Inspection on 23/11/05 for Bridge House

This inspection was carried out on 23rd November 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bridge House 19/06/07

Bridge House 29/06/05

Bridge House 16/03/05

Bridge House 21/10/04

Bridge House 03/02/04

Bridge House 15/01/04

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

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

CARE HOME ADULTS 18-65 Bridge House 43-45 Bridge Street Barnsley South Yorkshire S71 1PL Lead Inspector Jayne Barnett-Middleton Unannounced Inspection 23rd November 2005 09:30 Bridge House DS0000018224.V261641.R01.S.doc Version 5.0 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 DS0000018224.V261641.R01.S.doc Version 5.0 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 Adults 18-65. 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 DS0000018224.V261641.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bridge House Address 43-45 Bridge Street Barnsley South Yorkshire S71 1PL 01226 208101 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) Mrs Janet Barlow Mrs Janet Barlow Care Home 9 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (9) of places Bridge House DS0000018224.V261641.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registration includes 3 beds at 43 Bridge Street, 3 beds at 12 Bridge Gardens and 3 beds at 45 Bridge Street. 29th June 2005 Date of last inspection Brief Description of the Service: Bridge House comprises of three domestic properties at 43 and 45 Bridge Street and 12 Bridge Gardens. The houses are in a residential area close to Barnsley town centre. Each property has one double and one single bedroom and can accommodate three persons. Bridge House is registered as a care home for a maximum of nine persons with mental health needs. Bridge House DS0000018224.V261641.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Due to the mental health of service users this was an announced inspection carried out from 9.30 am to 2 p.m. Four service users, two staff and the registered manager/owner were spoken to. A sample of records was examined and a partial inspection of the building was carried out. Throughout the inspection positive and professional relationships were observed between the owner, staff and service users. The inspector wishes to thank the owner, staff and service users for their kind welcome and co-operation throughout the inspection process. What the service does well: The home has a warm, friendly and welcoming atmosphere. Service users were relaxed and happy to talk about the care that they received and all were highly satisfied with the care provided. The staff team were highly motivated, demonstrated a commitment to their role and said that “ I enjoy my job, I find it very rewarding”. Through observation and discussions with service users, it was evident that service users were encouraged and supported in making independent decisions, which included their choice of meal and their plans for the day. Service users were encouraged to lead a fulfilling lifestyle. Service users described the many activities that they enjoyed which included visiting day centres, local clubs and day trips. The staff confirmed that service users were looking forward to a planned day trip to York. Training and educational opportunities were available. One service user was in the process of completing a qualification in English and Maths and spoke enthusiastically about an IT course that they intended to commence within the near future. Most of the staff at the home had worked there for sometime. It was evident that the staff had formed positive and appropriate relationships with residents. All the staff spoken to were professional, relaxed, friendly and were able to demonstrate a very good knowledge of service users individual needs. All houses were very clean and it was evident that the staff team took pride in maintaining a clean and homely environment for service users. Bridge House DS0000018224.V261641.R01.S.doc Version 5.0 Page 6 There is a real ‘ family’ and relaxing atmosphere at Bridge House and the manager/owner and staff should be commended for continuing to provide a good level of care and support to service users, which enables them to live independently within the community. 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 House DS0000018224.V261641.R01.S.doc Version 5.0 Page 7 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 Outcomes Statutory Requirements Identified During the Inspection Bridge House DS0000018224.V261641.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 2 and 4. Service users individual aspirations and needs were assessed prior to their admission, to ensure Prospective service users were given the opportunity to visit the home for trail visits before making a decision to live there. EVIDENCE: A full needs assessment was carried out for all service users prior to their admission. This confirmed that the service was appropriate for the service user, and provided staff with the information to formulate an individual plan of care. Two service users files checked demonstrated that regular reviews had taken place to reflect the changing needs of the service user and a clear plan of care was in place with the action that was required from staff, to ensure that their individual needs were met. Bridge House DS0000018224.V261641.R01.S.doc Version 5.0 Page 9 There was an admission policy to ensure that prospective residents were able to visit the home before making a decision to move there. Introductory visits were offered which included an initial visit to the home for a drink and to meet the staff and service users progressing to day visits and overnight stays. There were two vacancies at Bridge Gardens. The manager confirmed that one prospective service user had been visiting the home for short visits. The manager confirmed that reviews involving the service user, staff and referring professionals would take place on a regular basis to monitor the service users progress and to assess their compatibility with other service users living at the home, before making a final decision about them moving into the home. Bridge House DS0000018224.V261641.