Inspection on 03/10/05 for Bridge House

This inspection was carried out on 3rd October 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 05/11/07

Bridge House 05/01/07

Bridge House 03/02/06

Bridge House 02/02/05

Bridge House 12/07/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Bridge House High Street Normanby Middlesbrough TS6 OLD Lead Inspector Ray Burton Unannounced Inspection 3rd October 2005 02:00 Bridge House DS0000000109.V255728.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 DS0000000109.V255728.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 DS0000000109.V255728.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bridge House Address High Street Normanby Middlesbrough TS6 OLD 01642 452365 01642 452365 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) Milbury Care Services Limited Mrs Diane Mary Croves Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Bridge House DS0000000109.V255728.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named individual who is above the age category is allowed to reside in the home. 2nd February 2005 Date of last inspection Brief Description of the Service: Bridge House is a large old house located in a quiet cul-de-sac within easy walking distance of local shops and other community facilities. All accommodation is provided in single bedrooms. Externally there is a large and pleasant garden. Bridge House DS0000000109.V255728.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection commenced on 3rd October 2005 with a return visit on 10th October to meet service users relatives who were visiting the home to attend review meetings. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Bridge House DS0000000109.V255728.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bridge House DS0000000109.V255728.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 The homes Statement of Purpose and Service Users Guide provided residents and prospective residents with details of the services provided. The assessment procedure ensured that only those whose needs could be met would be admitted to the home. EVIDENCE: A Statement of Purpose was in place setting out the aims, objectives and philosophy of the home. Each service user file contained a copy of the Conditions of Residence showing the terms and conditions of occupancy, fees charged etc. There had been no admissions to the home in recent years however the manager stated that no one would be admitted unless a multi-disciplinary assessment had been received and the home had conducted its own assessment and was satisfied that the needs of the prospective resident could be met. Prospective residents and their family would be invited to visit the home to meet existing residents and talk to members of staff. Bridge House DS0000000109.V255728.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 The homes care planning process ensured that residents needs were identified and met. Residents were consulted about all aspects of their life and were supported to lead an independent lifestyle EVIDENCE: Three care plans were examined, each was well organised and presented a comprehensive, up-to-date picture of the resident: background, likes/dislikes, physical and social needs etc. Much use had been made of photographs and pictures to aid understanding. Regular monitoring and re-assessment ensured changing needs were identified and met. Care plans and staff comments showed the residents right to make decisions was respected and that within the framework of regular assessments, including assessment of risk, the resident was encouraged and supported to exercise choice and make decisions about his/her own life. The manager and staff acknowledged that not all residents had understanding of the care planning process, however they recognised the importance of their being involved and retaining as much ownership of their plan as was possible. Bridge House DS0000000109.V255728.R01.S.doc Version 5.0 Page 9 Care plans contained pictures cut from magazines, and drawings depicting likes and dislikes, goals etc. One resident had contributed to his care plan by drawing pictures of where he had lived and the school he had attended. Review documents had been personalised and emphasised the individual’s ownership of the review process. A photograph of the subject was displayed on the front cover with a greeting: “Hello I’m ……………, welcome to my review.” Residents were presented with opportunities to participate in the day to day running of the home by being encouraged and assisted to participate in simple household tasks: setting tables for mealtimes, making drinks and simple snacks, tidying their bedroom, accompanying staff as they performed various tasks around the house and garden and on shopping trips. Residents were invited to House Meetings and most attended, although generally their understanding and participation was extremely limited. Bridge House DS0000000109.V255728.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15 Residents were presented with opportunities to lead fulfilling lives, were encouraged to take part in appropriate leisure activities in the home. And were supported by staff to engage in community-based activities. Staff encouraged and assisted residents to maintain family and friendship links. EVIDENCE: Observation during the inspection indicated staff encouraged residents to exercise choice and supported them to make simple decisions about their daily lives. Routines were flexible and promoted independence, individual choice and freedom of movement. Care plans showed how, subject to their individual plan and risk assessments, residents were presented with opportunities to take part in appropriate activities in the home and in the community: baking and simple meal preparation; various household tasks; music; TV and video; shopping; visits to the local pub; taking part in various activities at the Southlands Leisure Centre; meals out; trips out in house car; visits to local places of interest including parks, the coast and countryside. Bridge House DS0000000109.V255728.R01.S.doc Version 5.0 Page 11 Staff recognised the importance of residents maintaining contact with family and friends and assisted with the making of telephone calls and the sending of cards for special occasions such as Christmas and birthdays. When the inspector arrived at the home on the morning of the inspection, the mother of one of the residents was sitting in the dining room eating breakfast with her son and other residents. It was obvious that she felt very much at home and that she had been made to feel welcome by the members of staff on duty. She said that she was very satisfied with everything about the home and of the way in which her son was cared for. She felt her son was happy “and if he’s happy, I’m happy.” Another visitor told the inspector she was always made welcome whenever she visited the home. She said the manager and staff were “absolutely brilliant” and very good at keeping in touch and informing her of her brother’s progress. She said they would put themselves out for her brother and do things for him that he would do for himself if he were able to e.g. sending Christmas, birthday and mothers day cards, flowers and presents for special occasions. She stated that she could not fault the home and said “As far as I can see he is leading a happy and contented life in his own home.” Bridge House DS0000000109.V255728.