Inspection on 18/04/05 for Bridge Court Bungalow

This inspection was carried out on 18th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Bridge Court Bungalow 12/01/07

Bridge Court Bungalow 17/12/05

Bridge Court Bungalow 22/09/04

Bridge Court Bungalow 05/05/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Bridge Court Bungalow Bridge Court High Street Normanby Middlesbrough. Lead Inspector Ray Burton TS6 0LD Unannounced 18 April 2005 10:00 am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Bridge Court Bungalow B51-B01 S110 Bridge Ct Bungalow V221987 180405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Bridge Court Bungalow Address Bridge Court High Street Normanby Middlesbrough TS6 0LD 01642 463356 01642 463356 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Milbury Care Services Limited Geoffrey Sirs (not registered) Care Home 6 Category(ies) of LD - Learning Disability (6) registration, with number of places Bridge Court Bungalow B51-B01 S110 Bridge Ct Bungalow V221987 180405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22/09/04 Brief Description of the Service: Bridge Court Bugalow is a modern purpose-built property situated in a quiet cul-de-sac off Normanby High Street. Accommodation is provided in six single bedrooms, none having an en-suite facility but all meeting the spatial requirements of the National Minimum Standards. The bungalow has its own private garden and residents are also able to access the more extensive grounds of Bridge House (another Milbury home for people with learning disabilities on the same site). The home is within easy walking distance of local community facilities: Church; shops; public houses etc. The public transport system provides direct access to the coast, countryside and Middlesbrough town centre. Bridge Court Bungalow B51-B01 S110 Bridge Ct Bungalow V221987 180405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted on the 18th April. A total of five hours was spent at the home. The Inspector spoke to four service users. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Bridge Court Bungalow B51-B01 S110 Bridge Ct Bungalow V221987 180405 Stage 4.doc Version 1.30 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Bridge Court Bungalow B51-B01 S110 Bridge Ct Bungalow V221987 180405 Stage 4.doc Version 1.30 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5 The homes Statement of Purpose and Service Users Guide provided residents and prospective residents with details of the services provided. The assessment procedure ensured that only those whose needs could be met would be admitted to the home. EVIDENCE: A Statement of Purpose was in place setting out the aims, objectives and philosophy of the home. The Service Users Guide was presented in colour and in a user-friendly format that made the document attractive and more easily understandable to residents. Each file contained a contract/rent agreement and information about the fees charged including charges for additional services. There had been no recent admissions to the home however examination of three case files indicated that, prior to admission, a comprehensive multidisciplinary assessment had taken place to ensure the home could meet the needs of the prospective resident. Prospective residents and their families had been invited to visit the home to meet existing residents and talk to members of staff. Bridge Court Bungalow B51-B01 S110 Bridge Ct Bungalow V221987 180405 Stage 4.doc Version 1.30 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8,9 The home’s care planning process ensured that resident’s needs were identified and met. Residents were consulted about all aspects of their life and were supported to lead an independent lifestyle. EVIDENCE: Observation and conversation with the manager, staff and residents showed how, on an informal basis, residents were encouraged to participate in everyday activities and the daily routines within the home - such things as shopping, menu planning, the preparation of meals and the performing of simple household tasks. Three care plans were randomly selected - each was well organised and provided a comprehensive, up-to-date and clear picture of need. Regular monitoring and re-assessment ensured that changing needs were identified and met. It was pleasing to note the extent to which residents had been involved in the care planning process and how plans had been developed using photographs, signs, symbols and pictures to help aid understanding. A pen picture related the life-story of the individual and contained photographs of significant events and people in his/her life e.g. family, friends, school, daycentre, holidays etc. Circles of support had been developed and minutes of Bridge Court Bungalow B51-B01 S110 Bridge Ct Bungalow V221987 180405 Stage 4.doc Version 1.30 Page 9 regular key worker meetings and reviews showed that residents were involved in the planning of their life and were encouraged to make decisions. Goal plans were in place and covered a wide range of aspirations however these were not always dated, making it difficult to ascertain the aimed for date of achievement. Residents were encouraged and supported to take responsible risks. Assessments and risk management strategies showed how residents were given training and shown how to identify risks and minimise them. One resident spoke of how she had had received training in the use of public transport and how she now used buses to access her work placement and college, both of which were in Redcar. Bridge Court Bungalow B51-B01 S110 Bridge Ct Bungalow V221987 180405 Stage 4.doc Version 1.30 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15,16 Residents were treated with respect and presented with opportunities to lead fulfilling lives. Residents were encouraged to take part in appropriate leisure activities in the home and were supported by staff when engaging in activities in the local community. Staff encouraged and assisted residents to maintain family and friendship links. EVIDENCE: Observation during the inspection, conversation with staff and residents all indicated daily routines within the home were flexible and promoted independence, individual choice and freedom of movement within the framework of individual plans. It was apparent that a good rapport existed between residents and staff. Care plans contained activity programmes/timetables that were designed to meet individual needs and wishes, to encourage choices and to optimise independence. Staff helped residents lead stimulating and fulfilled lives by presenting them with opportunities to develop their social, communication and independent living skills. Care plans showed how staff at the home had learned Bridge Court Bungalow B51-B01 S110 Bridge Ct Bungalow V221987 180405 Stage 4.doc Version 1.30 Page 11 to recognise the non-verbal means of communication used by those residents with poor verbal skills. Alternative strategies had been developed to aid communication e.g. photographs, signs, symbols and pictures. Residents undertook a wide range of activities, both in-house and community based either independently or with staff support in accord with the individual care plan. Activities included: TV and video; music; board games; Gateway Club; attendance at day centres; local colleges of F.E; work experience. One service user was attending courses in computing and drama at a local college. The closeness of the home to Normanby Village enabled residents to easily access local neighbourhood facilities. The home’s vehicle and the public transport system allowed residents to venture further afield for day trips to places of interest such as the local countryside and the coast. Staff understood the importance of residents maintaining contact with family and friends and assisted with the making of telephone calls and the sending of cards for special occasions such as Christmas and birthdays. Conversation and records evidenced that residents were able to receive visitors at any time. Bridge Court Bungalow B51-B01 S110 Bridge Ct Bungalow V221987 180405 Stage 4.