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 6,7,8 and 9. Service users had individual plans, which contained detailed information about their care and support needs. Service users were encouraged by staff to make decisions about their present lifestyles and future aspirations through the care planning process. Regular meetings were held with service users to seek their views on how they wished the service to be developed. Risk assessments, which supported service users to lead full lifestyles, minimised risks for the individual had been devised and reviewed regularly. Bridge House DS0000018224.V261641.R01.S.doc Version 5.0 Page 11 EVIDENCE: Care plans checked set out in detail the action that was required by staff to ensure that all aspects of service users personal, social support and healthcare needs were met. Service users confirmed that their plan of care had been completed with their involvement, ensuring that they were given the opportunity to agree with staff the support that they required to live as independently as possible. Care evaluations were carried out on a monthly basis to ensure that the changing needs of service users could be monitored. Service user meetings were held regularly, which enabled service users to contribute to the running and organisation of the home. Through observation and discussions with service users it was evident that service users were encouraged and supported in making independent decisions which included their choice of meal and their plans for the day. Records evidenced that service users were encouraged to manage their own finances. One service user confirmed that they received their allowance on a weekly basis and that they were able to spend their monies as they wished. Service users files contained detailed risk assessments relating to all aspects of service users lives both inside and outside the home. They clearly identified the individual risks that were presented to service users on a daily basis and the action required to reduce the risk, which enabled service users to live an independent lifestyle. Bridge House DS0000018224.V261641.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 11,12,13,14,15,16 and 17. Service users were encouraged to maintain and develop social and independent living skills. Opportunities were provided for service users to engage in activities within the home and maintain links within the local community. Service users were encouraged to eat a healthy and varied diet. EVIDENCE: The routines within the home were flexible. Service users were observed to be following their preferred routines. Several service users had chosen to spend their day at the home whilst others had planned outings. Service users confirmed that they made good use of the amenities and services that were available including local clubs and day centres. Bridge House DS0000018224.V261641.R01.S.doc Version 5.0 Page 13 Service users were encouraged to lead a fulfilling lifestyle. One service user spoke in detail about how he spent his week, which included a daily paper round, doing voluntary work, attending football clubs and visiting local amenities. Service users were encouraged and supported to maintain positive relationships with their families and friends. Service users confirmed that their relatives were invited to visit them and “I can invite friends for lunch”. Service users spoke openly about their personal relationships and it was positive to observe that they were confident and able to discuss their relationships with the staff. Training and educational opportunities were available. One service user was in the process of completing a qualification in English and Maths and spoke enthusiastically about an IT course that they intended to commence within the near future. Privacy locks were fitted to bathroom doors but there were no locks to bedroom doors. Service users were offered and encouraged to eat a healthy diet. Meal times were flexible to suit individual needs and service users said the staff assisted them to help plan and prepare meals. The weekly menu was planned in consultation with all service users, to ensure that all needs were catered for. One service user described how they enjoyed cooking the Sunday lunch and how they enjoyed cooking for other service users. Bridge House DS0000018224.V261641.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 18,19 and 20. Service users received personal support, which promoted their privacy, dignity and independence. Service users physical and emotional needs were met. Service users were encouraged to retain, administer and control their medication within a risk management framework. EVIDENCE: Service users said that their healthcare needs were met and confirmed that the staff would make healthcare appointment on their behalf. Care plans checked demonstrated that health teams within the community, for example, community psychiatric nurses had been involved in supporting the staff to meet the service users needs. Bridge House DS0000018224.V261641.R01.S.doc Version 5.0 Page 15 There was a medication policy and procedure to ensure that staff adhered to safe practices. Service users had been consulted about staff assisting them with medication and risk assessments had been carried out to identify if service users could administer their own medication. Staff had received medication training; all promoting that medication was appropriately administered to service users. The owner and staff had an excellent awareness of service users individual physical and emotional needs and spoke positively about the progress that service users had achieved. All service users were clean and well dressed and it was evident that the staff encouraged service users to maintain good personal hygiene in a manner, which promoted their well being and dignity. Bridge House DS0000018224.V261641.R01.S.doc Version 5.0 Page 16 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 the following standard(s): 22 and 23. The home complaints procedure was clear and accessible. Complaints made by service users and their relatives were listened to and action was taken to deal with complaints promptly. There was an adult protection procedure, which promoted the protection of service users. EVIDENCE: The complaints procedure ensured that service users and their relatives were aware of how to make a complaint and who would deal with them. Service users stated that they were satisfied with the care provided and that they had no complaints. All service users spoke positively about the service and said that the manager and staff were “approachable”. There was an adult protection policy and procedure that promoted the protection of service users