Inspection on 04/08/05 for The Bridgings Limited (Redcar)

This inspection was carried out on 4th August 2005.

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 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 (Redcar) 17/04/07

The Bridgings Limited (Redcar) 27/04/06

The Bridgings Limited (Redcar) 18/01/06

The Bridgings Limited (Redcar) 19/11/04

The Bridgings Limited (Redcar) 21/07/04

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 Limted (Redcar) 7 Blenhiem Terrace Redcar TS10 1QP Lead Inspector Christine Moon Unannounced 4 August 2005 10:00 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 Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Bridings Limited (Redcar) Address 7 Blenhiem Terrace Redcar TS10 1QP 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 483837 The Bridgings Limited Miss Michelle Jones Care Home 10 Category(ies) of LD - Learning Disability (10) registration, with number of places The Bridgings Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th November 2004 Brief Description of the Service: Redcar Bridgings is registered for the care of 10 younger adults with a learning difficulty. Situated in Blenheim Terrace, a residential area of Redcar, the house is a three storey Victorian terrace house, which is in keeping with other properties in the road. Accommodation is provided for ten residents in eight single rooms and one double room. Communal space consists of an upstairs lounge, with a dining room downstairs. There is a garden at the front of the house and at the rear an enclosed yard. Residents are able to personalise their rooms according to preference and taste. The Bridgings Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection, which was Unannounced, took place over two days spent within the home and comprised a total of 6 inspection hours. In view of the issues highlighted, emphasis was given to inspecting the environment of the home. Discussions were held with the manager and staff present, and time was also spent chatting to residents who were at home on those days. A further Inspection will be held in the 2005/06 Inspection Year. What the service does well: What has improved since the last inspection? What they could do better: The décor and maintenance of the home was seen to have fallen well below an acceptable standard. Over the past three years there has only been a very half-hearted response to issues flagged up during Inspections and this is no longer acceptable. The Bridgings Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 Page 6 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 Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection The Bridgings Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 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 standard(s) 2 Prospective service users’ aspirations and needs are assessed either prior to or on admission to the home. EVIDENCE: The manager said that all individual aspirations and needs for prospective service users are assessed prior to taking up residence within the home. Documentation seen in respect of the last admission to the home contained an Action Plan detailing all care needs, including health and emotional needs. In addition to this, ‘likes and dislikes’ are documented, along with social histories. Individual Care Plans are reviewed on a three-monthly basis in order to ensure that any changes are documented and acted upon where appropriate. The Bridgings Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 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 standard(s) 6,7,8 and 9 Service users are aware of their Action Plans and the fact that their care needs are reflected in them. As well as being able to make decisions about their lives, service users are consulted on aspects of life within the home. Robust risk assessment is carried out, and support is provided so as to maximise independence. EVIDENCE: The manager said that, with the exception of one service user, all are aware of their Care or Action Plans and the contents of these Plans is the subject of discussion between residents and their key-workers. At the present time, the health care elements of care plans are being reviewed, and health checks are in the process of being instigated, alongside appropriate healthcare professions. The Bridgings Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 Page 10 Service users are able to make decisions about aspects of their everyday lives. All are able to decide how they will spend their day, which activities might be undertaken, and also make decisions, with support where needed, about maintaining contact with family and friends. As Redcar Bridgings is a small home with a family atmosphere, staff on duty are in regular daily contact with those who live at the home, which enables residents to be easily consulted on issues, and to contribute to the life of the home. On the day of the Inspection, residents who were at home were seen to have chosen to help around the house, alongside carers, and this was seen as a time when social interaction can take place between residents and staff. Three Action Plans were viewed and all were seen to contain Risk Assessments. Risk Assessments detail individual risks which have been identified by staff, for example going out unaccompanied, and also detail strategies for managing that risk. Alongside identifying and managing