Enter and view: Swillbrook House

Healthwatch Lancashire conducted an announced Enter and View visit to Swillbrook House, a privately owned residential care home for older people in Bartle, Preston, on 14 July 2016. At the time of the visit, the home accommodated 18 residents and was undergoing a significant refurbishment programme. 

Overall, Healthwatch found that the home was situated in an attractive rural location with extensive gardens and pleasant outdoor spaces that were well maintained and enjoyed by residents and visitors. The external environment received a very positive assessment. However, the location was considered less accessible because of limited public transport and the lack of suitable disabled access, although improvements were planned. 

The home's internal environment presented a mixed picture. While communal areas were generally comfortable and homely, some parts of the building appeared dated and in need of refurbishment. Inspectors noted dark corridors, worn flooring, unpleasant odours in some areas, and bathrooms that were not always clean or dementia friendly. Some equipment, including hoists, was old and showed signs of rust. The provider acknowledged these issues and reported that improvements were already planned or underway. 

Healthwatch observed positive and respectful interactions between staff and residents. Staff appeared caring, attentive, and responsive, with call bells answered promptly. However, one instance of a resident receiving personal care at a dining table was considered inappropriate. At the time of the visit, there were few organised activities taking place, although the owner reported plans to appoint an activities coordinator and some activities such as armchair aerobics were already available. 

Residents who were interviewed spoke positively about their experience of living at the home. They reported being happy with their rooms, feeling safe, having privacy, and receiving support when needed. Residents said they were treated with dignity and respect, could choose their daily routines, and received prompt assistance from staff. 

Feedback on food and nutrition was very positive. Residents stated that meals were home cooked, that there was a good choice of food, and that drinks were readily available. They also appreciated having flexibility over where they ate their meals. 

The main area identified for improvement was activities and social stimulation. Several residents commented that there were few outings, trips, or organised events, and that many residents spent their time watching television. Only a small number of residents felt supported to pursue their interests. 

The relative interviewed gave positive feedback about the atmosphere of the home, describing it as safe and friendly. They praised the staff and the quality of the food but agreed that activities could be improved. 

Staff reported that they enjoyed working at Swillbrook House, felt supported, and believed they had received sufficient training. However, both staff members interviewed felt that staffing levels were not always adequate. 

In conclusion, Healthwatch Lancashire found that Swillbrook House provided a caring and friendly environment where residents generally felt safe, respected, and well looked after. The home's strengths included its staff, food, gardens, and ongoing investment in improvements. Areas requiring further attention included accessibility, the condition of some internal facilities, cleanliness in certain areas, and the provision of meaningful activities for residents