Monday to Friday and had flexible hours to cover weekends and evenings if events were planned. We spoke to one of the co-ordinators who told us that activities were done daily depending on the wishes of the people using the service. We saw that people were playing dominoes, doing knitting and having their nails done in the afternoon of our visit. People using the service were able go out on trips; these were "ad hoc" and mainly when sufficient staff were available to accompany people.

We saw group and one to one activities taking place and we were informed by the activity co-ordinator that people in the home liked to play chess and snooker. People were seen playing board games and chatting to each other. The lounge area had facilities for people to watch videos and films and there was a movement to music session once a month and other entertainment events on a regular basis.