Inspection on 26/02/08 for Bridge View Care Home

This inspection was carried out on 26th February 2008.

CSCI found this care home to be providing an Excellent service.

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

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

CARE HOMES FOR OLDER PEOPLE Bridge View Care Home Ashington Drive Choppington Northumberland NE62 5JF Lead Inspector Janet Thompson Unannounced Inspection 14:30 26 February 2008 th X10015.doc Version 1.40 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 View Care Home DS0000071020.V360438.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 Older People. 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 View Care Home DS0000071020.V360438.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bridge View Care Home Address Ashington Drive Choppington Northumberland NE62 5JF 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) 01670 811891 01670 522939 Southern Cross BC OpCo Ltd Mrs Tracie White Care Home 61 Category(ies) of Dementia (61), Old age, not falling within any registration, with number other category (61), Physical disability (5) of places Bridge View Care Home DS0000071020.V360438.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home with Nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - maximum number of places 61 Dementia - Code DE, maximum number of places 61 2. Physical Disability, Code PD, maximum number of places 5 The maximum number of service users who can be accommodated is: 61 31 October 2006 Date of last inspection Brief Description of the Service: Bridge View is a home that is purpose built. It is located in Stakeford. Accommodation is spread over two floors. The kitchen and laundry are on a lower ground floor. All accommodation is based in single bedrooms, all fixtures and fittings are new and of a good standard. The home can accommodate frail elderly people. Car parking is provided to the front of the home and there are landscaped gardens to all sides. Local shops are within walking distance, as are local transport facilities. There is level access to all parts of the building. A passenger lift is available to take residents from the ground floor. The fees for the home range from £389.24 to £430. Further information about the home is available in the service user guide, which contains the statement of purpose and previous inspection reports. This is kept in the reception areas of the home on each floor. Bridge View Care Home DS0000071020.V360438.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use the service experience excellent quality outcomes. How the inspection was carried out: Before the visit we looked at: Information we have received since the last inspection visit. How the service dealt with any complaints or concerns since the last visit. Any changes to how the home is run. The manager’s views of how well they care for people. The views of people who use the service and their relatives or friends. This was given to us in the form of questionnaires. At the time of writing this report we had received one response from questionnaires. During the unannounced visit we: Talked with people who use the service and some of the staff. Looked at the information about people who use the service and how well their needs are met. Looked at other records the home is required to keep. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, comfortable and safe. Checked what improvements had been made since the last inspection visit. The manager was at the inspection. Feedback was given to her at the end of the visit. This visit took place in the afternoon and evening. What the service does well: Residents commented that they were happy at the home. They said “the staff are lovely, every one of them” and “they look after me so well”. Staff were properly trained to meet the needs of residents. Staff were knowledgeable and sympathetic when discussing residents. The home was clean and tidy. The outside grounds were attractive. Bridge View Care Home DS0000071020.V360438.R01.S.doc Version 5.2 Page 6 Medication was well managed. This protects residents from potential errors and risks to their health. All of the residents looked clean and well cared for. The residents said they could see a Doctor or a nurse when they wished. One resident said “I have lived longer because I am here”. The furnishings in the home are good quality and it is well maintained. The dining rooms in particular looked very nice. Residents spoken to said the food was good. 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 View Care Home DS0000071020.V360438.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bridge View Care Home DS0000071020.V360438.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. Standard 6 does not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are given enough information about the home before they decide to stay there. People have their needs and wishes assessed before they move into the home. EVIDENCE: Residents admitted to the home do have their needs assessed. Information from other professionals is included in this. The needs assessment forms part of the care planning. Four pre-admission assessments were examined. Good information was recorded and residents’ individual needs were clear. These included resident’ wishes regarding how they wish to be addressed. The inspector spoke to one resident who said that she had been unable to visit the home before admission due to her health but her daughter had visited. She said someone from the home had come out to see her. Bridge View Care Home DS0000071020.V360438.