Inspection on 17/01/07 for Bridge Reach

This inspection was carried out on 17th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Reach 27/07/09

Bridge Reach 26/09/05

Bridge Reach 30/06/05

Bridge Reach 14/03/05

Bridge Reach 08/02/05

Bridge Reach 04/04/03

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Bridge Reach 3 Tern Crescent Rochester Kent ME2 2RE Lead Inspector Jo Griffiths Key Unannounced Inspection 17th January 2007 1:30 Bridge Reach DS0000028854.V305097.R01.S.doc Version 5.2 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 Reach DS0000028854.V305097.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 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 Reach DS0000028854.V305097.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bridge Reach Address 3 Tern Crescent Rochester Kent ME2 2RE 01634 318283 01634 328140 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 Kim Scott-Telford Mr Herbert James Smith Scott-Telford Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Bridge Reach DS0000028854.V305097.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th September 2005 Brief Description of the Service: Bridge Reach is a small care home providing support to three people with learning disabilities. The aims of the service are to support people with learning disabilities to live as independently as they can and to achieve their goals in life. The home is a three bedded semi-detached house situated in a quiet residential area. It has three single bedrooms, bath and toilet upstairs and a cosy lounge, kitchen and conservatory, used as a dining room, on the ground floor. There is also an office/sleeping in room on this floor. The home has front garden and off-road parking and garden to the rear of the property. The home is situated on the outskirts of Rochester/Strood with good bus and rail links situated nearby, and within walking distance of local shops. Bridge Reach DS0000028854.V305097.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection took place on 17th January between 1.30pm and 4.30pm. The inspector had to give some notice of the visit as the people that live at the home have very busy lives and are often out at work. One of the support staff helped with the inspection and the Manager was also available to give some feedback. All 3 of the people living at the home were spoken with about how they felt about the home. Positive feedback was also received from some professionals involved in the home. 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. The summary of this inspection report can be made available in other formats on request. Bridge Reach DS0000028854.V305097.R01.S.doc Version 5.2 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 Reach DS0000028854.V305097.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1, 2, 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are provided with the information they need to make a decision about the home. Service users have an assessment of their needs before they move to the home and can be confident that these needs can be met. EVIDENCE: The Statement of purpose and Service user guide have been updated to ensure they give people accurate information about the service that the home provides. The Service user guide has been produced using pictures and photos. Each service user has an assessment of their needs included as part of their care plan. Prospective service users can be confident that the home will be able to meet their needs before they move in. Bridge Reach DS0000028854.V305097.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7, 8, 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users have a support plan that ensures their assessed needs are met. Service users are supported to make their own decisions and to be involved in the running of the home. Service users are supported to take reasonable risks as part of an independent and fulfilling lifestyle. EVIDENCE: Service users have a plan of support that identifies what support they need in everyday living and how it is agreed this will be provided. The support plans cover personal care needs. emotional support, support to build relationships, support to gain employment or undertake activities and support to develop skills that will enable them to become more independent. The support plans Bridge Reach DS0000028854.V305097.R01.S.doc Version 5.2 Page 9 have been reviewed and updated as needed and the service users have been involved in writing the plans. Support has been sourced from the learning disability team to help service users to make informed decisions about the relationships they have and what they would like for their futures. Staff in the home support people to make decisions on a daily basis about things in their lives and person centred planning is used to help people express their wishes and dreams for the future. Service users meetings are held approximately every 2 months to give people the opportunity to have a say in how the home is being run. This is also an opportunity for service users to express any concerns and share any wishes they have. There is a rota of household chores that the service users have agreed between themselves and the staff offer the support needed with this. Service users choose the meals they would like and do the weekly shopping with support. Each service user has risk assessments in their support plans that cover any activities they participate in that pose a risk to their well being. The risks have been assessed and reduced to allow people to take reasonable risks as part of leading independent lives. Bridge Reach DS0000028854.V305097.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 11, 12, 13, 14, 15, 16, 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users have opportunities for personal development and employment. Service users are supported to take part in the activities they choose within the local community and leisure activities at home or outside the home. Service users are supported to build and maintain relationships and friendships. Service users’ rights and their responsibilities are recognised. Service users enjoy their meals and are supported to eat a balanced diet. EVIDENCE: Bridge Reach DS0000028854.V305097.R01.S.doc Version 5.2 Page 11 Service users spoken with said they enjoyed the activities that they do each week. They said that they had made their own choices of how they wish to spend their time and that staff support them to attend activities if they wish to. Some service users have employment or work experience. Some people attend day centres. Everyone in the home is involved in the weekly shopping and can access the local shops and facilities if they wish to. Records in the support plan show that people lead busy lives and that they enjoy their activities. There are daily opportunities to go out in the evenings to social clubs, pubs or to visit friends. The staff support people on days out or for meals in the local areas. During the inspection the service users were coming and going to their activities. Staff support people to maintain friendships and relationships and to build new ones if they wish to. External support is accessed if it is felt it would benefit the service users. The service users spoken with described how they choose the items they would like to buy at the supermarket each week from a bank of picture cards. The staff then support them to shop. Service users choose on a daily basis what they would like for their meals and take turns in cooking with support. Bridge Reach DS0000028854.V305097.