Inspection on 12/12/05 for Bridgewood Mews

This inspection was carried out on 12th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bridgewood Mews 14/05/07

Bridgewood Mews 22/08/06

Bridgewood Mews 15/06/05

Similar services:

Aston Court Nursing Home

Breme

Ravenhurst

Westmead

Ashcroft Hollow Nursing Home

Bricklehampton Hall Nursing Home

Briar Hill House

Radbrook Nursing Home

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

CARE HOME ADULTS 18-65 Bridgewood Mews 38 Bridge Road Tipton West Midlands DY4 0JW Lead Inspector Mrs Amanda Hennessy Unannounced Inspection 12th December 2005 09:30 Bridgewood Mews DS0000062330.V273582.R01.S.doc Version 5.0 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 Mews DS0000062330.V273582.R01.S.doc Version 5.0 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 Mews DS0000062330.V273582.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Bridgewood Mews Address 38 Bridge Road Tipton West Midlands DY4 0JW 0121 522 5780 0121 522 5781 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) Exemplar Homes Ltd Kathleen Felton Care Home 20 Category(ies) of Physical disability (20) registration, with number of places Bridgewood Mews DS0000062330.V273582.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th June 2005 Brief Description of the Service: Bridgewood Mews is a purpose built home and can accommodate up to 20 younger adults with physical disability and who may require nursing care. Accommodation is on two floors, each floor having a lounge, dining room and a further quiet lounge. Resident’s bedrooms are on both floors. There is access to the first floor by a passenger shaft lift. All bedrooms are single occupancy each with en-suite facilities consisting of toilet, hand basin and shower. The main kitchen is on the ground floor with the laundry on the first floor. The home is privately owned by Bridgewood Mews Healthcare. The home is situated a mile from Great Bridge and is easily accessible via public transport route to local areas, Dudley and West Bromwich. The home has an experienced Manager. There is a registered nurse on duty twenty-four hours a day assisted by a team of care staff. Bridgewood Mews DS0000062330.V273582.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s second inspection and was unannounced. The inspection was undertaken by two Inspectors, Mrs Mandy Beck and Mrs Amanda Hennessy between 09.30 and 14.30. The findings of the inspection were very positive. The inspection included a tour of first floor (where service users are currently accommodated) talking to service users and staff. Care records were reviewed as part of the “case tracking” of two service users. The two requirements made at the previous inspection were found to have been addressed. Two new requirements were made as a result of this inspection. What the service does well: What has improved since the last inspection? What they could do better: Bridgewood Mews DS0000062330.V273582.R01.S.doc Version 5.0 Page 6 The home provides good care and it should now look at how it can provide excellent care for its service users. The Manager and staff need to look at how they can continue to achieve and achieve further scores of “four” which identify that the home excels in all areas. 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 Mews DS0000062330.V273582.R01.S.doc Version 5.0 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 Mews DS0000062330.V273582.R01.S.doc Version 5.0 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: These standards were reviewed at the previous inspection and were found to be met. Bridgewood Mews DS0000062330.V273582.R01.S.doc Version 5.0 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): 7,9 Service users are able to make decisions about their lives and are supported and assisted by staff to do so. EVIDENCE: Residents spoken to and records seen show that residents right to make decisions is supported and facilitated unless a restriction in choice or personal freedom is identified by a risk assessment. Information on advocacy services is not available should service users wish to contact advocacy services independently. It was pleasing to hear that the home has one service user who manages her own money with other service users supported by staff and their families to manage their own finances. Records and risk assessments seen and discussion with staff and service users, identify that service users are enabled to take responsible risks. The home does not currently have any service users who are able to go out without staff, however there are appropriate policies in place to support service users should they wish to and were able to go out alone. Bridgewood Mews DS0000062330.V273582.R01.S.doc Version 5.0 Page 10 Bridgewood Mews DS0000062330.V273582.R01.S.doc Version 5.0 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): 13,15,16,17 Links with the community are good and support and enrich service users social opportunities. Service users are encouraged to exercise choice and control over their lives. Food is nutritious and varied whilst being suitable for the service users and their special dietary needs. EVIDENCE: The home should be congratulated for its efforts to ensure service users lead full and active lives. Service users interviewed confirmed that they regularly go out and have recently been to church, the cinema, pubs, shopping centres, as well for walks to the local park and the local community bonfire which was particularly successful. The home is fortunate to have its own mini-bus, which is fully utilised and was in use during the inspection taking two service users out to a local specialist leisure centre. One of the lounges is being developed into a sensory room for those service users who are unable to or do not wish to go out of the home. Family and friends are welcomed to the home and are encouraged to continue to be involved with their loved ones. Staff and service users spoken to confirmed that service users regularly visit their families and are able to Bridgewood Mews DS0000062330.V273582.R01.S.doc Version 5.0 Page 12 choose who they see. A quiet room is available should they wish to see their visitors in private. Service users confirmed that they have a good relationship with the staff with staff treating them with respect. Service users are offered a key and staff do not enter bedrooms without the service users consent. Inspectors spoke to one service user who said that he preferred to spend time in his room watching his television and that staff supported him to