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Swanton House Care Centre Good

Listen to a sound recording of the inspection report on Swanton House Care Centre that we published on 21 September 2017

Inspection Summary

Overall summary & rating


Updated 26 February 2020

About the service

Swanton House Care Centre is residential care home and was providing personal and nursing care to 29 people living with a mental health condition and/or learning disability at the time of the inspection.

The care home is registered to accommodate 49 people for residential and nursing care. People may have a mental health need, a learning disability, a physical disability or a dual diagnosis. Some people are living with dementia. The service accommodates people both over and under 65 years old. People currently live in in two separate houses called Holly and Bluebell. The houses are set in large grounds and are single storey and purpose built with some self-contained accommodation. The third house, Birch is a converted period building. There was a plan to refurbish and modernise the accommodation in this building. At the time of inspection, it was only used for office space and some communal activities. Four downstairs rooms were being refurbished in order to take emergency placements.

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

People told us they felt safe at the service. There had been an improvement in staffing levels across the service to ensure that there were enough staff to support people. Staff were knowledgeable about how to keep people safe and manage risks to promote their independence. There were systems in place to monitor incidents and ensure that action was taken to prevent things going wrong in the future.

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. A competency framework for staff ensured they had the skills and knowledge they needed to support people and meet people’s needs. People told us the food was excellent and all staff were aware of people’s preferences as well special requirements in relation to their diet. The premises continued to be improved and people were consulted on how it could be adapted to meet their needs.

We observed positive relationships between staff and people living at the service. People told us staff spent time with them having a chat or providing support. Staff were very aware of promoting privacy, dignity and confidentiality and people were involved in their care and supported to be as independent as possible.

Care plans were regularly reviewed in line with people’s changing care needs. There was an active programme of activities that engaged people both within the home as well as encouraging people to be engage with the local community. Additional provision had been made since the last inspection to ensure that those people who stayed mainly in their rooms, or who didn’t like being in groups were able to engage in activities. Consideration for people’s wishes at the end of their life was recorded sensitively in a care plan called, ‘Hopes and concerns for the future.’

There was a positive, person-centred culture across the service. Staff morale was good, and staff worked well as a team. Staff told us management were open and approachable and they felt supported in their roles. Auditing processes had been considerably improved since the last inspection resulting in improvements to care and the registered manager continued to identify new areas to work on. The service worked well in partnership with other organisations and professionals to improve the health and wellbeing of people using the service.

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

Rating at last inspection and update: The last rating for this service was Requires Improvement (published 8 August 2019) and there were multiple breaches of regulations. Following this inspection, we met with the provider to discuss how they will make changes to ensure they improve the rating to at least Good. The provider completed an action plan to show what they would

Inspection areas



Updated 26 February 2020

The service was safe.

Details are in our safe findings below.



Updated 26 February 2020

The service was effective.

Details are in our effective findings below.



Updated 26 February 2020

The service was caring.

Details are in our caring findings below.



Updated 26 February 2020

The service was responsive.

Details are in our responsive findings below.



Updated 26 February 2020

The service was well-led.

Details are in our well-Led findings below.