risk, care is taken to ensure that maximum independence is promoted, and where needed, support is provided by staff to ensure independence is not unduly restricted. The Bridgings Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,12,13,14,15, and 17 A wide range of activities are available for those living at Blenheim Terrace, as well as opportunities for personal development. Contact with family and friends is positively encouraged. The manager and staff are aware of the need to try to ensure that a healthy diet is provided. EVIDENCE: Opportunities for personal development are available at Redcar Bridgings. Most residents continue to attend skills centres, college or work placements during the day, returning home either mid to late afternoon. One resident has attended the Special Olympics, this year held in Scotland, where he won a silver medal for long jump. The Bridgings Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 Page 12 Conversation with the manager and members of staff revealed a wide range of activities, both in-house and in the community, which are available for those living at Blenheim Terrace. Residents are said to enjoy visiting local pubs and Redcar bowl, where line-dancing takes place, and trips further a field, such as York, Whitby, Scarborough and Bridlington. Trips to the cinema are popular, as are meals out. This year holidays have been arranged in Scotland and Blackpool, and some residents have chosen to go to a Murder Mystery weekend to be held in the Snowdonia region of Wales during October. Contact with family and friends is positively encouraged within the home. One service user receives regular visits from his sister and her family, who are actively involved with his care. Where necessary, residents are supported by care staff in order to facilitate relationships with family and friends. In respect of diet and meals provided, some service users require special consideration to be given to their diet, and in these cases advice has been sought from a dietician. The manager said that menus are chosen on a Thursday in consultation with those living at the home, and menus are then checked to try to ensure that food prepared is balanced and nutritious. The main meal is taken in the evening, when most people arrive home from daytime activities. The Bridgings Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19 Service users’ physical and emotional health needs are met in a way which maintains dignity and is discreet. EVIDENCE: There is a stable group of staff at Redcar Bridgings who have developed a great deal of knowledge and expertise in caring for those living at the home. Personal care support is provided in a way which is discreet, and which respects both privacy and promotes independence. In the case of female residents ‘ladies days’ are held, where encouragement is given to both manage and maintain a high level of personal presentation. The manager said that most male residents are self-caring, but if needed, male staff from other homes can be called upon to provide support. The manager and her staff work hard at meeting both physical and emotional needs, working with other professionals where appropriate to try to ensure that all care needs are met. The manager said that good working relationships have developed between care staff and professionals from the specialist health team for the area. The Bridgings Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 Page 14 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 Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 Page 15 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 At this Inspection, both the internal and external environment of the home were not up to an acceptable standard EVIDENCE: Inspection of both the internal and external environment of Blenheim Terrace revealed many areas of the home where both maintenance and redecoration were required. These are as listed below: 1. The window in T’s bedroom is clouded with condensation 2. In the upstairs toilet (near the sitting room) the tiles need attention and the floor is stained 3. There is a major problem with dampness on both the upstairs corridor wall, and the downstairs wall of the bedroom corridor 4. There is a patch of dampness in the corridor near the Fire Exit 5. In the downstairs bathroom wallpaper needs re-sticking to the wall 6. A fluorescent tube is missing outside M.S’s room 7. In the laundry, unit doors under the sink need to be replaced 8. The door of one of the kitchen units is missing and must be replaced The Bridgings Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 Page 16 9. Following replacement of the bay window in the dining room with doubleglazed units, this has been left unfinished and in a very poor condition, with dirt from behind the wallpaper spilling onto the floor 10. The attic windows at the front of the house which were damaged during a storm, have been boarded up and not replaced with glass. In addition, this window is in need of redecoration 11. The outside of the home is in need of redecoration 12. Gas appliances and central heating system – a certificate was seen confirming maintenance, but this had not been signed by a Corgi engineer, nor did it show a registered Corgi number confirming maintenance by an approved person 13. There is a patch of dampness in the ceiling of R and M’s room, which is beginning to sag 