from harm or abuse. All staff had received adult protection training, which enabled them to identify and report any allegations or incidents of abuse to residents. Open and appropriate relationships were observed between the staff and service users and it was evident that the service users were confident in the staff abilities to care for them. Bridge House DS0000018224.V261641.R01.S.doc Version 5.0 Page 17 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 the following standard(s): 24,25,26 and 30. The home was clean, comfortable and very well maintained. Service users were provided with an environment that met their individual needs and lifestyles. EVIDENCE: Bridge House comprises of three domestic properties at Bridge Street and Bridge Gardens. All properties were clean and very well maintained, which promoted a safe and homely environment. One bedroom at Bridge Gardens had recently been redecorated and carpets had been provided to a very good standard. Service users bedrooms were comfortable, individually furnished and personalised to meet their needs. It was evident that residents had been encouraged to personalise their bedrooms with photographs and ornaments, which encouraged service users to retain their own identity. Service users said that they liked the home and said, “Its nice” and “I would not live anywhere else”. Bridge House DS0000018224.V261641.R01.S.doc Version 5.0 Page 18 The staff were responsible for general housekeeping duties. All houses were very clean and it was evident that the staff team took pride in maintaing a clean and homely environment for service users. Bridge House DS0000018224.V261641.R01.S.doc Version 5.0 Page 19 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 and 36. A caring and committed staff team supported service users. All staff received training and support appropriate to their role. The home operated a thorough recruitment policy that promoted the protection of service users. EVIDENCE: All service users spoke positively about the staff team and described them as “good” and “very friendly”. Most of the staff at the home had worked there for sometime. It was evident that the staff had formed positive and appropriate relationships with residents. All the staff spoken to were professional, relaxed, friendly and were able to demonstrate a very good knowledge of service users individual needs. All staff had received training that included adult protection, medication, food hygiene and first aid. Regular refresher training was offered, which enabled the staff to develop their skills and keep up to date with changing legislation. All staff held a NVQ Level 2 qualification in care. Bridge House DS0000018224.V261641.R01.S.doc Version 5.0 Page 20 A thorough recruitment policy and procedure was in place that promoted the protection of service users. Two staff files checked contained a range of required information including two references, declaration of health and qualifications/training. All staff employed had undertaken a Criminal Records Bureau Check at the enhanced level. A thorough induction programme was in place for new employees. One to one support and supervision was offered to new staff until they had a good knowledge of service users individual needs and were confident to work unsupervised. One staff member who had recently been employed at the home confirmed that they had received the appropriate induction and support to carry out their role in a safe manner. The manager ensured that 1-1 supervision was offered to staff on a frequent basis. The staff files checked included very detailed records of the supervision sessions that had taken place, to enable them to discuss their development and to identify any training requirements. Bridge House DS0000018224.V261641.R01.S.doc Version 5.0 Page 21 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39 and 42. Service users benefited from the ethos, leadership and commitment of the owner. Forums were in place, which enabled service users and staff to contribute to the day-to-day running of the home. Records required by the regulations were very well maintained and accessible. The health, safety and welfare of service users was promoted and protected. EVIDENCE: The registered manager/owner had many years experience within the caring profession which, enabled her to contribute to the care of service users and communicate a clear sense of leadership to staff. The manager had recently enrolled to undertake a management qualification and she anticipated that she would commence the qualification within the near future. Bridge House DS0000018224.V261641.R01.S.doc Version 5.0 Page 22 The manager/owner visited the home on a regular basis to support the staff and to keep up to date with service users progress. All Staff and service users described the manager/owner as “supportive”, “approachable” and “a good listener”. Forums were in place, which enabled service users and staff to contribute to the day-to-day running of the home. Service user and staff meetings were held on a regular basis, which provided them with the opportunity to contribute to the development of the service. One service user confirmed that “ we can suggest what we want to talk about”. The records sampled were very well organised, up to date and securely stored in accordance with the data protection act. All documents checked were very detailed and information was easy to track. All houses were very well maintained, safe and appropriate for the needs of the service users. The staff had received regular training to promote the health, safety and welfare of service users and their colleagues. Bridge House DS0000018224.V261641.R01.S.doc Version 5.0 Page 23 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 X 3 X 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 2 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bridge House Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 3 3 X X 3 X DS0000018224.V261641.R01.S.doc Version 5.0 Page 24 Yes 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 YA16 Regulation 12,16 Requirement The registered person must provide locks on bedroom doors and service users must be offered a key (subject to their risk assessment). Timescale for action 01/02/06 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 YA37 Good Practice Recommendations The registered manager/owner should achieve the Managers Award. 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