Inspection on 24/01/06 for Bridgewood House

This inspection was carried out on 24th January 2006.

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

Bridgewood House 19/11/08

Bridgewood House 28/11/07

Bridgewood House 30/08/07

Bridgewood House 19/09/05

Bridgewood House 18/10/04

Bridgewood House 14/06/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

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

CARE HOME ADULTS 18-65 Bridgewood House 165 Barnsley Road Denby Dale Huddersfield West Yorkshire HD8 8PS Lead Inspector Stephen French Unannounced Inspection 24th January 2006 09:30 Bridgewood House DS0000026322.V266793.R01.S.doc Version 5.1 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 Bridgewood House DS0000026322.V266793.R01.S.doc Version 5.1 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. Bridgewood House DS0000026322.V266793.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Bridgewood House Address 165 Barnsley Road Denby Dale Huddersfield West Yorkshire HD8 8PS 01484 861103 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) Bridgewood Trust Limited Mrs Tracey Fraser Care Home 23 Category(ies) of Learning disability (23), Physical disability over registration, with number 65 years of age (23) of places Bridgewood House DS0000026322.V266793.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th September 2005 Brief Description of the Service: Bridgewood House is a care home providing personal care and accommodation for twenty-three people with learning disabilities. It is owned by the Bridgewood Trust, a voluntary organisation providing a range of service in the field of learning disabilities for people in the Kirklees area. The home is situated on the outskirts of Denby Dale, a small community midway between Huddersfield and Wakefield. The home was purpose built for care. It consists of a single level home accommodating nineteen service users and four self-contained bungalows built in the grounds. All but two of the rooms in the care home are for single occupancy. There is a good range of communal facilities in the home. The home has large, well-maintained gardens. Bridgewood House DS0000026322.V266793.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of the bi-annual inspections. This inspection was unannounced and took place on 24th January 2006. The majority of the core standards were assessed during the previous inspection, therefore only a selection of standards were assessed during this visit. As part of the inspection, a selection of service users and staff files were examined and the home’s policies and procedures were looked at. Service users seen during the inspection appeared to be happy and well care for. Service users were observed mobilising around the home and receiving support from staff in a friendly manner. What the service does well: What has improved since the last inspection? Personal support plans and risk assessments are currently being updated and contain more information. Clear guidelines are now in place so that staff know when they should give ‘as required’ medication to service users. Bridgewood House DS0000026322.V266793.R01.S.doc Version 5.1 Page 6 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. Bridgewood House DS0000026322.V266793.R01.S.doc Version 5.1 Page 7 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 Bridgewood House DS0000026322.V266793.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Not assessed during this inspection. Bridgewood House DS0000026322.V266793.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,9 On the whole, service users’ care plans meet their health and welfare needs. Identified risks to service users are assessed and service users are supported to make decisions. EVIDENCE: Each service user has an individual support plan which has been developed from information gathered from the community care assessment, members of the multidisciplinary team, service users and relatives. The home is currently transferring support plans to new documentation which has recently been introduced. Support plans seen were a mixture of the old type and the new documentation. The staff were aware that further development of the care files was required in order for them to reflect the current needs of the service users. The personal support plan provided the basic information to enable the staff to care for the service user. Additional assessments and information was recorded for service users with more complex needs. Personal support plans seen provided some good detail on how the service user is to be supported. There were risk assessments in place for such things as moving and handling and Bridgewood House DS0000026322.V266793.R01.S.doc Version 5.1 Page 10 nutrition, as well as communication and leisure activities. It was noted that one risk assessment had not been completed following the changeover in documentation; staff should ensure that all documentation is completed. Risk assessments were all reviewed six monthly. Evidence was seen that, where possible, the service user or their relatives had been involved in the planning and review of their care along with the service user’s key worker. On the whole, daily entries in the care files examined were reflective of the service users’ psychological and social well being. One care file examined showed gaps in the daily records and this needs to be addressed. It was noted that some of the care files contained information and documents, which were no longer used; these should be removed. Bridgewood House DS0000026322.V266793.