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. T his judgement has been made using available evidence including a visit to this service. The standard of care planning is good and gives a good level of information to staff to support meeting residents needs. Care is planned with residents in a way they prefer and in a sensitive manner. Medication practice safeguards residents from potential risk. EVIDENCE: Four plans of care were examined. Two of the people whose care plans were seen were also spoken with and discussed with the staff. This is called case tracking. The care plans contained enough information about residents to enable staff to meet their needs. Three of the four care plans contained up to date information and had been regularly evaluated. One care plan showed a lapse in evaluation of two months. Care plans that were case tracked showed a good reflection of the residents’ current needs. Care plans reflected the diverse range of residents’ abilities, likes, dislikes, social needs and aims as Bridge View Care Home DS0000071020.V360438.R01.S.doc Version 5.2 Page 10 well as the physical care needed. One of the plans that was case tracked indicated that the resident was very light in weight, her assessment showed she fell into the high-risk category for nutrition. She had a nutritional plan in place telling staff to weigh her regularly and record her food and fluid intake. The records of food and fluid were not properly filled in. The amounts stated did not include portion size and the fluid levels had not been added up. When the inspector spoke to the resident she said she had been underweight all of her life, she was clearly able to dictate her own food and fluid intake and her weight was fairly stable. In this case it was not imperative that accurate measurements were recorded therefore a recommendation has been made for future use of these tools. Staff showed a good level of knowledge about residents needs. The staff are busy changing the care plans to the format provided by the new owner. The new format is comprehensive and clear. Residents looked clean and well cared for. All residents spoken to said they were well looked after. Residents said, “They have looked after me so well I have lived longer” and “I am so pleased to be here, it’s lovely to be looked after when you are ill”. There was evidence in care plans that residents can see a doctor when they need to. Other health professionals such as psychologists, therapists, opticians and dentists had been involved in the care of residents. Medication administration records were examined. Medication management was satisfactory. All administration records were correctly filled in. Three amounts of controlled drug were checked and found to be correct. Controlled drugs are audited weekly and all medicines are audited monthly. Correct medication procedures help to safeguard residents from mistakes. Resident’s spoken to said that they were treated well in the home and they felt that staff treated them respectfully. One resident commented: “the staff are lovely, not one of them isn’t nice”. Another resident said, “they never make you feel as though you are a bother”. All residents said they could choose how and where to spend their day and could dictate their routines. The inspector observed that most residents chose to spend time in their rooms in the afternoon and evening. One resident said “I go to the lounge in the morning but I like my privacy later on”. Bridge View Care Home DS0000071020.V360438.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are encouraged to be as independent as they wish. They access social activities in the home and wider community. Choice and rights are promoted as well as healthy living. EVIDENCE: There is an activities organiser in the home. The level of activities has been reviewed in the last year and has improved. The activities on offer were varied and suitable to the resident group. In a questionnaire received a comment was made that people did not seem to do much in the evenings but sat in their rooms a lot. Residents spoken to said this was their choice. When questioned residents could not recall all of the social events that had taken place or what was planned. There are notices on the boards at each floor but not all residents could see these. The inspector suggested that a weekly schedule is given to residents in their rooms. One resident told the inspector that she could come and go as she pleased, she said “I am given the choice, if I want to join in I can, if not, no problem”. Bridge View Care Home DS0000071020.V360438.R01.S.doc Version 5.2 Page 12 Relatives were seen to come and go in the home, they looked relaxed and comfortable there. Visitors to the home were greeted in a friendly manner by staff. Residents reported that the food was generally good. One resident told the inspector “the Cook is very good, the food is excellent” The new owners are introducing a new menu based on an independent healthy living format. The manager confirmed that residents are always consulted about the food. The dining areas were very well presented. Linen was clean and tables were set to restaurant standards. The food offered at the time of the inspection was very well presented and looked appetising. Menus were varied in content and there were choices of meals available. Regular consultation takes place between the kitchen staff, care staff and residents. Most of the residents could not remember what they had ordered for tea, the inspector suggested a daily menu on display might help them with this. Bridge View Care Home DS0000071020.V360438.