Inspection on 22/05/07 for Bridge House

This inspection was carried out on 22nd May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 House 27/01/06

Bridge House 11/08/05

Bridge House 03/02/05

Bridge House 26/07/04

Similar services:

Fairfields Country Rest Home

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Bridge House 31 Rectory Road Frampton Cotterell South Glos BS36 2BN Lead Inspector Odette Coveney Key Unannounced Inspection 09:00 22nd May 2007 X10015.doc Version 1.40 Page 1 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 Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 2 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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery 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 House DS0000003316.V335718.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bridge House Address 31 Rectory Road Frampton Cotterell South Glos BS36 2BN Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01454 772888 NONE bridgehouserh@btconnect.com Bridge House (Residential Home) Limited Miss Rachel Louise Parnell Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 16 persons aged 65 years and over requiring personal care only 27th January 2006 Date of last inspection Brief Description of the Service: Bridge House is a purpose built care home that the owners, Jane and David Parnell, built in the grounds of their cottage. The Brochure states that a family, as a family, runs the home. Jane and David’s daughter Rachel Parnell is the registered manager of the home. Bridge House is located in a semi-rural position, with the River Frome running alongside the grounds. Bridge House is sited at the end of a quiet residential area and provides a home for sixteen older people. The home also provides day care and will also offer respite care when a vacancy is available. In the grounds there is a model railway and on Bank Holidays the home has open days. The steam engines are available for rides and the home provides refreshments. Although there are small shops available in Frampton Cottrell, the nearest main shops are in Yate, approximately five miles away, and Bristol about ten miles away. There is a bus service from Frampton Cottrell to both places. The home has good community links and is run on Christian based principles. Fees charged at the home start from £428 per week; prices are based upon individual’s level of need. Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key standard inspection, it was carried out in one day over an 8 hour period by one inspector for CSCI. This inspection was very positive and overall a judgement of excellent was made. The purpose of the visit was to establish if the home is meeting the National Minimum Standards and the requirements of the Care Standards Act 2000 and to review the quality of the care provision for the individual’s living in the home. This site visit employed key elements of the national inspection methodology with the objectives of focusing on outcomes for the individual’s. This is evidenced through evaluation of key standards and talking with and the observation of individuals who live and work at the home and the views of the registered providers and the registered manager. An opportunity was taken to view the home and a number of the records relating to the management of the home and plans of care for five of the individuals were reviewed. The registration certificate for the home was reviewed at this inspection and the information contained within it was found to be accurate. Thirty three comment cards were received prior to the inspection, fourteen of these were from relatives of those who live at the home, fifteen were from resident’s who live at the home, the other four comment cards were from visiting health/social care professionals to the home. Comments made were reviewed during the visit and comments, maintaining individual’s confidentiality, were shared with the registered manager and have been incorporated within this inspection report. What the service does well: Bridge House continues to be a family run home, Mr and Mrs Parnell and their daughter Rachel are actively involved in the day-to-day running of the home, and the atmosphere continues to be relaxed and homely. The rapport between staff, residents and relatives is open and friendly, encouraging relative participation in residents care and events organised by the staff. There is a very open management response to inspection and the development of the service. The Registered Providers and Registered Manager works hard to keep up to date and research best practice for the care of the residents. Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 6 The location of Bridge House continues to be one of its best aspects the secure gardens to the rear of the home ensure residents have free access to lawned areas and they are frequently seen walking round the garden or sitting on the paved area in the warmer weather. The staff team at Bridge House are caring and have developed good relationships with residents at the home; they have a sound understanding of the needs of those living at the home. There is a low staff turnover and resident’s can be confident that they will receive support from people they know. It was clearly evident that the management and staff team are committed to ensuring that all of the needs of individual’s at the home are met, this is done through consultation and observation and previous knowledge and an understanding of individual’s. Comments received from residents during the inspection were; ‘I am at home here, David and Jane (the registered providers) are like my family’, ‘you won’t find anything wrong here, it’s the best place to live’. Comment cards received prior to the inspection from relatives of those who live at Bridge House; ‘The home promotes a friendly, family atmosphere’, ‘I think they are particularly caring to the people they are looking after. They go out of their way to ensure that people are happy’. 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. The summary of this inspection report can be made available in other formats on request. Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. There is a full and detailed admission process at Bridge House to ensure that the prospective needs of residents can be met. This whole process is thoughtfully and sensitively carried out. EVIDENCE: The home has a detailed statement of purpose and a service users guide, these and the admission process for the home were viewed at the last site visit and were found to contain all of the required information in order that individual’s can make an informed choice as to whether the services and facilities provided at the home are sufficient to meet their needs. Care records reviewed showed that the registered provider carries out a full pre-admission assessment prior to a new resident moving into the home. The care records for the last two residents to move into the home contained very clear assessments that formed the basis for the working care plans. Daily records showed that individuals visit the home prior to their admission and that Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 9 their admission into the home is ‘tailored’ around their needs and wishes. There is a trial period of six weeks, which can be extended if required. This period of time allows time for the resident to settle, for consultation with the individual and for a full assessment of the individuals needs in order to ensure that the home are able to meet their needs. Surveys completed by relative’s prior to the visit confirmed that they had signed contracts with the home on behalf of the residents; and copies of these have been seen at previous site visits and were found to be very clear and stated the fee and any further charges that may be incurred. Comprehensive care management and care plans have previously been seen on file. The home has developed comprehensive person centred care plans based on wishes and choices from the information provided by the resident’s and information gathered during the assessment process, the trial period and as part of the ongoing placement within the home. The daily records maintained within the home provide clear evidence that individual’s current and changing needs are identified and met. Clear information was in place to show the involvement of specialist services and professionals, ensuring a multi-disciplinary approach. Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home operates with a good person centred perspective for all residents. Care plans; daily records and individuals support sessions are extremely detailed and are regularly reviewed and updated to reflect the resident’s currently changing needs and choices to ensure that the correct level of support is required. Residents health is monitored and appropriate action taken. The home seeks professional advice on health care issues and acts upon it. EVIDENCE: All care plans reviewed showed a clear understanding of the individual needs of resident’s, they contained clear guidelines for staff. In addition to the main care plans the care plan summery covered areas of identified need such as communication, social needs and emotional wellbeing, these recorded individual’s progress and any actions, which have been taken. Daily records, resident’s one to one support sessions and care planning information were in place for all of the five residents who the inspector had Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 11 decided to review. Documentation examined were found to be recorded with a high level of information and it was clear that the information had been gathered over a long period of time with the individual involved being central to the whole process. The information in place recorded the individual’s preferred routines and an overview of an individual’s day and well being; these are reviewed and updated, where needed, on regular daily basis. The inspector saw and heard staff talking with residents in a calm, friendly manner, asking them their opinion and offering choices. Privacy is upheld and staff support and manage resident’s personal private space in such a way that will not upset the individual. Residents are encouraged to be part of the whole lifestyle at Bridge House by being included and supported in daily life, such as shopping and preparing vegetables. A staff member showed the inspector the medication administration systems in place at the home. The staff member was fully conversant with their role and responsibility in this area and the importance of adhering to policies and procedures that are in place for the safe administration of medication. A review during the inspection revealed no errors. The medication was appropriately stored and was well organised. All medication records were up to date and in order. All staff handling medication have attended training. Recently the registered manager and members of the staff team attended medicines training provided by South Gloucestershire Council, with the Commissions pharmacy inspector in attendance; the manager described this as ‘fantastic training’. There are residents who are supported to manage their own medication with appropriate safeguards in place. Care records showed evidence that residents are assisted in attending health care services the home has a visiting chiropodist and at the time of the visit a district nurse was attending to a resident at the home. Residents are supported to access specialist healthcare services as required, such as hospital outpatient’s appointments and mental health support. A relative had commented prior to the inspection;’ Bridge House treat residents as a loved member of an extended family, my mother is cared for with dignity and humour, she feels valued and important, I feel equally, that reassurance, which comes from knowing with confidence; that she is in the best place possible’. Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff plan routines and activities of the home in a way, which meets the choice, and wishes of the residents with meaningful activities being arranged for those residents who wish to participate. Residents are given the opportunity to exercise some choice and control over their daily lives. The food in the home is of good quality, well presented and meets the dietary needs of the residents. The staff are experienced and meets the personal preferences of residents in the home. EVIDENCE: The management and staff support resident’s to become part of, and participate in, the local community in accordance with assessed needs and individual plans. Staff enable resident’s integration into community life through knowledge and support to enable individual’s to make use of services, facilities and activities in the local community, such as shops, pubs, and church. Information seen by the inspector, and confirmed by staff and seen on individual’s records showed that those living at the home are offered a variety Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 13 of social, leisure and educational activities. Individuals are able to participate or not, this is dependent on the individual’s choice. Information seen in daily records evidenced that individuals regularly are supported to visits to places of local interest and local community groups. The home has open visiting arrangements and residents can entertain their family and friends in their own room. Staff support individuals to maintain family links and friendships inside and outside of the home and staff assisting individuals with correspondence, telephone calls and e-mail facilitates this. The home also provide a number of ‘in house’ activities such as weekly arts and crafts sessions, quiz afternoons, bingo