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Swanton Community Care Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 19 June 2019

About the service: Swanton Community Care provides personal care and support to younger adults with mental health, physical disability and autism or learning disability who live in their own homes. At the time of the inspection, they were providing a service to 22 people; 15 of which were receiving a regulated activity of personal care and support.

People’s experience of using this service: People were not always confident staff had the skills to support them with their medicines. Staff were trained in the safe administration of medicines and had their competency assessed, though we found problems with medicine records, stock checks and storage.

Quality assurance processes were in place but had been unable to maintain a high-quality service due to recently being implemented. The newly registered manager was passionate about providing a good service, had made positive changes in a short space of time and encouraged an open and honest culture.

Staffing levels were appropriate to meet people’s needs, but people felt staffing levels could be improved. People were included in staff recruitment and the provider’s processes helped ensure only suitable staff were employed. The provider’s induction and ongoing training helped ensure staff had the skills and knowledge to meet people’s needs.

People had choice and control over who provided their care and when. People spoke positively of their relationships with staff and were supported to take part in activities that interested them. Staff respected people as individuals, had a positive approach to equality and diversity and promoted people’s independence.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff were trained in mental capacity legislation and understood their responsibilities. They gained consent before providing care and supported people to make their own decisions and choices.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

People’s dietary requirements were met, and referrals were made to healthcare services in a timely way. Care plans were updated which enabled staff to provide person-centred care and follow professional advice.

We identified two breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014. The registered persons had failed to ensure the safe management of medicines and had not suitably assessed, monitored and improved safety whilst providing the regulated activity of personal care.

Details of the action we have asked the provider to take can be found at the end of this report.

For more details, please see the full report which is on the Care Quality Commission website at

Rating at last inspection: At the last inspection, on 9 August 2016, the service was rated Good (report published 5 October 2016).

Why we inspected: This was a planned inspection based on the rating at the last inspection.

Follow up: We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

Inspection areas


Requires improvement

Updated 19 June 2019

The service was not always safe.

Details are in our Safe findings below.



Updated 19 June 2019

The service was effective.

Details are in our Effective findings below.



Updated 19 June 2019

The service was caring.

Details are in our Caring findings below.



Updated 19 June 2019

The service was responsive.

Details are in our Responsive findings below.


Requires improvement

Updated 19 June 2019

The service was not always well-led.

Details are in our Well-Led findings below.