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Archived: Swiss Cottage Care Home

The provider of this service changed - see old profile

The provider of this service changed - see new profile

All reports

Inspection report

Date of Inspection: 2, 6 May 2014
Date of Publication: 5 June 2014
Inspection Report published 05 June 2014 PDF

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 looked at the personal care or treatment records of people who use the service, carried out a visit on 2 May 2014 and 6 May 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members, talked with staff and talked with commissioners of services.

Our judgement

People experienced care treatment and support that met their needs and protected their rights.

Reasons for our judgement

At our previous inspection on 22 November 2013 we found that the care plans were complex and not user friendly. This meant that people’s care and treatment was not always planned and delivered in a way that was intended to ensure their safety, welfare and to meet their needs. We required the home to make improvements.

The provider sent us an action plan which stated that they would make improvements and be compliant by 5 March 2014.

We found that staff had been provided with person centred care planning training. Not all the care plans that we looked at had been written in a person centred manner however, on one unit staff had developed an information sheet for each person which provided detailed guidance on how their individual needs should be met. On the other two units this process had not yet been fully embedded; but all the care plans had been reviewed to reflect people’s individual needs. This meant that people received appropriate care that was relevant to their identified needs.

We found that the home had introduced a personal care checklist as an aid memoir which staff completed on a daily basis. Daily report sheets had also been introduced to enable staff to report on people’s well- being throughout their shift. This meant that staff were able to evidence all aspects of personal care they provided to people on a daily basis.

Staff spoken with described the positive outcomes that people had achieved with their support and support from other health care professionals and the new manager. They told us with support from the occupational therapist and physiotherapist one person was moving back to live in the community. Another person had been motivated to re-establish their painting skills and had painted areas of the home to create an environment that was homely and welcoming. It was evident that improvements had been made to people’s care and treatment to ensure that it was planned and delivered to promote their welfare safety and independence.

In the care plans we looked at we saw evidence they were reviewed monthly including risk assessments. Where people’s needs had changed such as their nutritional and pain management needs, the care plans had been amended to reflect the new changes. We saw evidence that people’s nutritional needs and those at risk of weight lost and choking were regularly monitored. Those people at risk of choking or had problems with swallowing were provided with the appropriate diet such as pureed meals. It was evident that people’s weight and nutritional needs were closely monitored.

The provider might wish to note that although the care plans were regularly reviewed and there was evidence that people’s needs were closely monitored to ensure good outcomes; not all the care plans seen had been developed in a personalised format to reflect this. This meant that there was still the potential that people could be at risk of receiving inappropriate or unsafe care.

People and relatives spoken with during our inspection said that they were happy with the care, treatment and support they received from staff at Swiss Cottage. A family member said, “I am happy with the care my {name} receives. I can sleep at night when I leave here.” Another family said, “My {name} is warm and well cared for.” A further relative said, “When I leave here I do not worry, I am confident that my {name} is looked after properly.” This demonstrated that people and their relatives had confidence in the quality of the care.

We found that the home had an activity programme in place. During our inspection we observed some people being provided with one to one activities such as reading the daily newspapers, ball and board games. Those people who wished to, were able to participate in a tea party which took place in the tea room. Staff enabled some people who were interested in gardening to maintain their gardening skills. We saw evidence which demonstrated that staff supported people to celebrate birthdays and festiv