and armchair exercise. On the day of the site visit the home were hosting a clothes sale and residents were seen making choices and purchases. Residents also told the inspector they were looking forward to the forthcoming May bank holiday, it is a tradition that the home open the large rear garden and let members of the public enjoy the garden, purchase tea and cakes and enjoy the model railway and raise money for charity. A relative spoken with after the inspection said of the home, ‘its standards of care, support, and understanding of individuals needs is excellent’. Comments received prior to the inspection from relatives and residents included; ‘many varied activities are arranged for the residents’ ‘there is always something to do’, ‘I am supported with my faith’. The lunchtime routine was observed during the inspection. The dining area is well lit and spacious. Tables were decorated with linen tablecloths and tablemats. Cold drinks and hot drinks were offered. The meal was homemade sausage and bacon casserole, broccoli, sweet corn and potatoes. Condiments were provided; the pudding was arctic roll with fruit and cream followed with a cup of tea or coffee if so wished. The inspector was offered lunch and sat with residents; the meal was hot and tasty. The mealtime was seen to be unhurried, and discreet support was available for individuals if needed. The atmosphere was relaxed. There were good-natured interaction between staff and residents. Mr Parnell said that it was normal practice for him, his daughter and wife to sit with the residents for lunch. Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure that meets national minimum standards and regulations, the procedure is available with in the home and residents and relatives understand how to make a complaint. Staff demonstrated an awareness of the content of the adult protection policy and know what immediate action to take and when and who to referring the incident on to. EVIDENCE: The complaints policy and procedure shows a clear timeline and action to be taken in event of a complaint. It also directs the complainant to the CSCI and South Gloucestershire Social Services. A copy is made available in the entrance hall of the home, along with copies of previous inspection reports. The Commission has received no complaints since the last inspection. Staff spoken to showed an awareness of the policies and procedures in place to protect vulnerable adults. The home also has a clear whistle blowing policy in place. Staff have undertaken training in protection of vulnerable adults. Recruitment practices carried out in the home protect residents from abuse, criminal records bureau and protection of vulnerable adults checks are carried out, and two written references are obtained before staff commence employment. Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 15 The pre-visit questionnaire asks the question; ‘How do you think the care home can improve?’ responses from this included: ‘It is difficult to think of anything which could be improve, what is already excellent’, ‘ I am very pleased with the care and support my mother receives from Bridge House’, ‘my mother has no complaints, at all, neither do I’. 100 of those who responded knew who to complain to about the care provided at the home if they needed to, with no concerns about the care, or service provided at the home, being raised. Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24, 25, 26. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The quality of furnishings and fittings in the home is good and overall a warm comfortable environment has been created ensuring individuals needs are met. EVIDENCE: Bridge House is a warm and welcoming home. The home was purpose built over 16 years ago by the registered providers David and Jane Parnell. The home is able to accommodate 16 over the age of 65; there are currently no vacancies at the home. Since the last inspection the entrance hall to the home has been redecorated and the home have upgraded and replaced their emergency call bell system for residents, which includes a pendent and bleepers for staff; calls for assistance were seen to be responded to promptly. Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 17 The kitchen was seen to be clean and tidy and well organised, the home is to be commended for obtaining five stars in a food hygiene award issued by south Gloucestershire Council in January 2007. Good laundry facilities are provided and a resident spoken to confirmed their clothes were always well laundered and returned to them promptly in good condition. All rooms at the home are single occupancy, the inspector viewed some individual’s rooms, and all were seen to contain appropriate furniture, carpets and lighting. Residents had personalised their own room with family photographs, pictures and ‘nick knacks’. The home is well maintained and has a homely feel, there is a pleasant dining room and a comfortable lounge for residents use, there is also a conservatory adjoining the lounge. Residents were seen to be relaxing in these areas and referred to Bridge House as ‘my home’. The home is fully accessible for those with mobility difficulties and the home have improved upon this due to improved ramp access to the front of the home. The home shows a good standard of housekeeping and no offensive odours are apparent. There are plans to re tarmac the car park to the front of the home and sun awnings to be fitted over the dining room windows; carpets will also be being replaced in the dining room. Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The home had sufficient staff on duty and staff are qualified to provide good level of care. Residents have confidence in the staff that care for them. All staff are clear regarding their role in what is expected of them. Recruitment practices safeguard the residents. EVIDENCE: On the day of the inspection, both registered providers were present; the registered manager came in during the visit. Also there were two support managers, a cook and laundry assistant and two care assistants on duty. During the afternoon, there were two care assistants on duty. There are consistently enough staff available to meet the needs of residents; the staffing structure is based around delivering good outcomes for those who using the service, and is not led by staff requirements. There are clear aims and values in this home, which are individually focused and centre on the choice, rights and wishes of residents. Staff were able to clearly demonstrate this philosophy and it was evident that meaningful relationships had been forged between the staff and those living in the home. Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 19 Staff spoken with stated they felt supported and confirmed that the manager operated an ‘open door’ policy that is they felt able to approach her with any queries Comments made by residents during the inspection were; ‘The staff are wonderful and kind, nothing is too much trouble’. The home ensures that all staff receive relevant training that is focussed on delivering improved outcomes for those using the service. The home puts a high level of importance on training and staff confirmed that they are supported through training to meet the individual needs of those living at the home; training matrix and certificates seen evidenced that staff have completed core training in areas such as first aid, protection of vulnerable adults training and basic food hygiene, other specialised training is also provided for staff in areas such as dementia awareness, medication competency and infection control. The home has a sound recording matrix in place to evidence staff training. The home are committed to training their staff to achieve a National Vocational Qualification with four staff having completed the award in NVQ 2 health and social care practices, and an additional four staff members currently undertaking this award. There are also three staff that have completed catering and domestic NVQ awards. There are currently two staff at the home who are in the process of completing the common induction standards; this covers six, in depth standards, these covers areas such as; principles of care, the general social care council codes of conduct, heath and safety, effective communication, policies and procedures and staff individual development strategies. The recruitment and selection documents for a number of staff were reviewed at this inspection; staff files evidenced that full and robust practices are adhered to at the home to ensure that those appointed have the qualities and skills to work within this care environment. Appropriate adult protection checks are taken to ensure the protection and safety of residents. Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 36, 37, 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents and staff benefit from the home being well managed. There is clear leadership and a strong focus on the outcome for service users in all management and development decisions. The home ensures that individual’s interests and rights are promoted and protected by a knowledgeable and experienced staff team. EVIDENCE: The Registered Providers of the home are David and Jane Parnell with their daughter Rachel being the Registered manager. All of whom have a high presence within the home and are involved with the day to day activities within Bridge House. The Registered Manager has the required qualification and experience, she is highly competent to run the home and meet its stated aims Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 21 and objectives, as outlined within the homes statement of purpose. The manager has a sound understanding of both the needs of residents, staff and legislation relating to managing a care home. Every Friday the management team meet, areas of discussion include the support requirements of residents, staff training, future plans of the business. Regular staff meetings also take place; these meetings ensure effective communication, lines of accountability and continuity of service. One of the management team said ‘we all work well as a team, this works through discussion and consultation’. Staff are well supported by the management of the home with sound systems in place to support and guide staff practice in order to ensure that all staff are providing a good quality service to those who live at Bridge House, these include personal development and supervision sessions and overall review of staff performances. The atmosphere at the home at the time of the inspection was calm and relaxed with individuals looking clearly at ease and ‘at home’. All records seen at this inspection were appropriately and safely stored. Access was appropriately restricted. Accident reports were viewed during the inspection, information crossed referenced with care records and were well written. The home undertakes the appropriate fire safety checks on both a weekly and monthly basis and staff have received sufficient fire safety instruction. Some discussion took place about emergency situations and arrangements in place should a crisis happen, it is felt that the home should have in place an emergency crisis pack, to contain residents emergency contact next of kin details and an evacuation plan. It was noted that there are no manual handling risk assessments in place for residents, it is required that these are developed in order to record how individuals would be supported safely, identifying potential hazards for both residents and staff. The home displays a current certificate of Employer’s Liability Insurance. The home has in place clear policies and procedures in areas of staff employment, resident’s finances and health and safety, all of which have been reviewed and updated. This guidance provides clear information to staff to inform and guide their practice. The home has a number of effective quality assurance and quality monitoring systems based on seeking the views of residents that are in place. These Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 22 measure success in achieving the aims, objectives and statement of purpose of the home. An audit, completed by the home, which undertaken in the form of questionnaires recorded some of these following outcomes; 100 of professionals who visit the home are welcomed and offered hospitality at the home, 90 of individuals said that the managements efforts create a good atmosphere at the home, 80 of residents said they are satisfied with the way staff look after them and are available to support them. Comments received from relatives of those who live at Bridge House prior to the visit were; ‘Bridge House is an excellent home, all the staff and management work hard to make this a happy place’. ‘Bridge house provides a loving family environment for the elderly residents, and staff go out of their way to help all who pass through their doors’, ‘they provide excellent care to their residents in a warm/friendly environment’ Staff spoken with confirmed that they felt supported and able to approach the manager and the registered providers should they wish to discuss day-to-day running of the home. One staff said ‘It’s really nice here. I like working here’. Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 4 3 2 Bridge House DS0000003316.V335718.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No 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 OP38 Regulation 13 (5) Requirement Manual handling risk assessments must be in place for all residents. Timescale for action 22/08/07 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 OP38 Good Practice Recommendations The home to develop an emergency crisis pack. 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