Inspection on 31/08/05 for The Bridgings Limited (Eston)

This inspection was carried out on 31st August 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Bridgings Limited (Eston) 01/05/07

The Bridgings Limited (Eston) 15/05/06

The Bridgings Limited (Eston) 30/01/06

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 Christine Moon Unannounced 31 August 2005 11:30 am 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 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 Stationary 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) B51 B01 S114 The Bridgings Eston V247144 310805 Stage 4.doc Version 1.40 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 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 (LD) 12 registration, with number of places The Bridgings Limited (Eston) B51 B01 S114 The Bridgings Eston V247144 310805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th January 2005 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) B51 B01 S114 The Bridgings Eston V247144 310805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Unannounced Inspection took place over almost four hours spent in the home. The environment was inspected, time was spent talking with staff and time was spent chatting with service users about their life at the home. A further Inspection will be held later in the Inspection Year. What the service does well: What has improved since the last inspection? 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) B51 B01 S114 The Bridgings Eston V247144 310805 Stage 4.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection The Bridgings Limited (Eston) B51 B01 S114 The Bridgings Eston V247144 310805 Stage 4.doc Version 1.40 Page 7 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 standard(s) Not assessed at this Inspection. EVIDENCE: The Bridgings Limited (Eston) B51 B01 S114 The Bridgings Eston V247144 310805 Stage 4.doc Version 1.40 Page 8 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 standard(s) 7,8 and 9 Service users are able to make decisions about their lives with support where needed and are consulted on all aspects of life in the home. Risk is wellmanaged within the home and independence is not compromised. EVIDENCE: Discussion with both staff and service users at the time of the Inspection confirmed that they are able to make decisions about their lives, with support if needed. For example, residents are able to decide which day centres or training courses they would like to attend and have choice in respect of social activities, holidays to be taken and also contribute to menu planning. As well as day-to-day discussions between those living at the home, more formal residents’ meetings can be held to address issues of importance within the home. Residents at home at the time of the Inspection appeared relaxed and relationships between staff and residents were observed to be positive and supportive. The Bridgings Limited (Eston) B51 B01 S114 The Bridgings Eston V247144 310805 Stage 4.doc Version 1.40 Page 9 Staff carry out risk assessments in consultation with service users, and agreement is reached as to how staff will need to support residents to take risks, in order to both promote and maintain independence. Risk assessments are reviewed on a regular basis and updated when needed. The Bridgings Limited (Eston) B51 B01 S114 The Bridgings Eston V247144 310805 Stage 4.doc Version 1.40 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 standard(s) 11,12,13,14,15 There are many opportunities for personal development and social and leisure activities at the home, some of which take place within the local community. Contact with family and friends is positively encouraged and supported. EVIDENCE: Both staff and service users said that a wide range of activities, both in-house and in the community, are available to people living at Eston Bridgings. Most service users are out of their home during the day at either day centres, on college courses, or, in the case of some residents, undertaking paid work. Discussion with two of the residents revealed that they enjoy their work and feel they are making a useful contribution within the community as a result of this. Some service users are involved in voluntary work within the local community. The Bridgings Limited (Eston) B51 B01 S114 The Bridgings Eston V247144 310805 Stage 4.doc Version 1.40 Page 11 Social activities which have taken place during the Summer break include trips to a local park, Whitby, Scarborough, Redcar and Saltburn. Residents said that they like bowling, the cinema and some enjoyed a recent concert at a railway museum. During the Inspection, residents at home showed the Inspector their holiday photographs of a visit to Disney World, Florida which took place two years ago and a holiday this year to Majorca. It was clear that these holidays were very popular. People living at the home have access to Sky television and videos. Meals (BBQs) can be held in the garden of the home when weather permits. Staff at Eston Bridgings positively encourage and support contact with both family and friends and visits to the home can take place at any time, according to the wishes of service users concerned. The Bridgings Limited (Eston) B51 B01 S114 The Bridgings Eston V247144 310805 Stage 4.doc Version 1.40 Page 12 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 standard(s) 19 Service users’ physical and emotional health needs are met, working alongside appropriate professionals when needed. EVIDENCE: Two Action Plans were discussed with a member of staff for those residents for whom she is the key worker. Plans were seen to detail all aspects of daily life and were thorough, demonstrating both awareness of needs and insight into the likes and dislikes of service users. Any changes in need were appropriately recorded. With respect to emotional needs, service users are given time to talk to staff if they wish to. As the staff group at Eston Bridgings have worked with service