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20,21 Healthcare and personal needs were met by staff providing support in a sensitive and flexible manner in accordance with the wishes of the individual resident. Appropriate profession provided additional support as required. The home had appropriate policies and procedures in place to deal with the ageing illness and death of a resident. EVIDENCE: Continuous monitoring of health was undertaken and healthcare needs addressed by residents own general practitioner and other community based professionals such as community and specialist nurses, dentist, chiropodist etc. Examination of the accident records showed there had been several minor accidents in the last twelve months, only one of which had required referral to the Accident & Emergency Unit. None of the residents had been assessed as being able to control their own medication. All medicines were stored in a secure facility and dispensed according to the homes policies and procedures by staff who had received approved training in the safe handling of medicines. Bridge House DS0000000109.V255728.R01.S.doc Version 5.0 Page 13 The home had an appropriate policy and procedures to deal with the ageing, illness and death of a service user. Staff said that the home was looked on as a “home for life” and that, unless medical needs dictated otherwise, residents would remain at Bridge House during illness and their last days and bee cared for by the homes staff with additional support being provided by community based professionals. The care plan of one resident contained details of funeral arrangements to be carried out in the event of her death. Bridge House DS0000000109.V255728.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 The home had a satisfactory complaints system and policies and procedures to protect residents from abuse and safeguard their legal rights. EVIDENCE: An appropriate policy and procedure was in place for the handling of complaints. Examination of the complaints record revealed there had been no complaints received since the last inspection. Policies and procedures were in place to ensure the safety and protection of residents and to respond to any suspicion or allegation of abuse. A copy of the “No Secrets” adult protection procedure was available to staff, who had received appropriate training and who were able to demonstrate an understanding of what constituted abuse and what to do in the event of such an incident occurring. Bridge House DS0000000109.V255728.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,30 Bridge House provides comfortable and homely accommodation and meets the needs of the people living there. EVIDENCE: The internal and external fabric of the building was well maintained, décor in communal areas was bright and cheerful, furniture was comfortable and domestic in design. On the day of the inspection the building was observed to be clean and free from offensive odours. All areas of the building, including the kitchen, were accessible to residents subject to individual risk assessments. All bedrooms were bright and cheery and provided a comfortable and private place for the occupant to enjoy. Each was attractively decorated and appropriately furnished, all had been individualised by the addition of furniture, and personal effects such as ornaments, pictures, posters, TV, CD player etc. The home was centrally heated throughout and radiators had been covered with suitable guards to ensure a low surface temperature. Hot water outlets accessible to residents had been fitted with pre-set valves to provide safe water temperatures. Emergency lighting had been fitted throughout the home. Bridge House DS0000000109.V255728.R01.S.doc Version 5.0 Page 16 The rolling programme of refurbishment continues and is now in its final stages. Still outstanding is the re-flooring of the entrance hall and the general upgrading of the entrance hall, staircase and landing areas – this work has been scheduled to take place during December 2005. The paving to the front of the house remains uneven. This has been highlighted in previous inspection reports and must be addressed by the provider. In addition to the above: The floor covering in the 1st floor bathroom is badly stained and requires replacing. Working surfaces in the kitchen are marked and in need of replacement. Bridge House DS0000000109.V255728.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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): These standards were not assessed during this inspection. EVIDENCE: Bridge House DS0000000109.V255728.R01.S.doc Version 5.0 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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): These standards were not assessed during this inspection. EVIDENCE: Bridge House DS0000000109.V255728.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 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 2 3 3 3 3 x 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bridge House Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 DS0000000109.V255728.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? YES 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 YA24 Regulation 23(2)(d) Requirement Repainting and decorating must be carried out to the staircase. The uneven paving on the patio must be made safe. Timescale for action 01/11/04 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Bridge House DS0000000109.V255728.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Bridge House DS0000000109.V255728.R01.S.doc Version 5.0 Page 22 - 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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