Inspection on 29/06/05 for Bridge House

This inspection was carried out on 29th June 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 no outstanding requirements from the previous inspection report, but 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 23/11/05

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 29 June 2005 09:00 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 House J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Bridge House Address 43-45 Bridge Street Barnsley South Yorkshire S71 1PL 01226 208101 None None Mrs Janet Barlow 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) Mrs Janet Barlow Care Home 9 Category(ies) of MD - Mental Disorder (9) registration, with number of places Bridge House J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 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. Date of last inspection 16 March 2005 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 J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out from 9.00 a.m to 12 p.m. Five 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 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. 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. All service users were encouraged and supported to live as independently as possible Daily routines were flexible and service users were encouraged to spend their day as they wished. Service users confirmed that they attended various activities on a daily basis that included social groups, day centres and visiting places within the local community either with staff or independently. Through discussions and observations it was evident that the owner and staff had developed positive and professional relationships with all service users. All staff was observed to be professional, caring and motivated. Service users were supported to live as independently as possible and were encouraged to make decisions in relation to all aspects of their daily life. Staff confirmed, “We need to know individual needs and choices to encourage independence”. All properties were clean and very well maintained, which promoted a safe and homely environment. Service users said that they liked the home and said “Its lovely” and “I enjoy living here”. 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. Bridge House J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 Page 6 Service questionnaires had been circulated to service users, relatives and healthcare professionals; details of these were available in the Service users guide. The staff had received many positive comments about the service that they provided; “The care provided at this home is exceptional”, “staff are always welcoming and polite” and “A high standard of care is offered, the residents are happy and motivated”. 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 J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Bridge House J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 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 standard(s) 1,2 and 4. Prospective service users and their relatives were provided with the information that they needed. Prospective service users were given the opportunity to visit the home for trail visits before making a decision to live there. EVIDENCE: A Statement of Purpose and Service Users Guide were available, these provided service users and their relatives with the information that they needed to make an informed choice about living at the home. The service users guide included service users views of the home and a copy of the most recent inspection report. 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. One service user confirmed that he had visited the home on several occasions before moving in on a permanent basis. Reviews involving the service user, staff and referring professionals did 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. Bridge House J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 Page 9 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 and 9. Care plans were detailed and were reviewed on a regular basis to reflect the changing needs of service users. Service users were encouraged and supported to live as independently as possible. Bridge House J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 Page 10 EVIDENCE: Care plans checked set out in excellent detail the action that was required by staff to ensure that all aspects of service users personal, social support and healthcare needs were met. The Care plans had been completed with the involvement of the resident, which gave them the opportunity to agree with staff the help that they needed 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. One service user confirmed that they were involved in completing their care plan and said, “the staff asked me what help I needed.” Service users were encouraged and supported to make decisions in relation to all aspects of their daily lives. Service users were observed to be making independent decisions about how they intended to spend their day. One service user had chosen to visit the town centre for the day whilst others had chosen to spend the morning at home. Service users spoke positively about the support that they received from the homeowner and staff and said, “ They (the staff) help me live independently”. Service user files contained detailed risk assessments which 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 J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 Page 11 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) 11,12,13,15,16 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. Bridge House J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 Page 12 EVIDENCE: Service users confirmed that they attended various activities on a daily basis that included social groups, day centres and visiting places within the local community either with staff or independently. One service user described how the staff “helped me get a job”, which included working in a charity shop and delivering papers. Service users received good support from the local community and the staff confirmed, “The neighbours are very good”. Service users were encouraged and supported to maintain positive relationships with their families and friends. Service users confirmed “I meet my family every week”. One relative via a service questionnaire commented, “I am always made to feel welcome”. It was evident that the staff promoted independence, individual choice and freedom of movement. Service users had responsibility for some housekeeping tasks within their abilities. One service user confirmed that they often helped with the weekly shopping. Through discussions and observations it was evident that the owner and staff had developed positive and professional relationships with all service users. There was a relaxed and welcoming atmosphere, which presented a ‘family’ environment. Privacy locks were fitted to bathroom doors but there were no locks to bedroom doors. The manager/owner confirmed that she was in the process of providing locks for service users who had chosen to have one fitted. Service users were offered and encouraged to eat a healthy diet. Meal times were flexible to suit individual