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Archived: Swiss Cottage Care Home

The provider of this service changed - see old profile

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All reports

Inspection report

Date of Inspection: 14, 22 November 2013
Date of Publication: 4 January 2014
Inspection Report published 04 January 2014 PDF

People should be protected from abuse and staff should respect their human rights (outcome 7)

Not met this standard

We checked that people who use this service

  • Are protected from abuse, or the risk of abuse, and their human rights are respected and upheld.

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 14 November 2013 and 22 November 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members, talked with staff and reviewed information given to us by the provider.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

Our judgement

People who use the service were not always protected from the risk of abuse, because the provider had not taken reasonable steps to identify the possibility of abuse and prevent abuse from happening. People using the service, staff and visitors were not provided with the information necessary for them to report potential abuse and this placed people at risk.

Reasons for our judgement

Prior to our inspection we had received concerns about care practices and staffing levels on Cedar unit at Swiss Cottage Care Home.

During our inspection, we spoke with four staff about their understanding of Safeguarding Of Vulnerable Adults (SOVA). All the staff we spoke with were aware of the need to report any issues of concern and said they would speak with the manager. Two members of staff said they had reported matters of concern to the manager, but did not have confidence that the issues had been responded to appropriately and felt that situations had not been resolved. Staff told us that this lack of confidence meant that care staff felt unable to follow the company policies and, in some instances, chose to raise concerns outside of the company.

We asked staff on two of the three units to show us the provider's safeguarding and whistle blowing policies. On one unit they were unable to locate a policy file and on the second unit staff found the file but there was no policy for safeguarding or whistle blowing. We noted on one notice board information was displayed for staff about who to contact if they needed to report suspected abuse. Information containing contact details of the local safeguarding team was not on public display where people using the service, their relatives or visitors could access the information. This meant that people, staff and visitors were not provided with the information necessary for them to report potential abuse and this placed people at risk.