users for some time, they feel able to identify times when residents may be upset and react accordingly by offering time to talk. Residents said that they feel reassured to know that staff will make time to talk when they feel upset. In the case of higher levels of emotional and psychological need, staff work alongside appropriate professionals in order to try to ensure that needs are met. The Bridgings Limited (Eston) B51 B01 S114 The Bridgings Eston V247144 310805 Stage 4.doc Version 1.40 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 standard(s) Not assessed on this occasion. EVIDENCE: The Bridgings Limited (Eston) B51 B01 S114 The Bridgings Eston V247144 310805 Stage 4.doc Version 1.40 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 standard(s) 24,25,26,27,28 and 30 The home is homely and comfortable with bedrooms to suit the needs of residents. There is an adequate number of toilets, bath and shower rooms along with communal areas. The home is clean and hygienic. EVIDENCE: Inspection of the environment of the home was on the whole, positive. There are two comfortable lounges, one of which leads through French windows to an enclosed garden. Rooms viewed were seen to suit the needs and lifestyles of resident, whilst promoting independence. There are two bathrooms within the home, one on the upper and one on the ground floor, and two shower rooms. Shared space is accessible to all residents, providing an adequate amount of space in which to relax. On the day of the Inspection the home was seen to be very clean and tidy and in addition, bathrooms and toilets were very much cleaner and smelt fresh than on previous occasions. The Bridgings Limited (Eston) B51 B01 S114 The Bridgings Eston V247144 310805 Stage 4.doc Version 1.40 Page 15 The following issues were highlighted as in need of being addressed: 1. 2. 3. In F’s room, the wooden slat above the window is in need of painting. In J’s room, there is sticky mastic on the pedestal of the wash basin which should be cleaned. In the kitchen, a small area of wallpaper needs to be stuck down. The Bridgings Limited (Eston) B51 B01 S114 The Bridgings Eston V247144 310805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32 and 33 Staff working at the home are clear about their roles and responsibilities and are effective in supporting service users well. EVIDENCE: Staff said that they are clear about their roles and responsibilities and when to flag-up issues of concern with line managers. They also said that their team is ‘excellent’, that they work well together, and there are ‘open’ relationships with each other including sharing of information. Observation during the Inspection confirms the view of staff that their team is effective. People living at the home were relaxed in the presence of staff and spoke warmly of them. Almost 100 of staff within the home are qualified to at least NVQ Level 2, and remaining staff will being this course in January 2006. Three staff are qualified to NVQ Level 3, and the Deputy/Acting Manager is currently taking NVQ Level 4 in Care, prior to completing NVQ 4 in Management. The Bridgings Limited (Eston) B51 B01 S114 The Bridgings Eston V247144 310805 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38 and 42 The home is well run with an ethos of person-centred care. The manager and staff must ensure that hot water outlets are regularly checked and adjusted where needed. EVIDENCE: There is a definite sense of order within the home which benefits all residents in that staff have time to spend with them. There is an ethos of striving to ensure that all individual needs are met, both physical and emotional, in a way preferred by those living at the home. It is obvious that staff both enjoy and are committed to their work and have a detailed knowledge of the needs of all residents. The Bridgings Limited (Eston) B51 B01 S114 The Bridgings Eston V247144 310805 Stage 4.doc Version 1.40 Page 18 In respect of health and safety, on the day of the Inspection, two hot water outlets tested were in excess of 44 degrees C. Arrangements were made immediately to correct this but the person in charge must ensure that all hot water outlets are checked on a regular basis, recorded and adjusted where needed. The Bridgings Limited (Eston) B51 B01 S114 The Bridgings Eston V247144 310805 Stage 4.doc Version 1.40 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 N/A N/A N/A N/A N/A Standard No 22 23 ENVIRONMENT Score N/A N/A INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score N/A 3 3 4 N/A Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 N/A N/A Standard No 11 12 13 14 15 16 17 4 3 3 3 3 N/A N/A Standard No 31 32 33 34 35 36 Score 3 3 3 N/A N/A N/A CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Bridgings Limited (Eston) Score N/A 3 N/A N/A Standard No 37 38 39 40 41 42 43 Score 3 3 N/A N/A N/A 2 N/A B51 B01 S114 The Bridgings Eston V247144 310805 Stage 4.doc Version 1.40 Page 20 Yes 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 42 Regulation 13(4) Requirement The manager must ensure that all hot water outlets are regularly checked, recorded and adjusted to discharge water no higher than 44 degrees C The wooden slat above the window in Fs room must be painted The sticky mastic on the pedestal of the wash basin in Js room must be cleaned off In the kitche, a small area of wallpaper needs sticking down Timescale for action Immediate 2. 3. 4. 24 24 24 23(2) 23(2) 23(2) 31/10/05 31/10/05 31/10/05 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 Good Practice Recommendations The Bridgings Limited (Eston) B51 B01 S114 The Bridgings Eston V247144 310805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Unit B, 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. Extracts may not be used or reproduced without the express permission of CSCI The Bridgings Limited (Eston) B51 B01 S114 The Bridgings Eston V247144 310805 Stage 4.doc Version 1.40 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!