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 Healthcare and personal needs were met by staff who provided support in a sensitive and flexible manner in accordance with the wishes of the individual resident. Additional support was provided by appropriate professionals. EVIDENCE: Conversation with members of staff and examination of care plans and daily records indicated awareness of the importance of providing personal care in a sensitive and flexible manner, and of consulting with residents and supporting them to maintain as much control over their own lives as possible. Residents spoken to during the inspection said that staff looked after them and would take them to see the doctor if they were poorly. Constant monitoring of health was undertaken and healthcare needs addressed by residents own general practitioner and other community based professionals e.g. community and specialist nurses, dentist etc. Examination of the accident records showed there had been five accidents in the last twelve months, all of a minor nature and none requiring referral to the Accident & Emergency Unit. None of the residents had been assessed as being able to control their own medication. All medicines were stored centrally in a secure facility and Bridge Court Bungalow B51-B01 S110 Bridge Ct Bungalow V221987 180405 Stage 4.doc Version 1.30 Page 13 administered according to the home’s policy and procedures by staff who had undergone suitable training. Bridge Court Bungalow B51-B01 S110 Bridge Ct Bungalow V221987 180405 Stage 4.doc Version 1.30 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed on this occasion EVIDENCE: Bridge Court Bungalow B51-B01 S110 Bridge Ct Bungalow V221987 180405 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,29,30 Bridge Court Bungalow provides comfortable, homely and safe accommodation and meets the needs of the people living there. EVIDENCE: The internal and external fabric of the building was well maintained, décor throughout was pleasant and in good order, furniture was comfortable and domestic in design. All areas of the building, including the kitchen and laundry, were fully accessible to residents subject to individual risk assessments. There were sufficient disability aids to meet residents’ needs and regular reviews provided a means by which changing needs would be identified and met. Bedrooms, which were comfortably and appropriately furnished, reflected the personality and interests of the occupant. They had each been individualised by the inclusion of personal effects such as pictures, photographs, T.V., CD player etc. One resident showed the inspector his room and said how much he liked it and how he enjoyed spending time in it listening to music and watching television. Bridge Court Bungalow B51-B01 S110 Bridge Ct Bungalow V221987 180405 Stage 4.doc Version 1.30 Page 16 All areas of the home were centrally heated and radiators had been covered with suitable guards to ensure a low surface temperature. Hot water outlets accessible to residents had been fitted with pre-set valves to provide safe water temperatures. Lighting was domestic in nature and emergency lighting had been provided throughout the home. On the day of the inspection the building was observed to be clean and free from offensive odours. Bridge Court Bungalow B51-B01 S110 Bridge Ct Bungalow V221987 180405 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed on this occasion EVIDENCE: Bridge Court Bungalow B51-B01 S110 Bridge Ct Bungalow V221987 180405 Stage 4.doc Version 1.30 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 40,42 Bridge House is a well run home with policies and procedures that complied with current legislation, recognised professional standards and ensured that service users rights and best interests were safeguarded. EVIDENCE: All policies and procedures required to meet the National Minimum Standard were in place, regularly monitored and updated to ensure they reflected current legislation and good practice. Members of staff were able to access them at all times, as were residents or their representatives if they so wished. It was noted during the inspection that three bedroom doors, each fitted with a self-closing device, had been fixed in the open position by means that would not allow the automatic closing of the door in the event of fire. This practice must cease immediately and an alternative means introduced to hold open doors when residents requested them to remain so. A conversation with Milbury’s Regional Surveyor has resulted in an order being placed for appropriate devices linked to the fire alarm system. These devices will be in Bridge Court Bungalow B51-B01 S110 Bridge Ct Bungalow V221987 180405 Stage 4.doc Version 1.30 Page 19 place by the middle of May 2005. Interim measures have been introduced by the Acting Manager to ensure that bedroom doors will not be inappropriately wedged open. Bridge Court Bungalow B51-B01 S110 Bridge Ct Bungalow V221987 180405 Stage 4.doc Version 1.30 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bridge Court Bungalow Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x 3 x 2 x B51-B01 S110 Bridge Ct Bungalow V221987 180405 Stage 4.doc Version 1.30 Page 21 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 42 Regulation 13(4) Requirement Magnetic closers must be fitted to all bedroom doors where residents have requested them to remain open Timescale for action 18th May 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 6 Good Practice Recommendations All goal plans should be dated. Bridge Court Bungalow B51-B01 S110 Bridge Ct Bungalow V221987 180405 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Unit B, Advance St Marks Court Teesdale Stockton-on-Tees TS17 6QX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Bridge Court Bungalow B51-B01 S110 Bridge Ct Bungalow V221987 180405 Stage 4.doc Version 1.30 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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