Inspection on 01/05/07 for The Bridgings Limited (Eston)

This inspection was carried out on 1st May 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

The Bridgings Limited (Eston) 15/05/06

The Bridgings Limited (Eston) 30/01/06

The Bridgings Limited (Eston) 31/08/05

The Bridgings Limited (Eston) 06/01/05

The Bridgings Limited (Eston) 19/08/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 The Bridgings Limited (Eston) 64 Jubilee Road Eston Middlesbrough TS6 9HB Lead Inspector Jane Bassett Key Unannounced Inspection 1st May 2007 09:30 The Bridgings Limited (Eston) DS0000000114.V337364.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 The Bridgings Limited (Eston) DS0000000114.V337364.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. The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Bridgings Limited (Eston) Address 64 Jubilee Road Eston Middlesbrough TS6 9HB 01642 468157 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) The Bridgings Limited Mr Craig David Mobberley Care Home 12 Category(ies) of Learning disability (12) registration, with number of places The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named individual who is above the age category is allowed to reside in the home. 15th May 2006 Date of last inspection Brief Description of the Service: The Bridgings, Eston, is a care home for twelve younger adults with a learning disability. Situated on the outskirts of Middlesbrough, it is conveniently placed on a main bus route into town. In addition, there are a small number of local shops at Eston and these are within walking distance of the home. Accommodation is provided in 12 single rooms, all of which can be personalised according to the preference and taste of service users. Communal space consists of a sitting room, dining room with lounge area overlooking the garden, a domestic style kitchen and an enclosed rear garden which is used, when weather permits, for outdoor meals. There is a no smoking policy within the home. The home currently charges fees from £355 to £398.92 per week. The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During the unannounced visit to the home the inspector spoke to three residents, two staff members and the manager. The inspector walked around the building and looked at documentation including resident files and staff records. The home submitted a pre inspection questionnaire. The inspector received responses to the pictorial survey from six residents and five written surveys from residents. Four relatives also returned a survey. The visits to the home lasted a total of four and a half hours. What the service does well: What has improved since the last inspection? The home has sent out surveys to both residents in pictorial format and relatives asking what they thought of the service provided. There are now regular Regulation 26 visits taking place that assess the quality of care given. The complaints procedure has been personalised and made available to each resident. The recording of information about Criminal Record Bureau checks has been improved. The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 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 The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for Standard 2 were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who may use the service and their representatives have the information needed to choose a home which will meet their needs. EVIDENCE: During the inspection the file of one resident who has recently been admitted to the home was examined. This was found to contain information from his previous home, and social worker. The manager told the inspector the resident and family also had the opportunity to visit The Bridgings before making a decision. This included a sleepover for the resident. During these visits staff were able to gauge the interaction between the prospective resident and those who already lived at the home as well as staff. However the home did not record any information from these visits regarding a care needs assessment. Comments in one resident survey stated’ I visited at weekends before I moved in’. The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for Standards 6, 7, 8, & 9 were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are involved in decisions about their lives and play an active role in planning the care and support they receive. EVIDENCE: During the inspection two residents files were examined. These were found to be well organised. Files were found to contain an action plan detailing care needs, including health, emotional, social, leisure, and educational needs. Records also included details of what residents can do for themselves, their likes and dislikes, any risks and how needs are to be met. However risk assessments did not always include evidence of discussion and agreement and one in relation to selfmedication was not clear as to timescale of actions. Action plans are reviewed as required or at least three monthly. The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 Page 10 The manager told the inspector that plans are to be developed to be more accessible to residents and will include a pictorial record of care needs and actions to take. Staff who spoke to the inspector had a good knowledge of individual residents needs, preferences, choices and how these are met. The home uses a key worker system that promotes individual care of residents. Staff who spoke to the inspector talked of residents having the right to be involved in decisions including those around taking risks. Residents who spoke to the inspector and feedback in surveys received confirmed they are supported to make decisions and choices about their lives. For example they can decide how they would like to spend their day, the activities they take part in and contact with family and friends. Residents are encouraged to participate in the daily routine of the home, tidying their own rooms and communal areas. There are regular resident meetings. The inspector observed a good interaction between residents and staff. The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for Standards 11, 12, 13, 14, 15, 16, & 17 were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use services are able to make choices about their lifestyle, and are supported to develop their life skills. Social, educational, cultural and recreational activities and relationships meet individual’s expectations. EVIDENCE: Residents attend skills centres, college or work placements during weekdays. Conversation with residents and staff revealed a wide range of activities, which varied from resident to resident. One resident spoke of a recent holiday with family and their work placement. Another resident spoke of keep fit and a college course. Residents told the inspector that they had all decided where they would like to go on holiday this year and this had now been booked. One resident commented ‘ I like living here’ another said ‘ I visit my family at weekends and enjoy going out with the home’. The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 Page 12 Contact with family and friends is encouraged within the home and residents are supported to be part of the community. One resident regularly attends church services, another spoke of going out to local shops and meals out. Residents told the inspector that they can pick what they eat and get a good variety either cooked at the home or a take away if they wish. Meal times are flexible to accommodate resident’s choice and activities. Staff were able to demonstrate that special diets can be catered for. The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Outcomes for Standards 18, 19, & 20 were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Staff were able to demonstrate through response to questions and observed interaction that they promote residents independence, whilst respecting peoples preferences and dignity. Responses in the surveys received by CSCI from residents indicated they feel well cared for and are treated well. Residents who spoke to the inspector confirmed this. One resident told the inspector of the care he received during a recent illness and hospital admission. The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 Page 14 During the inspection it was seen that medications are stored and recorded appropriately. However the inspector noted some hand written entries or alterations