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,16 Service users have access to daytime occupation and social activities. Staff support service users to have a holiday away from the home. EVIDENCE: There was evidence in the care files examined that service users are encouraged to participate in community based activities. A number of service users access the day centre services and one service user has gained employment through the Bridgewood trust and works in the hospice shop. Other service users also attend craft centres and friendship clubs. A number of service users have been on holiday last year and, in one file examined, there was evidence that staff have organised a holiday in Blackpool later on this year. A range of leisure equipment is available to service users including TV, videos, DVDs and music equipment. It was stated that a church service is arranged within the home every two weeks and service users are supported by staff to attend weekly services at the local church. Bridgewood House DS0000026322.V266793.R01.S.doc Version 5.1 Page 12 Following a recommendation from the previous inspection, the home has reviewed its social activities and now makes information available to service users about visiting entertainers. Service users’ preference on how they wish to be addressed is recorded in their care plan. The home has ordered locks for each bedroom door and a risk assessment will be completed for those service users who lack the capacity to be able to access their own rooms. During the inspection, staff were observed interacting with service users, it was noted that one member of staff’s attitude to a service user who was asking about hairdressing was inappropriate in its tone and the manager was made aware of this. Service users are encouraged to participate in the daily routines of the home such as helping to wash up, set the dining tables and do housework. Bridgewood House DS0000026322.V266793.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 Service users’ health care needs are met. EVIDENCE: Staff support the service users in maintaining their health care needs. Due to the complex needs of some of the service users, they are unable to see to this themselves. Staff were observed assisting service users in a respectful and positive way. Personal support plans contained good detail describing service users’ preferred and required routines, likes and dislikes. Some plans, however, did not contain sufficient detail and must be further developed. Evidence that service users receive additional specialist support and advice from other members of the multidisciplinary team such as GPs and district nurses was seen in service user records. There was evidence in service users’ records that staff support service users to attend healthcare appointments where necessary. Bridgewood House DS0000026322.V266793.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Adequate policies and procedures are in place to protect the service users from abuse. EVIDENCE: Staff receive training in the protection of vulnerable adults as part of their induction as well as during their LDAF training. Policies and procedures are in place and a copy of the Kirklees multi-agency guidelines is available. It is recommended that staff receive an update on the protection of vulnerable adults training annually. Bridgewood House DS0000026322.V266793.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Not assessed during this inspection, however it was noted that the carpet in the lounge and corridor was in need of replacement as it was threadbare in places. Bridgewood House DS0000026322.V266793.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34 The recruitment practices of the home protects the service users from abuse. EVIDENCE: Four staff details were checked for recently employed care staff. These contained application forms, health checks, two references, as well as confirmation that checks with the Criminal Records Bureau had been completed. One file examined did not contain copies of the qualifications which the employer had said they had obtained. The manager should ensure that copies of qualifications are obtained and verified. Bridgewood House DS0000026322.V266793.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 The home is well managed and the health and safety of service users and staff is protected through policies and procedures and staff training. EVIDENCE: The registered manager has been in post for some time and is aware of the aims and objectives of the home. She has completed an NVQ level 4 in care and is currently undertaking the Registered Managers’ Award. Staff have received training in moving and handling and fire prevention. Certification in regard to gas, electricity and water is in place and up to date. The fire alarm system is checked weekly and any accidents to service users or staff is recorded. Bridgewood House DS0000026322.V266793.R01.S.doc Version 5.1 Page 18 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 X 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 x 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 X X 3 X LIFESTYLES Standard No Score 11 x 12 3 13 3 14 X 15 x 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X X 3 x 3 x x 3 x Bridgewood House DS0000026322.V266793.R01.S.doc Version 5.1 Page 19 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 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 YA6 Good Practice Recommendations Staff should ensure that a daily entry is made in the care file describing the care and support that has been given that day. Remove the documentation within the files that is no longer required. More detail should be recorded in support plans. Staff should receive an update on the protection of vulnerable adults at least annually. The carpet and curtains in the lounge should be replaced A copy of employee’s qualifications should be kept on file. 2. 3. 4. 5. YA19 YA23 YA24 YA34 Bridgewood House DS0000026322.V266793.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Bridgewood House DS0000026322.V266793.R01.S.doc Version 5.1 Page 21 - 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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