Inspection on 18/07/07 for Bridgeway Care Home

This inspection was carried out on 18th July 2007.

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 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

Bridgeway Care Home 14/07/09

Similar services:

Ruskin Lodge

Dystlegh Grange

The Good Companions

Springfield Cottage

Cuerden Grange Rest Home

Cornmill Nursing Home

Vitalise Sandpipers Centre

Sue Ryder Care Birchley Hall

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

CARE HOME ADULTS 18-65 Bridgeway Care Home Gamull Lane Ribbleton Preston Lancashire PR2 6TQ Lead Inspector Mr Ajam Auckburally Unannounced Inspection 18th July 2007 10:00 Bridgeway Care Home DS0000069569.V338642.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 Bridgeway Care Home DS0000069569.V338642.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. Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bridgeway Care Home Address Gamull Lane Ribbleton Preston Lancashire PR2 6TQ 01772796048 01772705726 bridgeway@craegmoor.co.uk 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) Parkcare Homes (No2) Ltd Care Home 27 Category(ies) of Physical disability (27) registration, with number of places Bridgeway Care Home DS0000069569.V338642.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: Physical disability: Code PD The maximum number of service users who can be accommodated is: 27. Date of last inspection Brief Description of the Service: Bridgeway Nursing and Residential Home is registered with the Commission for Social Care Inspection to provide nursing and residential care for up to 27 younger adults of either sex, who may have a learning disability, sensory impairment, or a physical disability. The home is situated in a residential area on the outskirts of Preston. Shops and local amenities are easily accessible and the home has good links with the local community. The home is a purpose built two-storey building and a small passenger lift is available. The home is owned by Craegmoor Healthcare which is a National Company. A manager is employed to manage the home on a day to basis. The home accepts residents from all areas of the country. All of the residents’ accommodation is provided in single bedrooms and 17 of these have en suite facilities. Most of the bedrooms are large and furnished according to the personal preferences and needs of the occupant. There are three lounges, one of which is designated as a smoking area. There is also a relaxation room and a dining room. An enclosed patio area is also available. Residents can use these facilities freely. There is limited parking for cars at the front and side of the home. Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 5 Specialised equipments, aids and adaptations to help the residents with daily life and to maintain their independence are provided. Current weekly fees start at £705 depending on assessment of needs. Additional extras like hairdressing, chiropody, newspapers, outings etc are paid for by the residents. Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. Under IBL (Inspecting for Better Lives) Bridgeway was assessed as requiring a statutory key visit (inspection) between April 2007 and March 2008. An unannounced key site visit was carried out on 18th July 2007. The inspection lasted for 5.5 hours. The inspection was carried out against the National Minimum Standards for Adults (18-65). The inspection despite being an unannounced one was carried out in a friendly atmosphere and with the full cooperation of the manager, the staff and the residents. During the inspection, some records were looked at and several residents and staff were spoken to. The residents were very positive about the care they receive and the way the staff treat them. Evidence about the inspection was gathered firstly by sending out a questionnaire, AQAA (Annual Quality Assurance Assessment) for the manager of the home to complete and return. The completed questionnaire gave information about several areas such as staffing, checks that the home has made about the safety and maintenance of the building, information about residents and other useful information. The AQAA also requests information about good practices and developments. The manager provided good detailed information in the completed AQAA. Questionnaires were also sent to residents, the families and other professionals such as district nurses and doctors. By the time the inspection was carried out, no forms had been returned. There were 20 residents living at the home at the time of the inspection and there were 6 care staff, 1 qualified nurse, the manager, a cook and other ancillary staff on duty. The number of staff on duty was adequate to care for the residents. Staff were observed spending time with the residents talking and doing activities. The residents appeared to be well cared for and free from neglect or abuse. Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 7 What the service does well: What has improved since the last inspection? What they could do better: The carpets in two bedrooms were found to be in very poor conditions and will need replacing. It was found that the walls in some of the corridors are not fitted with handrails to help residents with poor mobility. The bathroom and shower area on the ground floor remains in need of attention. This room has no natural light and is need of decorating. The entrance hall could do with brightening up. The wooden floor is dull and full of scratches and other marks and makes the entrance unattractive. Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 8 The sluice room on the ground floor is smelly and lacks ventilation. The passenger lift is rather small and sometimes not fit for purpose. The staff said that sometimes it is very difficult or not possible to get some residents and/or their aids such as wheelchair in the lift. Currently only 28 of the care staff have completed their NVQ (National Vocational Qualification) against the 50 recommended by CSCI. 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. Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 9 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 Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 10 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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good practices to ensure that people are assessed properly before and during admission. Prospective residents are provided with good and relevant information. EVIDENCE: The records of the last resident admitted to the home were examined. They showed that a pre admission assessment was carried out and that information about the home was given. The resident concerned said that she was made very welcome and given a lot of information when she visited the home before admission. Prospective residents or their families are encouraged to visit the home and spend as much time as they need before making a decision. Most of the residents spoken to said that their family visited on their behalf. A member of the management team visits prospective residents who are unable to visit the home, either in their own home or in hospital before admission. The manager said this helps with introduction as well giving and gaining information. Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 11 A copy of the Statement of Purpose is displayed in the foyer of the home. Written information about the home is available in the form of a leaflet. The manager was advised to formalised this document into the Service User Guide. These documents can be made available in different font sizes. The admission procedures involve all relevant information including medical history and assessments from relevant health and social care professionals being obtained. A written pre admission assessment is done at this stage to ensure that the staff of the home can meet the assessed needs. A form is used to record information under the heading of: personal care, nursing needs, mobility, eating, communication and several more areas relevant to the care of the resident. Every resident has a care plan devised, following the assesment during the admission process. A contract between the home and the residents with the Terms and Conditions of residence is issued soon after admission. It contains clear information about fees and any additional charges. A copy of the last inspection report is available for residents and families to read. A personal copy can be obtained from the manager. The staff said that they are given as much information about the new residents as possible so that they can provide tailor-made care. The manager said that referrals from residents of an ethnic background would be welcomed. She said that research would be carried out, for example if the home was unsure how to meet cultural, religious and dietary needs of people from a different country or culture. Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 12 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): 6,7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good policies and practices which allow residents to remain independent. Residents are encouraged and supported to do as much for themselves as they are able to. EVIDENCE: The files of two residents were viewed and they contained clear information about identified needs and how the staff were to meet them. One resident on short stay is undecided whether to remain in the home or not. She said that she does not know whether she could manage to look after herself at home. She said that the home is good and that the staff are very kind. The other resident has multiple needs and requires a lot on input from the staff. She is being cared for in bed and records of her nursing needs are Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 13 recorded. They include turning chart, feeding etc. This resident is fed by the means of a tube inserted directly in the stomach and this task is done by qualified nurses. Residents are risk assessed from information of their assessments and by observing and talking to them. The manager said that reviews are carried out on a daily basis due to residents’ changing needs. There was evidence on files of reviews taking place The manager said that the residents are given complete autonomy in choosing what they would like to do. Residents are encouraged to remain independent and they were seen moving around the home in their wheelchair or walking. The staff were observed assisting those residents who needed help with patience and kindness. They confirmed that the staff consult them about their daily activities. They said that they are able to do what they want according to their own abilities, and that the staff are there to help them achieve them. The manager said that she ensures that the residents who are willing and able be involved in their care plans and reviews. The inspector chatted with several residents. All were very welcoming. Residents were very relaxed, and said that they were well cared for. Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 14 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): 12,13,15,17 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good arrangements to provide opportunities for residents to follow their interests and hobbies. Residents are able to do what they want and the staff support and respect their wishes. EVIDENCE: Residents living at the home vary in age and abilities. Those who are able can move around the home and the grounds freely. Some of them were seen in the entrance area and two were in the grounds. The staff provide support to the residents who have poor mobility and complex needs. Staff were seen assisting residents in their bedrooms and also socialising with them in the lounge. Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 15 Residents continue to maintain contact with family and friends. Relatives and friends are encouraged to visit as this helps the residents to continue with relationships and support from others. No relatives were present during the inspection The menus were examined and they showed that a variety of meals are provided. The cook said that if residents do not like what is on the menu, she would make them something they like. Suitable arrangements are made in relation to offering food to meet different dietary and cultural needs. Meals are offered in different forms including pureed, soft and normal to meet the different needs of the residents. The inspector observed lunch being served and found that the residents were not rushed and staff appeared to give adequate time for this. Several residents need to be fed by the staff. They were observed doing this without rushing the residents. The staff said that this a time consuming task but find that they have enough time to do it properly. The residents who were able to comment about the food said that it is very good and that they get plenty to eat and drink. The manager said that the residents are consulted about their daily activities and are guided by the staff where needed to choose age appropriate and suitable activities. There is a good range of activities for the residents to choose from. These include handicrafts, computers, bingo and quizzes and much more. The post of activity organiser is currently vacant and it is being advertised. Residents and staff were seen doing handicraft in the dining area. They were making a card for one of the residents who is in hospital. There is large room available on the first floor for handicraft and activities. The residents appeared to be very relaxed and content. They said that they have no worries and were able to do what they want. The home has its own minibus but is not being used following a recent minor accident. Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 16 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): 18,19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good practices to ensure that residents’ personal and health care needs are met. The health care needs of the residents are met by staff providing support. EVIDENCE: Personal care provided by the staff is based on the assessments and care plans. Each resident is cared for according to his needs and requirements. The residents are supported with their physical, emotional and mental health needs. The staff were seen spending time and talking to the residents. They said that they are there to make sure that all the needs of the residents are met in a friendly and efficient way. The residents said that they do not have to stick to a rigid routine and can get up and go to bed when they want. They added that the routines in the home are very flexible and that the staff are wonderful. Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 17 Residents who are able to manage their own personal care needs are encouraged to do so, however staff will prompt and offer assistance where necessary. Personal care is provided in the privacy of the resident’s bedroom or the bathroom. They said that the staff always respect their privacy. Additional support to provide total care for the residents is sought from other professionals like district nurses, GP’s, hospital, dentist, optician etc. Only qualified trained nurses administer the medication. The administration records and storage of medication were seen to be safe and complied with the requirements. The manager said that if a resident wishes to keep her own medications, then a full risk assessment is carried out. This will include the ability of the resident to take the medications at the prescribed times, store and look after them safely. One resident currently self medicates. Controlled drugs are correctly stored and recorded. Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 18 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): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangement for dealing with complaints is good. Residents are protected and safeguarded during their stay. EVIDENCE: The management of the home has produced policies and procedures for dealing with complaints and abuse. The complaint procedure is included in the information leaflet. It is available to residents and their families. Copies of the complaints procedures are displayed around the home. The home had an adult abuse policy and whistle blowing policy. Discussion with staff showed that they were aware of the above documentation and were quite clear about what they would do if an allegation or suspicion of abuse came to their attention. The manager was aware of her responsibilities in relation to protecting people living at the home and making sure staff were appropriately trained to recognise and act upon any signs of possible abuse. Induction training records for new staff included information and guidance about abuse so that all new staff were familiar with the subject and how to respond to any allegation or suspicion of abuse. Staff confirmed that they received regular updates so that they continued to be made aware of the need to protect the people they care for. Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 19 Some staff spoken to confirm and that they have had training in respect of abuse and some had covered this in their NVQ studies. Residents said that they are well looked after and that all the staff are kind and helpful. There were no visible signs of abuse or neglect. The staff spoken to said that that they would not harm the residents in any way and care for them with respect and dignity. The residents were heard speaking their minds and did not appear to be frightened. The manager said that everyone is encouraged to participate in discussions. Any shy or withdrawn resident is given the opportunity to speak to staff in private. Resident’s spoken to felt that they were encouraged to raise any concerns they might have about the home and that they would be listened to and action would be taken on any issues raised. Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 20 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): 24 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of hygiene is good but maintenance in some areas is poor. Residents live in a clean and comfortable home. EVIDENCE: Bridgeway is situated in a residential area and close to all amenities which is beneficial to both the residents and their families. Facilities include a post office, supermarket, pub, bus stop, etc. During a tour of the building, the home was found to be clean and in good hygienic order. There are several areas in the home needing attention: 1.The downstairs bathroom and shower area remain in need of attention. This room has no natural light and is need of decorating. Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 21 2.The carpets in two bedrooms were found to be in very poor state. They are badly stained and looked dirty. Some other carpets are also in need of changing. 3.It was noticed that in the new part of the home, no handrails have been fitted on the walls to help residents with poor mobility. 4. Also consideration should be given to fitting handrails to both sides of the walls in other parts of the home. 5.The entrance hall could do with brightening up. The wooden floor is dull and full of scratches and other marks and makes the entrance unattractive. 6. The sluice room on the ground floor is smelly and lacks ventilation. All the above should be undertaken as soon as possible. The manager said that there is a programme of decorating and carpet replacements. Bedrooms are well personalised and spacious. Residents are encouraged to bring their own personal items to the home. The home has a pleasant and private courtyard area for sitting out or receiving visitors. Some of the bedrooms overlook the courtyard and have flexible electrical tracking for items such as televisions, meaning that residents can choose the best position for these. It was observed during the inspection that some residents had difficulty using the lift due to the size of their wheelchairs and their posture requirements; the lift could only just accommodate them. Taking into considerations the disabilities and other difficulties residents have, it is recommended that the company consider replacing the lift with a larger and more suitable one as soon as possible. The home employs one full time and one part time domestic. The home was found to be clean and the domestic staff was observed using cones to advise when floors were wet. All cleaning materials are kept in a secure cupboard. Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 22 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): 32,35 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s recruitment procedures are robust and these provide safeguards for the protection of the residents. The home has an effective staff team that was appropriately trained and had the skills and experience to manage and meet the needs of residents. EVIDENCE: At the start of the inspection there were 6 care staff, 1 qualified nurse, the manager, 5 ancillary and 1 administrating staff on duty. This was well within the staffing required to care for the number of residents in the home. The staff spoken to said that they enjoy working with the residents and the staff. They said that there is usually enough of them to care for the residents. The staff rotas were checked and found to have an adequate number of staff on duty at all times. Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 23 Staff were seen to be interacting well with the residents. One staff was seen crouching on the floor and talking to a resident. Another staff was sat on the sofa talking to a resident. Two staff were doing a handicraft session with 3 residents in the dining room. Staff were overheard talking to residents in a friendly way and paying attention to what they were saying. Residents in the home were treated with respect and dignity. The written recruitment policy gives detail of the way a member of staff is employed. This is done according to good practice ensuring that new staff have all the necessary checks done before they are offered a post at the home. The files of two staff were examined and they showed that CRB (Criminal Record Bureau), POVA (Protection Of Vulnerable Adults) checks were made. Two satisfactory references were also included in the files. All new staff are given an induction training which include orientation of the home, basic health and safety issues. Other training include Abuse Awareness, Infection Control. There is still a need for staff to have specialised training for the client group they work with. Staff spoken to had a clear understanding of their roles and what is expected of them during their shift. They said that this was a settled staff group and that they felt well supported. Communication with some of the residents at Bridgeway can be difficult due to the medical conditions from which they suffer. Staff were observed using a variety of methods developed to suit the individual, to communicate with residents. A lot of time had been spent getting to know residents and the way in which they were able to express their needs. The inspector was able to communicate with a resident who used a type and speak machine. He said that he was happy at the home and that although he is slow he can communicate well with all the staff and make known his wishes. The percentage of care staff who have completed their NVQ (National Vocational Qualification) is now 28 . CSCI recommends that at least 50 of care staff should attain this qualification. The manager said that there is a commitment to staff training and that several care staff are currently doing their NVQ training. Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 24 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): 37,39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is good management team running the home. The residents have access to the team for support and advice. EVIDENCE: Bridgeway is owned by a company called Craegmoor Healthcare. A manager is employed to run the home on a day-to-day basis. She is supported by an area manager who visits the home on a regular basis. The manager is a qualified nurse and has gained experience with the client group she is working with. She is now registered with CSCI. Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 25 The home has policies and procedures in place to ensure the health and safety of residents and staff are promoted and protected. The area manager visits the home regularly and once a month completes a Regulation 26 form. This form is completed to ensure that owners who do not work at the home look at all areas of the home and leave a written report. A copy of the report is also sent to CSCI. Residents have day-to-day contact with the manager and staff and feel able to discuss any matters or ideas they have. Residents meeting are also held. Feedback is sought from the staff during the periodic team meetings and supervisions. Additional comments are also received during the residents review meetings, which involve health and social care professionals. Information provided in the pre-inspection questionnaire stated that all safety equipments were regularly serviced. The policies and procedures in the home ensure that the health, safety and welfare of the residents and staff were promoted and protected. Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 26 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 x 3 X 3 X X X X Bridgeway Care Home DS0000069569.V338642.R01.S.doc Version 5.2 Page 27 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 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 2 3 4 5 6 7 Refer to Standard YA24 YA24 YA24 YA24 YA24 YA24 YA35 Good Practice Recommendations The passenger lift is too small to accommodate some of the people at the home who have complex physical and mental disabilities. The sluice room on the ground floor is smelly and lacks ventilation. The entrance hall could do with brightening up. The wooden floor is dull and full of scratches and other marks and makes the entrance unattractive. Also consideration should be given to fitting handrails to both sides of the walls in other parts of the home. It was noticed that in the new part of the home, no handrails have been fitted on the walls to help residents with poor mobility. The carpets in two bedrooms were found to be in very poor state. They are badly stained and looked dirty. Some other carpets are also in need of changing. Efforts should be made for the number of care staff with NVQ level 2 to be at least 50 . DS0000069569.V338642.R01.S.doc Version 5.2 Page 28 Bridgeway Care Home Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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. 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