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear procedures are in place to protect residents from risk of harm and enable their concerns to be effectively dealt with. EVIDENCE: All residents spoken to said that they knew who to complain to. There have not been any complaints since the last inspection. Adult Protection procedures are available in the home. All staff have received training in adult protection. There have not been any adult protection issues in the home. Bridge View Care Home DS0000071020.V360438.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The building is clean and generally well maintained. Good quality fittings have resulted in a comfortable setting for residents. EVIDENCE: The home was very clean and tidy. There were no unpleasant smells. The fixtures and fittings are good quality. The rooms are pleasant and attractive. The home is very well maintained. There was very little sign of wear and tear. Residents spoken to said the home was “always clean, spic and span”. One resident told the inspector the home was “clean, comfortable and safe”. Although the building is big, the furniture and decoration do make it feel like a ‘home’. The dining room and resident’s own bedrooms were particularly nice. Bridge View Care Home DS0000071020.V360438.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff are supported through training and supervision to provide care to people in a way that meets their individual needs. Recruitment and selection practice does protect residents. EVIDENCE: There were adequate numbers of staff on duty. The current staffing for the home is: Two RGN’s on the first floor at all times with four carers. One senior carer and three carers on the ground floor. Over 50 of the care staff are trained to NVQ level 2 or above. Additionally there is a training overview chart, which showed that all staff were up to date with statutory training. The manager reported that the new owner has introduced a lot of extra training to ensure staff are knowledgeable about procedures. The inspector examined some of the workbooks for these. They were very comprehensive and thorough. Three staff recruitment files were checked. Good recruitment procedures were followed. All files contained evidence of reference checks, background, and Bridge View Care Home DS0000071020.V360438.R01.S.doc Version 5.2 Page 16 identity and criminal records checks. An interview form was used to ensure accountable and consistent interviewing. All residents spoken to were very positive about the staff. Most of their comments have been included in other sections of this report. The inspector was impressed with the rapport staff had with residents. The nurses spoken to were very knowledgeable about the needs of the people in their care. All staff spoke respectfully and confidently about residents. One resident congratulated a staff member on their tea making skills and as he walked away he told the inspector “you’ll never find better staff anywhere else, I love them”. The atmosphere in the home was relaxed, even on the busy nursing floor. Staff, though busy, did not appear rushed. Bridge View Care Home DS0000071020.V360438.R01.S.doc Version 5.2 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well run which benefits the people who live there. They are consulted about what goes on in the home through meetings and day-to-day contact. People living in the home and staff are protected through good health and safety procedures and checks. EVIDENCE: The manager is a qualified nurse with many years experience. She has been assessed by CSCI as “fit” to run a care home. The manager is enthusiastic and keen to maintain excellent standards in the home. She wants the home to be run ‘for the residents’ and consults them through surveys, meetings and an open door approach. The manager and the staff are open to suggestions, Bridge View Care Home DS0000071020.V360438.R01.S.doc Version 5.2 Page 18 which lead to improvement in the service. Residents confirmed that they felt listened to by staff. Resident’s money is well managed. Accounts are individually held and receipts kept. Money was not counted at this inspection. Health and safety checks were up to date. Certificates were in place for the testing of gas, portable electrical appliances, water chlorination, lifts and hoists. All internal safety checks were up to date. These included fire fighting equipment, door closures, ventaxia and hot water. There were no obvious trip hazards in the home. Fire exits were clear of obstructions. All rooms containing hazardous fluids were locked. The new owner has introduced a series of audit tools. These are to be used by staff, the manager and the operations manager. They have already started using them at Bridge View and the manager reported that some positive changes have been made as a result. Bridge View Care Home DS0000071020.V360438.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 4 9 3 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 3 Bridge View Care Home DS0000071020.V360438.R01.S.doc Version 5.2 Page 20 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. 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 OP7 Good Practice Recommendations Ensure that all care plans are evaluated monthly. Where necessary, resident’s food and fluid intake should be properly recorded. Residents are given more choice by being better informed as to the activities on offer. Introduce a method of informing residents as to the day’s menu. 2. 3. OP14 OP15 Bridge View Care Home DS0000071020.V360438.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle upon Tyne NE1 1NB 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 View Care Home DS0000071020.V360438.R01.S.doc Version 5.2 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. 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