Swansea Terrace

The provider carried out the required checks before employing staff.

“The provider had robust recruitment procedures in place which helped ensure staff employed were suitable to work with people.” from the report

Inspectors found the home clean and tidy. Relatives also spoke positively about the cleanliness of bedrooms.

“The home was clean and tidy. Relatives told us they found the home was always well kept.” from the report

Checks covering fire, gas, electrical safety and legionella were up to date, and identified work had been followed up promptly.

“Maintenance of the home, safety checks and procedures in relation to legionella, fire safety, electrical safety and gas safety were up to date.” from the report

The provider and interim manager cooperated with outside partners and began responding to the inspection findings.

“The provider and interim manager were open and cooperative with partners to learn and respond to concerns.” from the report

Some medicines were unavailable, records did not accurately show stocks, and information for staff about some medicines was missing. Diabetes care was inconsistent and one insulin regime was incorrect.

“Medicines were not managed safely. This placed people at risk of harm. This was a breach of regulation 12(1) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.” from the report

Repositioning support was not always provided or recorded accurately. Missed care alerts had built up without being acted on, and some equipment risk assessments lacked enough detail.

“Overdue alerts had built up and had not been responded to. We were not assured the missed activities had been responded to or picked up by managers.” from the report

People needing support to drink did not meet their recorded fluid targets. The menu did not clearly provide options for specific dietary needs, including vegetarian and vegan choices.

“People had not been supported to maintain adequate nutrition and hydration. This meant they were at risk of harm. This was a breach of Regulation 14” from the report

There were mixed views about staffing, and some staff said they did not have enough time to meet all people's needs. The home was using many agency staff, including nurses.

“There were a high number of agency staff working in the home, including nurses. The provider was recruiting to permanent positions in the home and this was ongoing.” from the report

Audits did not identify important problems with care, records and risks. Management changes and inconsistent feedback arrangements affected the consistency of care and communication.

“Oversight of the quality of care provided and care records had not been maintained. This placed people at risk of harm and was a breach of Regulation 17” from the report