to the MAR sheets. These did not include the signature of the person adding or altering the information or a second signature of a person confirming the accuracy of the entries. All staff who administer medication have received training. The home has recently introduced competency checks in relation to the administration of medication. One resident self-administers some medication following completion of a risk assessment. The risk assessment was not clear as to timescales of reviews. Residents who spoke to the inspector confirmed they have access to GP’s and other health professionals as needed. The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 Page 15 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): Outcomes for Standards 22 & 23 were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are able to express their concerns and have access to a complaints procedure, are protected from abuse, and have their rights protected. EVIDENCE: The home has policies and procedures in relation to handling complaints and prevention of abuse. Each resident has a short copy of the complaints procedure including contact details the authority funding their care. Residents who spoke to the inspector confirmed they could speak to the manager and staff if they had any concerns. Staff who spoke to the inspector confirmed they have received training in relation to prevention of abuse and reporting concerns. Staff demonstrated through response to questions a commitment to protecting resident’s safety and wellbeing and were able to describe the action they would take if a concern were raised. The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 Page 16 An audit of residents personal monies held by the home evidenced that the system includes retention of appropriate receipts, two signatures, and a monthly check. Residents are encouraged and enabled to sign for their own monies where possible. A random sample of personal allowances found there were no discrepancies with the balance stated on the record sheet and the actual amount in the individual money envelope. The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 Page 17 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): Outcomes for Standards 24 & 30 were looked at. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The environment of the home is generally well maintained, comfortable and safe. EVIDENCE: A number of residents invited the inspector to have a look at their rooms. These were found to be individual to taste and reflected resident’s interests and preferences. Residents told the inspector that they were involved in the choice of decoration. One relative commented that the home provided a ‘ comfortable environment’. The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 Page 18 The home was found to be generally clean, tidy and odour free. Whilst the home offers a comfortable and ‘ homely ‘ environment it would benefit from an ongoing planned programme of refurbishment, including Wallpaper and décor in other bedrooms, corridors, communal areas, and bathrooms. The inspector also saw a number of areas were work should be carried out, these include, ● a crack in the wall of the upstairs corridor, ● Missing woodwork in downstairs bathroom where pipes are boxed in. ● Peeling paint on the radiator cover in the dining room, ● Staining to the carpet in the dining room, ●Worn and faded woodwork and fabric to dining room tables and chairs. The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 Page 19 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): Outcomes for Standards 32, 34, 35, & 36 were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient number to support the people who use the service, and support the smooth running of the home. EVIDENCE: During the inspection the file of one staff member recently recruited was examined. This was found to contain the appropriate documentation in relation to recruitment including the details of the CRB as required at the previous inspection. Other staff records seen contained evidence of training in relation to fire safety, food hygiene, safe handling of medication, first aid, challenging behaviour, epilepsy, and ‘no secrets’ guidance. Information in the pre inspection questionnaire indicated 80 of care staff have achieved NVQ at level 2 or above. The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 Page 20 Staff confirmed there were sufficient staff on duty to meet residents needs, supervision takes place on a regular basis, communication is good and information is passed on at handovers and staff meetings. The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 Page 21 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): Outcomes for Standards 37, 39, & 42 were looked at. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and administration of the home is based on openness and respect, and is developing quality assurance systems. EVIDENCE: Discussion with the residents, manager and staff confirmed that care continues to be provided on an individual basis supported by person centred planning. The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 Page 22 All residents and staff who spoke to the inspector said that the manager of the home was open and approachable; they felt that the home was well run and they were supported. Issues raised were listened to and acted upon appropriately. One resident told the inspector staff ‘ listen to me’, another said ‘ I moved to the home because I would be happy here’. Comments from relatives included ‘ I feel the care home provides my relative with a comfortable and safe home’ and ‘ we are satisfied with the way the care home is run’. Evidence both seen and heard indicates the home seeks the views of the residents on a regular basis through meetings and one to one with key workers and other staff. The home has developed an annual survey that is more resident friendly. The manager told the inspector it is planned to publish the results of the survey. Regulation 26 visits take place on a monthly basis and reports were available. Accidents were seen to be recorded appropriately. The manager carries out regular audits in relation to residents personal monies held by the home, accidents, and care planning documentation. Information in the pre inspection questionnaire indicated that the home and equipment are maintained as required, and fire alarms are tested weekly. The manager told the inspector that hot water temperatures are not currently checked and recorded regularly, however all residents have full mobility and require little or no assistance with bathing. The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 Page 23 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 2 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 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 2 x The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 Page 24 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 YA2 Good Practice Recommendations Information gathered by the home prior to a resident moving in should be recorded to ensure the home can make the judgement as to whether it can meet the resident’s needs. Risk assessments should be developed further as they did not always include evidence of discussion and agreement and one in relation to self-medication was not clear as to timescale of actions. Hand written entries or alterations to MAR sheet information should include the signature of the person making the entry and signature of second person confirming the accuracy. Redecoration and refurbishment should continue to improve the environment for the comfort and benefit of residents and include. DS0000000114.V337364.R01.S.doc Version 5.2 Page 25 2. YA6 3 YA20 4 YA24 The Bridgings Limited (Eston) ● A crack in the wall of the upstairs corridor, ● Missing woodwork in downstairs bathroom where pipes are boxed in. ● Peeling paint on the radiator cover in the dining room, ● Staining to the carpet in the dining room, ●Worn and faded woodwork and fabric to dining room tables and chairs. 5 YA42 Hot water temperatures should be checked and recorded on a regular basis to confirm compliance with safe working practices. The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 The Bridgings Limited (Eston) DS0000000114.V337364.R01.S.doc Version 5.2 Page 27 - 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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