Inspection on 22/08/05 for The Bridgings Limited (Middlesbrough)

This inspection was carried out on 22nd August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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... 06/07/07

The Bridgings Limited... 12/07/06

The Bridgings Limited... 30/01/06

The Bridgings Limited... 13/10/04

The Bridgings Limited... 13/04/04

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

CARE HOME ADULTS 18-65 The Bridgings Limited (Middlesbrough) 116 - 118 Woodlands Road Middlesbrough TS1 3BP Lead Inspector Christine Moon Unannounced 22 August 2005 10:00 am nd 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 (Middlesbrough) B51-B01 SN113 The Bridgings (Mbro) VN245621 220805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Bridgings Limited (Middlesbrough) Address 116 - 118 Woodlands Road, Middlesbrough. TS1 3BP 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) 01642 242886 The Bridgings Ltd Mrs Trudy Griffiths Care Home 10 Category(ies) of LD Learning Disability (10) registration, with number of places The Bridgings Limited (Middlesbrough) B51-B01 SN113 The Bridgings (Mbro) VN245621 220805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th October 2004 Brief Description of the Service: The Bridgings, Woodland Road, Middlesbrough, was opened in 1989 to provide a home for 10 younger adults with a learning difficulty. The home aims to provide care tailored to individual need and the emphasis is on meeting, holistically, the daily living needs of all residents. With the exception of one double room, all rooms are single, and rooms can be personalised by residents according to their preference and taste. The home is situated in central Middlesbrough close to the University of Teesside, and within easy walking distance to shops, cafes and restaurants. The Bridgings Limited (Middlesbrough) B51-B01 SN113 The Bridgings (Mbro) VN245621 220805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an Unannounced Inspection conducted over two and a half hours spent within the home. The maintenance and decoration of the home was inspected, and time was spent talking with the manager and staff who were present, along with chatting with residents and observing aspects of daily life. A further Inspection will take place 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 (Middlesbrough) B51-B01 SN113 The Bridgings (Mbro) VN245621 220805 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 (Middlesbrough) B51-B01 SN113 The Bridgings (Mbro) VN245621 220805 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) These Standards were not assessed on this occasion. EVIDENCE: The Bridgings Limited (Middlesbrough) B51-B01 SN113 The Bridgings (Mbro) VN245621 220805 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) 6,7,8, and 9 Service users at Middlesbrough Bridgings are aware of their Action Plans, and know that personal goals are reflected in them. All residents are supported and encouraged to make decisions about their lives and are consulted on, and participate in, all aspects of life within the home. The manager and staff are good at ensuring robust risk assessment is in place, and that staff support is provided where needed in order to promote independence. EVIDENCE: There is a high awareness amongst residents of their Care/Action Plans, and some service users are able to take responsibility for keeping Plans themselves. Action Plans are used by residents in discussion with keyworkers, and any changing needs are updated on a regular basis, and are therefore used as a ‘working document’. Observation during the Inspection confirmed that residents are able to choose how they will spend their day. Service users appeared easy and relaxed in their home – some were chatting to each other and others were seen to be going about their normal, daily lives in a way which was not constrained. The Bridgings Limited (Middlesbrough) B51-B01 SN113 The Bridgings (Mbro) VN245621 220805 Stage 4.doc Version 1.40 Page 9 It was clear that interactions between residents are staff were supportive at all times. As the home is run on a ‘family’ basis, those living there are able to participate in making decisions about all aspects of life – this includes college attendance, work placement, activities, holidays and food preferences. Service users are both supported and encouraged to take risks, always underpinned by robust risk assessment. The Bridgings Limited (Middlesbrough) B51-B01 SN113 The Bridgings (Mbro) VN245621 220805 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 Opportunities for personal development at Middlesbrough Bridgings are many and varied, and appropriate activities are available within the community. The manager and staff positively support and encourage residents to develop and maintain relationships with family and friends. EVIDENCE: Opportunities for personal development and leisure activities are many and varied. Some residents have jobs, which as well as providing extra income for them both increases self-esteem and enables residents to know they are making a valuable contribution to the community in which they live. In respect of holidays, some are going to Blackpool and two have chosen to go to Greece in September of this year. In respect of the holiday abroad, staff at the home have worked really hard to ensure that it actually takes place – insurance has proved expensive, and staff, with support of residents, have raised funds in order to make the holiday a reality. This is a good example of the dedication shown by staff to those using the service. The Bridgings Limited (Middlesbrough) B51-B01 SN113 The Bridgings (Mbro) VN245621 220805 Stage 4.doc Version 1.40 Page 11 Over the summer, outings have taken place to Whitby, Scarborough and, on a more local basis, to nearby parks. All residents enjoy meals out, as well as BBQs at the home when weather permits. Ladies at the home are said to especially enjoy shopping trips. The Bridgings Limited (Middlesbrough) B51-B01 SN113 The Bridgings (Mbro) VN245621 220805 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) 18 and 19 Personal support, both physical and emotional, is provided in a discreet and caring way and is underpinned by detailed knowledge and experience of care needs. EVIDENCE: The manager said that most living at the home are able to manage personal care, with only minimal support. However, all support required is provided by carers in a discreet way, which both promotes independence and respects privacy. Many residents need a high level of emotional support, and the manager and her staff work hard to ensure that this is provided. Staff spoken with have a high awareness of the emotional needs of those they care for, underpinned, in the case of senior staff, by many years experience of working at the home. Where either physical or emotional needs indicate, the manager consults with other professionals and multi-disciplinary meetings are held within the home. The Bridgings Limited (Middlesbrough) B51-B01 SN113 The Bridgings (Mbro) VN245621 220805 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 at this Inspection. EVIDENCE: The Bridgings Limited (Middlesbrough) B51-B01 SN113 The Bridgings (Mbro) VN245621 220805 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 clean and hygienic, but maintenance and decoration of the home could be improved. EVIDENCE: The following items of maintenance and redecoration were identified at this Inspection: 1. 