Inspection on 30/01/06 for The Bridgings Limited (Eston)

This inspection was carried out on 30th January 2006.

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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Bridgings Limited (Eston) 01/05/07

The Bridgings Limited (Eston) 15/05/06

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 Derek Stow Unannounced Inspection 30th January 2006 10:30 The Bridgings Limited (Eston) DS0000000114.V263540.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 The Bridgings Limited (Eston) DS0000000114.V263540.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. The Bridgings Limited (Eston) DS0000000114.V263540.R01.S.doc Version 5.0 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 Mrs Sheila Dumphy Care Home 12 Category(ies) of Learning disability (12) registration, with number of places The Bridgings Limited (Eston) DS0000000114.V263540.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named individual who is above the age category is allowed to reside in the home. 31st August 2005 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 Bridgings Limited (Eston) DS0000000114.V263540.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Unannounced Inspection started at 10.30 am and lasted for four hours. The Assistant manager was very helpful in ensuring that the inspection was a positive experience for both residents and staff. The inspector talked with four residents and looked around the home as well as speaking to two care staff, the assistant manager and looking at records. The issues identified for action at the last inspection had all been addressed. New issues from this inspection are identified at the back of this report. What the service does well: What has improved since the last inspection? The requirements from the last inspection have all been met . In addition new flooring has been fitted in the showers and kitchen and a number of bedrooms have been re-decorated. The Bridgings Limited (Eston) DS0000000114.V263540.R01.S.doc Version 5.0 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 Bridgings Limited (Eston) DS0000000114.V263540.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 The Bridgings Limited (Eston) DS0000000114.V263540.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): 2 Resident’s needs are assessed and planned for. EVIDENCE: Comprehensive medical and social assessments were in place which were undertaken by relevant professionals and updates were on file. Residents care plans demonstrated that that they were based on the assessment and were subject to regular review. The Bridgings Limited (Eston) DS0000000114.V263540.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): This section was not looked at during this inspection as the key Standards were satisfactory at the last inspection in August 2005. EVIDENCE: The Bridgings Limited (Eston) DS0000000114.V263540.R01.S.doc Version 5.0 Page 10 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): 16 and 17 Residents’ rights are respected and responsibility and independence is encouraged and promoted. Residents are clearly offered and encouraged to have a balanced, varied and nutritional diet with individual needs and likes catered for. EVIDENCE: Four residents and three staff were spoken to during the inspection and these discussions together with observations confirmed that residents are treated with dignity and their rights respected. Residents are also encouraged to take a share of responsibility for household tasks and there is a rota for washing up. The menu for the main meal of the day is developed at a weekly meeting with residents some of whom are also involved in shopping as well as helping to prepare vegetables etc. Staff ensure that a varied, balanced diet is achieved. Most residents are encouraged to help themselves to breakfast and lunch. The Bridgings Limited (Eston) DS0000000114.V263540.R01.S.doc Version 5.0 Page 11 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 and 20 Residents’ personal, physical, social, emotional and mental health needs are met in an agreed and appropriate manner. The home has suitable policies and procedures in place for dealing with medicines. EVIDENCE: The care plans examined showed the detailed action to take in response to each individual need. Relevant risk assessments were also in place. Residents are involved and signing agreement to care plans. Residents who were spoken to confirmed that their opinions and wishes are at the forefront of staff involvement. Medication was observed to be kept in a locked cabinet in a locked office. The medication procedure was examined and the staff on duty gave a verbal good practice account of the procedure for the giving of medication as well as the return of any unused medication. The Bridgings Limited (Eston) DS0000000114.V263540.R01.S.doc Version 5.0 Page 12 The record of returned medication was also examined as well as the blister pack supplied by Boots and these confirmed that medication had that day been given correctly. Two residents have some control over there own medication and have locked cabinets in their rooms for storage. The Bridgings Limited (Eston) DS0000000114.V263540.R01.S.doc Version 5.0 Page 13 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): 22 and 23 Residents feel safe at the Bridgings and feel that their views are listened to and acted upon; however a more user friendly complaints procedure should be developed to give to residents and all staff should be trained in adult protection with the aid of a clear “in house” procedure. EVIDENCE: Appropriate policy and procedure is in place for the handling of complaints but more user friendly complaints information must be made available to residents. The assistant manager has undertaken training in adult protection; however all staff must be trained and a clear in house procedure must be developed to inform staff what action to take in the event of suspicion/ allegation of adult abuse. The Bridgings Limited (Eston) DS0000000114.V263540.R01.S.doc Version 5.0 Page 14 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): This section was not looked at during this inspection as the key Standards were satisfactory at the last inspection in August 2005. EVIDENCE: Although not the focus of this inspection it was observed that that the radiator cover in the dining room must be re-painted as it was in a poor state. The Bridgings Limited (Eston) DS0000000114.V263540.R01.S.doc Version 5.0 Page 15 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): 35 Appropriately trained staff support the residents at the Bridgings Eston. EVIDENCE: Records show that over 71 are trained to NVQ Level 2 or above. The assistant manager has NVQ Level 3 and is undertaking NVQ Level 4. All staff have undertaken essential training. The Bridgings Limited (Eston) DS0000000114.V263540.R01.S.doc Version 5.0 Page 16 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 Service users are at the heart of the monitoring systems but must be strengthened by an annual survey and development plan. EVIDENCE: Several quality assurance systems are in place focussing mainly on care planning, review and annual social work review. There are also monthly residents meeting which seek the views of residents. Developing a more formal survey of residents, families and other stakeholders together with annual development plan will strengthen the quality review systems of the home. The Bridgings Limited (Eston) DS0000000114.V263540.R01.S.doc Version 5.0 Page 17 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 3 X X X Standard No 22 23 Score 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Bridgings Limited (Eston) Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score X X 2 X X X X DS0000000114.V263540.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement A clear, simple, accessible complaints procedure must be given to each resident and displayed on notice boards around the home. A Procedure must be developed to inform staff of what action to take and who to contact on suspicion of or on receipt of an allegation of adult abuse. All staff must receive training in adult protection and the new procedure when it is implemented. The wooden top of the radiator shelf in the dining room must be re-painted A service user satisfaction questionnaire survey must be carried out at least yearly and the results published and made available to interested parties including CSCI. Timescale for action 28/02/06 1 YA22 22 2 YA23 3 YA23 4 YA24 14 23(2) 14 28/02/06 31/03/06 28/02/06 5. YA39 24 31/03/06 The Bridgings Limited (Eston) DS0000000114.V263540.R01.S.doc Version 5.0 Page 19 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 YA39 Good Practice Recommendations The home should have an annual development plan to plan, action and review the development of the service. The Bridgings Limited (Eston) DS0000000114.V263540.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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. 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