do this. The home has a three week menu which the cook has developed to meet service users likes and dislikes. The care staff and cook liaise closely to ensure that service users likes and dislikes are catered for with a list of food preferences completed by the service user or their family at the time of their admission, an effective communication book and also by the cook serving out meals. The cook says that by serving out the food and collecting the plates this enables her to assess how much the service user has eaten and whether any changes are required. The home provides special diets such as diabetic and soft. The cook ensures that the special diets both safeguard service users from the risk of choking and are also being tasty and nutritious, it was lovely to hear how she has experimented to provide curry and rice for service users who “love” curry but can only have a soft diet without lumps as they were at risk of choking- although admits to date the pureed rice was not a success! Mealtimes are flexible and unrushed, with service users able to choose when and where they eat. The cook maintains appropriate records for the safe keeping of food. Bridgewood Mews DS0000062330.V273582.R01.S.doc Version 5.0 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): 18 Service users receive flexible and sensitive care that meets their needs. EVIDENCE: Care records comprehensively identify service users preferences such as preferred gender of care staff, preferred style of clothing and preferred colours of clothing such as “likes casual clothing”, use of toiletries, preference and frequency for a bath or shower, preferred time of going to bed and gettingthis varied greatly between all the service users accommodated from 9.00 to one resident who liked to get up at twelve. Staff spoken to were able to identify residents individual needs and ensure that they are met. A registered nurse is in charge to supervise staff twenty-four hours a day. Staff ensure that there is consistency of care with the use of key workers who work closely in partnership with the resident and their family. Bridgewood Mews DS0000062330.V273582.R01.S.doc Version 5.0 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): EVIDENCE: No standards were assessed in this section- these standards were reviewed at the previous inspection when they were found to be met. Bridgewood Mews DS0000062330.V273582.R01.S.doc Version 5.0 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): 30 The home is clean and hygienic. EVIDENCE: The home opened in January this year and is decorated and furnishings to a high standard. All areas of the home seen were clean, welcoming and free from any offensive odour. There are appropriate infection control systems in place. The laundry and laundry systems meet infection control guidance. Bridgewood Mews DS0000062330.V273582.R01.S.doc Version 5.0 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): 32,55 The home has sufficient and appropriately skilled staff to meet service user’s needs. EVIDENCE: The home has sufficient staff on duty with an appropriate skill mix to meet service users needs. A registered nurse on duty twenty-four hours a day supported by skilled care staff. The majority of care staff have either attained National Vocational Qualification (NVQ) level two or above or are currently undertaking it (there are three care staff with NVQ level three). Care staff are supported by a full time “Life skills coach” whose role is predominantly centred around ensuring that service users social needs are met. Staff receive regular training to ensure that they are aware of features of the service users illness, understand their challenging needs and ensure that care is given on a “person centred” basis. Staff receive induction and foundation training that meets required standards. Staff have at least five training days each year with a training and development plan which links to the homes aims and service users needs Bridgewood Mews DS0000062330.V273582.R01.S.doc Version 5.0 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): 39,42 Service users views underpin the review and development of the home. The health, safety and welfare of service users are promoted and protected. EVIDENCE: The manager conducts monthly audits of accidents, complaints and pressure sores. A service user survey has been undertaken, although the results of the survey now need to be published and made available to service users and other interested parties including the Commission for Social Care Inspection. The home and its staff acts on advice given by the Commission for Social Care Inspection and consequently addresses all requirements that it is given. Procedures to protect service users include regular and required checks on the fire alarm, emergency lighting, fire extinguishers, nurse call points and hot water. Records identify that staff regularly attend mandatory training in fire safety, moving and handling, food hygiene, first aid, health and safety, infection control and protection of vulnerable adults. Maintenance records and contracts were reviewed and were found to be up to date. Appropriate storage is available for cleaning materials, although kitchen Bridgewood Mews DS0000062330.V273582.R01.S.doc Version 5.0 Page 18 knives were being stored in one chemicals cupboard with a need to ensure that additional safe storage is available. Bridgewood Mews DS0000062330.V273582.R01.S.doc Version 5.0 Page 19 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 3 LIFESTYLES Standard No Score 11 x 12 x 13 4 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 4 x x 3 x CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Bridgewood Mews Score 4 x x x Standard No 37 38 39 40 41 42 43 Score x x 2 x x 2 x DS0000062330.V273582.R01.S.doc Version 5.0 Page 20 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. 1 Standard YA39 Regulation 24 Requirement The results of service user surveys must be published and made available to current and prospective users and other interested parties, including the CSCI Kitchen knives must not be stored along side chemicals. Timescale for action 31/01/06 2 YA42 13(4) 12/12/05 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 YA7 Good Practice Recommendations Information on advocacy is available and displayed in the home. Bridgewood Mews DS0000062330.V273582.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 Mews DS0000062330.V273582.R01.S.doc Version 5.0 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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