2. 3. 4. In some bedrooms, tiles behind wash hand basins were in need of either replacement, or making good. B’s room was in need of redecoration and tiles behind basin making good. A’s room bedroom wall is in need of being repainted. There is dampness on the wall near the computer room, which should be made good and repainted. B51-B01 SN113 The Bridgings (Mbro) VN245621 220805 Stage 4.doc Version 1.40 Page 15 The Bridgings Limited (Middlesbrough) 5. 6. 7. 8. 9. 10. 11. The flooring in the 1st bathroom is stained, the towel rail was missing, as was the toilet lid. The flooring is stained in the 2nd bathroom, especially near to the base of the toilet and there are holes in the tiles near the hand basin. In the back corridor there are holes in the radiator cover. The floor in the staff toilet is stained, and the skirting board needs to be repainted. In the shower room, the showerhead is broken. In the kitchen, the wallpaper near to the freezer is torn and needs to be replaced. The dining room, which is close to the entrance of the home, looks dull and unattractive and is in need of brightening up. All bedrooms contain wash hand basins. There are no en suite toilet facilities within personal rooms. There are two bathrooms situated upstairs, close to bedrooms and a shower room and toilet on the ground floor of the home. Shared space consists of a sitting room, which is comfortably furnished and which leads to the yard at the back of the home. There is a dining room and kitchen, which are domestic in style. The Bridgings Limited (Middlesbrough) B51-B01 SN113 The Bridgings (Mbro) VN245621 220805 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) 31,32,33 and 35 Staff are clear about their roles and responsibilities and are qualified and competent to provide care. The manager and staff are a strong and effective team. EVIDENCE: The registered manager of the home ‘leads from the front’ and there is no doubt that staff within the home are clear about their roles and responsibilities. Both the manager and a member of staff spoken with feel that the staff team is ‘excellent’ and good at supporting residents. This was confirmed by both discussion and observation, relationships between staff and residents are sound – it was seen that residents are very relaxed with care staff and interactions were seen to be positive and supportive at all times. In respect of qualifications, most members of staff are now qualified to at least NVQ Level 2, and one staff member is to begin this course in September of this year. Three members of staff are shortly to undertake the Safe Handling of Medicines training at Redcar College. During this Inspection, it was clear that staff enjoy their work and their caring and dedicated approach to providing care is commendable. The Bridgings Limited (Middlesbrough) B51-B01 SN113 The Bridgings (Mbro) VN245621 220805 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 and there is a sound ethos of ensuring that all individual residents are at the centre of care provided. Health, safety and welfare of service users is promoted and protected. EVIDENCE: The Registered Manager of the home has now completed the extra care units required in order to be now fully qualified as required under the Care Home Regulations. The manager leads by example, and the ethos of the home strongly reflects a philosophy of providing ‘person centred care’. The home is well organised, as can be seen by systems in place within the home, and detailed and accurate recording. Staff said that they are well supported by the manager on a day-to-day basis, and it was clear that she is well-respected. The Bridgings Limited (Middlesbrough) B51-B01 SN113 The Bridgings (Mbro) VN245621 220805 Stage 4.doc Version 1.40 Page 18 In addition to robust Risk Assessments carried out on each individual resident, staff are aware of their responsibilities in respect of health and safety within the home. Following a Fire Officer visit in December 2004, the home is now a ‘no smoking’ environment. The Bridgings Limited (Middlesbrough) B51-B01 SN113 The Bridgings (Mbro) VN245621 220805 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 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 2 2 2 N/A 3 Standard No 11 12 13 14 15 16 17 4 4 3 3 4 x x Standard No 31 32 33 34 35 36 Score 3 3 3 N/A 3 N/A CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Bridgings Limited (Middlesbrough) Score 4 4 x x Standard No 37 38 39 40 41 42 43 Score 4 3 N/A N/A N/A 3 N/A B51-B01 SN113 The Bridgings (Mbro) VN245621 220805 Stage 4.doc Version 1.40 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. 2. 3. 4. 5. Standard 25 25 25 24 24 Regulation 23 23 23 23 23 Requirement Tiles behind wash hand basins in some of the bedrooms must be made good Bs bedrooms is in need of redecoration and tiles must be made good As bedrooms wall must be repainted The damp wall near the computer room must be made good and repainted In the 1st bathroom, the floor is stained, the towel rail missing, as well as the toilet lid and these issues must be addressed In the 2nd bathroom, near to the base of the toilet, the floor is stained and there are holes in tiles near hand basin. These issues must be made good There are holes in the radiator cover in the back corridor and these must be repaired The floor in the staff toilet is stained, and the skirting board is in need of repainting. These issues must be addressed The shoer head is broken in the shower room and must be repaired The wallpaper near to the freezer B51-B01 SN113 The Bridgings (Mbro) VN245621 220805 Stage 4.doc Timescale for action 31/10/05 31/10/05 31/10/05 31/10/05 31/10/05 6. 24 23 31/10/05 7. 8. 24 24 23 23 31/10/05 31/10/05 9. 10. 24 24 23 23 31/10/05 31/10/05 Page 21 The Bridgings Limited (Middlesbrough) Version 1.40 11. 24 23 is torn and must be repaired or replaced The dining room looks dull and oppressive and must be lightened up 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 (Middlesbrough) B51-B01 SN113 The Bridgings (Mbro) VN245621 220805 Stage 4.doc Version 1.40 Page 22 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 (Middlesbrough) B51-B01 SN113 The Bridgings (Mbro) VN245621 220805 Stage 4.doc Version 1.40 Page 23 - 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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