Swimbridge House Nursing Home

Swimbridge House Nursing Home accommodates a maximum of 30 people in one adapted building. An extension to the building was under construction. There were 29 people resident at the time of the inspection.

The inspection took place on 2 and 3 January 2019. It was unannounced.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Why the service is rated good.

People felt safe. They knew staff were available to meet their needs and respond in a timely manner. Recruitment arrangements ensured only staff suitable to work with older people, and meeting the service's standards, were recruited.

Staff had a good understanding of how to protect people from abuse and discrimination. They were aware that any concerns could be taken to the registered manager and the local authority safeguarding adults' team.

The premises were clean, hygienic and maintained to a safe standard.

Medicines were managed in people's best interest.

Risk was understood and managed in a least restrictive way. The overview of accidents and incidents helped to reduce any risk.

People enjoyed the food and their nutritional needs were met.

People's health care needs were fully understood and met. External health care expertise was sought appropriately.

Staff received training, supervision and support to help them in their role. They were encouraged to progress if this was what they wanted.

People's legal rights were understood and protected. Where people lacked capacity to make informed decisions these were made in their best interest.

Policies, procedures, staff training and delivery of care promoted people's wellbeing regardless of disability, age and other factors which might put them at a disadvantage to others.

Staff were caring, kind and compassionate. They treated people with respect and upheld their dignity. People's views were always sought.

People had an in-depth assessment of their needs and wishes. Care plans were detailed, complete and enabled staff to understand important aspects of the person they were caring for.

Shared activities were enjoyed and staff looked for ways to provide meaningful activities to people.

Complaints were considered a way to continually improve the service.

The registered manager and provider were committed to people's care and welfare. The quality of the service was closely monitored. Staff said they were proud to work at Swimbridge House Nursing Home.

The five questions we ask about services and what we found