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

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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Bridgings Limited... 06/07/07

The Bridgings Limited... 12/07/06

The Bridgings Limited... 22/08/05

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 Inspection 30 & 31stJanuary & 3 February 2006 02:00 th rd The Bridgings Limited (Middlesbrough) DS0000000113.V273487.R01.S.doc Version 5.1 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 (Middlesbrough) DS0000000113.V273487.R01.S.doc Version 5.1 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 (Middlesbrough) DS0000000113.V273487.R01.S.doc Version 5.1 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 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) 01642 242886 01642 242886 The Bridgings Limited Mrs Trudy Griffiths Care Home 10 Category(ies) of Learning disability (10) registration, with number of places The Bridgings Limited (Middlesbrough) DS0000000113.V273487.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd August 2005 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) DS0000000113.V273487.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place over three visits to the home and in the main concentrated on ensuring all remaining Key Standards had been audited. In addition, time was spent talking with residents who were at home at the time. Members of care staff were also spoken with. The internal maintenance and decoration of the home was also a major factor assessed at this Inspection. 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) DS0000000113.V273487.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection The Bridgings Limited (Middlesbrough) DS0000000113.V273487.R01.S.doc Version 5.1 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 the following standard(s): 2 Prospective care needs and aspirations are assessed prior to any admission to the home. EVIDENCE: All residents currently living at Middlesbrough Bridgings have been there for some considerable time, and as such there have been no recent admissions to the home. However, discussion with the Manager confirmed that a thorough and detailed, multi-disciplinary assessments would be obtained prior to any new admission taking place. The assessment will include details of all care needs, along with preferences and aspirations of the person concerned. The Bridgings Limited (Middlesbrough) DS0000000113.V273487.R01.S.doc Version 5.1 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 the following standard(s): These Standards were not assessed on this occasion, as the key standards were audited at the Inspection held in August 2005. EVIDENCE: The Bridgings Limited (Middlesbrough) DS0000000113.V273487.R01.S.doc Version 5.1 Page 9 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 Discussion and observation confirmed that the rights are respected, and responsibilities recognised of those living at the home. Staff work towards ensuring a healthy diet is offered at all times. EVIDENCE: The manager said that all living at Middlesbrough Bridgings take responsibility for their own bedrooms, with support from care staff where necessary. In addition, residents assist with light cleaning, and domestic tasks. Those who wish to, enjoy helping to plan and prepare meals. Three residents also undertake paid work in the community on a regular basis. In respect of diet and food preparation, a member of care staff has been nominated to take responsibility for menu preparation. This takes place in consultation with residents, who contribute both to menu planning and shopping. The Bridgings Limited (Middlesbrough) DS0000000113.V273487.R01.S.doc Version 5.1 Page 10 The manager said that care is taken to ensure that a varied and nutritious diet is provided, and fresh fruit and vegetables are purchased on a daily basis. The main meal is taken late afternoon, when most residents have returned home. The Bridgings Limited (Middlesbrough) DS0000000113.V273487.R01.S.doc Version 5.1 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): 20 A policy for the administration of medication is in place and staff are appropriately trained in this respect. EVIDENCE: Currently, no service users wish to retain responsibility for their own medication and all medication is administered in accordance with the policy of the home. Three members of care staff are in the process of completing the Safe Handling of Medicines course at Middlesbrough College. The home recently received a visit from the pharmacy advisor for the Primary Care Trust, who apparently commented on the fact that the system for the administration of medication was sound. In order to ensure both compliance and accuracy of the procedure, the manager carries out regular audits, which are usually ‘spot on’. Medication is safely and securely stored within the home. The Bridgings Limited (Middlesbrough) DS0000000113.V273487.R01.S.doc Version 5.1 Page 12 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 Service users definitely feel listened to and their views are acted upon where appropriate. Staff are aware of the need to protect vulnerable adults. EVIDENCE: In addition to regular residents’ meetings, those living at the home are able to chat to staff on an individual basis whenever the need arises. As a result of this, service users know that they are listened to, and that their wishes are acted upon where appropriate. Observation of interactions between residents and staff confirmed that there appears to be an easy, trusting relationship between them. During the Inspection it was observed that all residents were relaxed and appeared very much at home. Staff at the home have completed the Teeswide Adult Protection training level 1, using the ‘No Secrets’ workbook. The manager is aware of the reporting procedure for any concerns, and staff are aware of the importance of the need to protect residents from abuse, and the need to flag-up, with senior staff, any concerns they might have. The Bridgings Limited (Middlesbrough) DS0000000113.V273487.R01.S.doc Version 5.1 Page 13 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): 24 The lack of prompt action on issues relating to the décor and maintenance of the home continues to cause concern. EVIDENCE: On the first day of the Inspection, it was disappointing to find that work required to upgrade the environment, which was highlighted at the last Inspection, had not been addressed. In addition, it was seen that some areas of the home were in need of general upgrading from the point of view of décor. However, at the final Inspection visit, much of the outstanding work was in the process of being carried out and agreement was reached that the environment will be inspected again at the end of February 2006. The Bridgings Limited (Middlesbrough) DS0000000113.V273487.R01.S.doc Version 5.1 Page 14 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): 34 A policy and procedure is in place in respect of recruitment, which works towards ensuring the protection of residents. EVIDENCE: Discussion with the manager and inspection of staff files confirmed that two references, along with a verbal check, are obtained for prospective staff. In addition, both CRB (Criminal Records Bureau) and Pova (Protection of Vulnerable Adults) checks are carried out prior to employment commencing. The Bridgings Limited (Middlesbrough) DS0000000113.V273487.R01.S.doc Version 5.1 Page 15 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 Discussion with staff and service users confirmed that their views are taken into account and acted upon where appropriate. EVIDENCE: Observation during the Inspection confirmed that those living at Middlesbrough Bridgings feel able to freely voice their wishes and preferences – none of those present during the Inspection appeared reluctant to air their views. In respect of a recent holiday abroad, those wishing to go on the holiday reached a consensus about their preferred destination. Again, observation confirmed that residents are treated with respect, and their wishes and preferences are taken into account and acted upon where possible and appropriate. The Bridgings Limited (Middlesbrough) DS0000000113.V273487.R01.S.doc Version 5.1 Page 16 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 3 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 1 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X X X 4 X X X X The Bridgings Limited (Middlesbrough) DS0000000113.V273487.R01.S.doc Version 5.1 Page 17 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 YA24 Regulation 23(2)(b) Requirement The premises must be of sound construction and kept in a good state of repair externally and internally, and all parts of the home must be kept clean and reasonably decorated Timescale for action 28/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Bridgings Limited (Middlesbrough) DS0000000113.V273487.R01.S.doc Version 5.1 Page 18 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. Extracts may not be used or reproduced without the express permission of CSCI The Bridgings Limited (Middlesbrough) DS0000000113.V273487.R01.S.doc Version 5.1 Page 19 - 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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