needs and service users said that the staff assisted them to help plan and prepare meals, “the staff ask what we want”. . Bridge House J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 Page 13 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 and 20. Service users received personal support, which promoted their privacy, dignity and independence. Service users physical and emotional needs were met. Bridge House J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 Page 14 EVIDENCE: Service users received good support from healthcare professionals who visited them. There were records to evidence that service users were receiving regular visits from their general practitioner, dentist and other healthcare professionals. One service user who was suffering from ill health had received the appropriate support. Staff were able to demonstrate the action that they were taking to support the service user. Daily records checked evidenced that detailed records of the service users physical and emotional health were being monitored to ensure that the appropriate care and support could be offered. Service users said that their healthcare needs were met and confirmed “the staff will make appointments for us”. One service user described in detail the support that they required at times due to their mental health and said, “The staff will sit and talk to me”. There was a medication policy and procedure to ensure that staff adhered to safe practices. 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. Service users were supported to live as independently as possible and were encouraged to make decisions in relation to all aspects of their daily life. Staff confirmed, “We need to know individual needs and choices to encourage their independence”. Bridge House J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 Page 15 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) 22 and 23. The home complaints procedure was clear and accessible. Complaints made by residents and their relatives were listened to and action was taken to deal with complaints promptly. There was an adult protection procedure and all staff had received adult protection training. EVIDENCE: The complaints procedure ensured that residents and their relatives were aware of how to make a complaint and who would deal with them. Service users said that they had “no grumbles”. The staff were observed to be approachable and supportive to service users. The staff confirmed that service users would approach them if they had any problems, “we talk everyday”. One service user said, “I will ask the staff if I need anything”. 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. Bridge House J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 Page 16 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 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. Bridge House J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 Page 17 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. The kitchen, living area and one bedroom at Bridge Gardens, had recently been redecorated and carpets had been provided to a very good standard. All the bedrooms were very clean and brightly decorated. Service users had been encouraged to personalise their bedroom with pictures and mementoes. Service users said that they liked the home and said “Its lovely” and “I enjoy living here”. Staff confirmed that the home was always well maintained and said that the owner would always provide what was needed “We want for nothing, we can have what we want”. Bridge House J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 Page 18 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) 32,33,34,35 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 “excellent”, “supportive” and “they help me live independently”. All staff had received training that included adult protection, medication, food hygiene and first aid. The staff were undertaking an NVQ qualification and the owner had recently qualified as an NVQ assessor to support the staff in attaining the qualification. Regular refresher training was offered, which enabled the staff to develop their skills and keep up to date with changing legislation. 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. Bridge House J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 Page 19 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. Staff received regular supervision, which provided them with the opportunity to focus on care practices and to identify any training, and development needs. All staff was observed to be professional, caring and motivated. Staff confirmed that they “worked well together” and that they “enjoyed” their job. Bridge House J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 Page 20 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) 37,38,39,41 and 42. Service users benefited from the ethos, leadership and commitment of the owner. Records required by the regulations were very well maintained and accessible. The health, safety and welfare of service users was promoted and protected. Bridge House J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 Page 21 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 completed the NVQ assessor’s award to support the staff in achieving a NVQ qualification and had enrolled to undertake a management qualification. Staff and service users described the manager/owner as “excellent”, “supportive” and “a good boss”. The manager visited the home on a regular basis to support the staff and to keep up to date with service users progress. Service users and staff confirmed that they could contact her “at anytime, about anything”. Service questionnaires had been circulated to service users, relatives and healthcare professionals, which gave them the opportunity to comment on all aspects of the care provided and to make suggestions on how the service could be developed. 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. The staff had received regular training to promote the health, safety and welfare of service users and their colleagues. Bridge House J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 Page 22 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 x 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 x 3 2 3 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 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 3 3 x J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 Page 23 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 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 assesement). Timescale for action 1st August 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. 2. Refer to Standard YA32 YA37 Good Practice Recommendations A minimum of 50 of care staff should achieve NVQ 2 by 2005. The registered manager/owner should achieve the Managers Award by 2005. Bridge House J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Ground Floor, Unit 3 Waterside Court Bold Street Sheffield, S9 2LR 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 House J51 18224 Bridge House V235312 29.06.05 UI Stage 4.doc Version 1.40 Page 25 - 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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