Sway Place

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this newly registered service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People told us their care needs and personal preferences were discussed with them when they moved into Sway Place.

Evidence-based care was significant in the providers policies and procedures. People’s care plans were updated when their needs changed. We saw multiple occasions where people had been supported to move from areas of the building where they were able to live independently, to an adapted environment on the dementia floor where they were provided additional care and supervision to help keep them safe.

The service planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People told us their care and support needs were assessed, reviewed, and updated as required. A person told us, “A lot of people want to join the exercise class, but we can’t all fit in 1 room, so they have 2 classes running.”

A relative told us, “My loved one was able to live independently and supported to have choice for as long as possible, they have now moved to the memory floor and (the move) seemed very smooth.” Another relative described their loved one’s move to the main care home as “seamless.”

People’s daily records were accurate to the care they were receiving. For example, we saw people’s records included details of referrals to health professionals. Care plans had been updated to reflect changes to the person’s care and support prescribed by the health professional. This meant staff were able to provide care in line with guidance and best practice.

The service worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

People living at Sway Place were supported to share their personal histories, preferences, and routines. A staff member told us, “We give care according to each resident’s wishes and preferences, and family is also involved in coming up with a care plan.”

Feedback from health and social care professionals about how the service worked to support people when they moved between services was positive. Comments included, “I feel the staff treat residents with dignity and respect, offering them choices where possible and promoting independence.”

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support.

People were encouraged to live a healthy lifestyle; people told us how their general wellbeing and health had improved whilst living at Sway Place. We received mixed feedback about activities at Sway Place. Positive comments identified the activities team was no longer covered by agency staff members. However, feedback from staff and people stated there was still not always time for activities, “Could be more activities. There are times where people are sitting around here. Could be more 1:1 but they’ve not got the staff for that. Could get people together for a chat” and, “There are no lively and joyful requests from the staff to encourage the residents to join in and some sadly miss out because of this.”

A health and social care professional commented, “It seems well organised, residents appear to be extremely well cared for. The staff know the residents very well.”

The service routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Staff used a handover sheet which made aware of any short-term care interventions such as increased checks for people who had been unwell or recently fallen. Staff who were responsible for meals knew about people’s needs and information was up to date and available for them on display in the kitchen. People told us they were able to speak directly to the chef and referred to mealtimes as a “positive dining experience.”

The provider used an electronic recording system which meant information could be easily accessed and shared with other professionals and organisations, for example an emergency information pack could be sent with a person to hospital.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. The provider had a policy for the assessment of whether a person had the capacity to make decisions about their care and support, but this was not always followed. When this was brought to the attention of the provider during the inspection, they were able to evidence principles of the Mental Capacity Act 2005 (MCA) were followed in practice. At the time of our inspection, we saw improvements were being made to how and where information about people’s advance wishes and decisions were stored. We saw the provider met their legislative requirements in practice for people who had a Lasting Power of Attorney (LPOA) appointed prior to make decisions about their care, the manager ensured evidence of this was obtained and the LPOA was consulted in all decisions.