Inspection on 27/07/09 for Bridge Reach

This inspection was carried out on 27th July 2009.

It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Excellent.

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 17/01/07

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

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Extracts from inspection reports are licensed from CQC, this page was updated on 25/11/2009.

Annual service review Name of Service: Bridge Reach The quality rating for this care home is: The rating was made on: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Elizabeth Baker Date of this annual service review: 2 5 0 6 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service Address of service: 3 Tern Crescent Rochester Kent ME2 2RE 01634318283 01634328140 bridgereach@blueyonder.co.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Mr Herbert James Smith Scott-Telford,Mrs Kim Scott-Telford Number of places (if applicable): Under 65 Over 65 3 0 The maximum number of service users to be accommodated is 3 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category:Learning disability(LD) Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): 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, bathroom and toilet upstairs and a lounge, kitchen and conservatory, used as a dining room, on the ground floor. There is also an office sleeping room on the ground floor. The home has front and rear gardens, as well as off road parking. The home is situated on the outskirts of Strood and Rochester with good bus and rail links Annual Service Review Page 2 of 6 None situated nearby. Local shops are in walking distance. Details of current fees and additional charges are available from the manager of the service. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and results of other visits we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? As required, the service returned the annual quality assurance assessment (AQAA) when we asked for it. The assessment gave us the information we asked for. We looked at the information in the AQAA and our judgement is that the service is still providing an excellent service and is aware of further improvements they need to make. The last site visit to the home was carried out on 17 January 2007. The current rating was determined at that visit. An annual service review was undertaken on the 18 June 2008. We will do a key inspection by the 16 January 2010. The AQAA identified changes, which had been made as a result of listening to people who use the service including considering the operating instructions layout of the new washing machine so that the progress and completion of the washing cycle could be easily understood. Making changes to the staffing rota to enable service users to continue to travel to a disco night club once a month. And purchasing a seven seater motor vehicle to enable service users to continue with their external trips as public transport was unreliable and causing stress and anxiety to the service users. The AQAA indicated a range of areas where improvements have been made in the last year. This includes providing staff with Mental Capacity Act awareness and Deprivation of Liberty Safeguards training. This is important as the new safeguards may have implications on the homes current and future service users. The staff actively work Annual Service Review Page 4 of 6 with external agencies and care managers to make sure recommended actions from joint meetings are acted upon and the progress reported and monitored. This has earned the service the reputation of doing the right thing at the right time and has been given by feedback to the service from agencies the service has worked with. Service users are encouraged to be as independent as possible and to ensure their safety staff shadow them from time to time to make sure they are following health and safety advice. As well as receiving mandatory training, staff have received refresher training in topics including understanding learning disabilities, continence, care planning, challenging behaviours, autism, managing violence and aggression and epilepsy. The lounge carpet has been replaced. The post of deputy manager has been created. Both the manager and deputy manager have now completed NVQ 4 in health and social care. And the manager intends undertaking the NVQ 4 leadership and management qualification course. There is also evidence from the AQAA that the service is continuing to look at ways of improving what they do to promote good outcomes for those receiving the service. This includes updating the service user guide to include changes in the management structure and local amenities. Continuing developing better working relationships with service users families so they have a better understanding that education and choice is a right that belongs to everybody. Completely redecorate the home, making the home a better place for service users to live in. Budget permitting the service intends to re lay the front drive, as well as re designing the rear garden to provide a small area for the private enjoyment of service users. For service users safety, the service intends to provide them with in house fire training. And develop a website so future service users can easily access information about the service and its facilities. The home continues to let us know about things that have happened since our last key inspection that may have affected residents wellbeing and they have shown that they have managed issues well. The AQAA records the home has not received any complaints during the last 12 months. And no safeguarding adult investigations have been referred or investigated either. We have not received any complaints about the service. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 16 January 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 5 of 6 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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