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to manage their own personal support. They receive the guidance from staff they need. Service users receive the support they need to ensure their physical and emotional health needs are met. Service users are supported to manage their medication safely, but would be further protected by more robust record keeping. EVIDENCE: Service users living at this home are able to manage their own personal hygiene. Staff provide advice and support as needed. Staff support service users to make appointments to see their GP or other healthcare professional as they need to or for check ups. Records are kept of any advice or intervention by health professionals. The service users said that they feel they can talk to the staff if they have a health concern and that staff will support them to see the GP. Bridge Reach DS0000028854.V305097.R01.S.doc Version 5.2 Page 13 Staff recognise when service users need support to manage their emotions. The support that should be offered is included in their support plan. The service users said they found all the staff easy to talk to. Only one person living at the home uses prescribed medication and, following assessment, it was agreed that the home would hold and administer this for him. The medication is stored correctly and staff that administer it have had training. The Manager was advised that the records of the medication should show the actual time the medication is to be given. Bridge Reach DS0000028854.V305097.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22, 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users know how to make a complaint and can be confident that their concerns will be taken seriously. Service users are protected from abuse. EVIDENCE: Service users have a copy of the complaints procedure in their Service User Guide. Each person has a copy of this in their own room. Those spoken with knew how to make a complaint if they needed to and felt they could approach any of the staff. They also knew they could call CSCI or their care Manager if they wanted. There have been no complaints received by the home. The home has a procedure for managing complaints and staff knew how to deal with any concerns raised. The Manager of the home speaks daily with the service users to see how things are. There is an open culture in the home that promotes good communication between the Manager, service users and staff. All staff have undertaken training in safeguarding vulnerable adults and there is a clear policy for the prevention and reporting of any incidents. The service users spoken with knew what would be considered abuse and what they should do if they were worried about anything. Bridge Reach DS0000028854.V305097.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24, 25, 26, 27, 28, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a safe, comfortable home that is well maintained and kept clean and hygienic. Service users’ bedrooms are comfortable, personalised and meet their needs. Service users have access to bathroom facilities that meet their needs. Service users have access to sufficient communal space both indoors and outdoors. EVIDENCE: The home is domestic in size and provides comfortable accommodation for the 3 people that live there. Each person has their own room, which they have Bridge Reach DS0000028854.V305097.R01.S.doc Version 5.2 Page 16 furnished and decorated how they want to. Bedrooms are considered service users private space and staff respect this. There is a bathroom with a bath and shower upstairs and a separate toilet. The home also has a small kitchen, a lounge and a conservatory that is used as a dining room. The owners had recently replaced the heating system in the home. The home is kept clean and service users know what their responsibilities are with regard to household chores. There is a good size rear garden that the service users said they liked to use in the summer. The house is non smoking and the one person who does smoke is happy to go outside to do so. The home is well maintained and has a homely feel. The service users all said they were very happy living at this home. Bridge Reach DS0000028854.V305097.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that they are supported by qualified and trained staff. Service users are protected by the home’s robust recruitment procedures. EVIDENCE: The recruitment files for the home were inspected at the recent inspection of the domiciliary care agency that is also run by the company. The staff work across both settings and therefore it was not felt necessary to inspect these again as they were found to meet the required standards in December 2006. The staff have all undertaken the training that they need to do to support service users safely. Some staff have completed their NVQ award and the rest of the staff are working toward this. Bridge Reach DS0000028854.V305097.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a competent Manager. Service users are asked their views of the home on a regular basis. Service users are kept safe in the home. EVIDENCE: The Manager of the home is working toward completion of the NVQ 4 award in Care. She is intending to then undertake the NVQ 4 in Management to meet the National Minimum Standards. The Manager has many years experience in supporting this group of people and demonstrates competence and good organisational skills. Bridge Reach DS0000028854.V305097.R01.S.doc Version 5.2 Page 19 The company are currently working on a quality assurance audit for the home. It is planned this will take place by this summer. This will involve a questionnaire for service users and their relatives to gather their views of the home. Risk assessments have been completed for the general environment of the home. The owners ensure that all equipment is kept in good working order. The new fire regulations have been taken into account when recently reviewing the fire risk assessment for the home. Bridge Reach DS0000028854.V305097.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 4 3 x LIFESTYLES Standard No Score 11 3 12 4 13 4 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 3 x x 3 x Bridge Reach DS0000028854.V305097.R01.S.doc Version 5.2 Page 21 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Home’s Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 YA20 Good Practice Recommendations It is recommended that the timed on the medication records be reviewed to ensure they match the accurate times of administration. Bridge Reach DS0000028854.V305097.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Reach DS0000028854.V305097.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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