14. Stair banisters were not fully secure and need attention 15. In the first-floor bathroom, the bath panel is cracked 16. All radiator covers need to be checked, as some were loose 17. Near the rear Fire Exit, carpet is stained and, on one of the stairs, is loose 18. The ceiling in ML’s room is showing a damp patch 19. In S’s room, there is a gap between the bedroom wall and ceiling 20. The parquet floors in both the hall and dining room are marked and require attention The Bridgings Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 Page 17 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 Service users are supported by an effective and competent team and are clear about their roles and responsibilities in ensuring residents’ care needs are met EVIDENCE: Discussion with the manager and staff and observation at the time of the Inspection, indicated the there is a strong staff team who are clear about their roles and responsibilities. There is a feeling amongst staff that ‘there is good communication’ between members of the care team. Additionally, staff spoken with feel that the staff team are ‘really caring people’. Three support workers are qualified to NVQ Level 3, and one to NVQ Level 2. The remaining member of care staff is to commence NVQ Level 2 in October or November of this year. Staff spoken with appeared really keen to progress as far as possible within the care field. Training has taken place in respect of Safe Handling of Medicines, and in view of the needs of a service user, diabetes awareness. Again, discussion with staff indicated a high level of awareness of both physical and emotional care needs, which in the case of the majority of staff, is underpinned by several years of experience of working with service users at the home. The Bridgings Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 Page 18 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 43 On a day-to-day basis the home is well run and there is an ethos of personcentred care. However, there has been a lack of management accountability which has resulted in considerable deterioration of both maintenance and redecoration of the home. EVIDENCE: Discussion with the manager and staff confirmed that care is provided in a way which places each individual service user at the centre of all care provision. There is a high level of awareness of needs and the likes and dislikes of those living at the home. Observation at the time of the Inspection indicated that service users feel at ease in their home, and interactions between staff and residents were positive and supportive. The registered manager has now completed both the Registered Manager’s Award and Care Units of NVQ 4 needed to meet the requirements of the Care Homes Regulations. Staff spoken with feel that the manager is supportive, listens to staff and enables them to be involved in decision-making processes. The Bridgings Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 Page 19 From the point of view of meeting care needs for those living at Blenheim Terrace, both discussion and observation would indicate that there is no doubt that all staff work hard to not only ensure all care needs are met, but also to provide the best possible quality of life for their residents. The standard of both maintenance and redecoration within the home falls a long way short of that to be expected under the Care Homes Regulations. This is an issue which is currently being addressed by the Commission for Social Care Inspection and the Proprietors/Responsible Individual for the Home, in order that issues, some of which are outstanding from previous inspections, are addressed without delay. The Bridgings Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 Page 20 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 3 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 N/A Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 N/A N/A N/A N/A N/A N/A Standard No 11 12 13 14 15 16 17 3 3 3 3 3 N/A N/A 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 Limted (Redcar) Score 3 3 N/A N/A Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x 1 B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 Page 21 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. Standard 24 Regulation 23(2)(b) Requirement The window in one of the bedrooms is clouded with condensation and must be replaced Both the floor and wall tiles are stained in the upstairs toilet and must be either replaced or made good There is a major dampness problem on the upstairs corridor wall, which has seeped down to the corridor below. This must be repaired and the decoration made good There is a patch of dampness in the corridor ceiling close to the Fire Exit and this must be rectified Wallpaper must be re-stuck to the wall in the downstairs bathroom A flourescent light tube is missing in the corridor outside one bedroom and must be replaced Unit doors must be replaced under the sink in the laundry A door is missing on one of the kitchen units and must be replaced The dining room bay window has Timescale for action 30/11/05 2. 24 23(2)(b) 20/9/05 3. 24 23(2)(b) 20/9/05 4. 24 23(2)(b) 20/9/05 5. 6. 24 24 23(2)(b) 23(2)(b) 20/9/05 Immediate 7. 8. 9. 24 24 24 23(2)(b) 23(2)(b) 23(2)(b) 20/9/05 Immediate 20/9/05 Page 22 The Bridgings Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 10. 24 23(2)(b) 11. 12. 24 24 23(2)(b) 23(2)(b) 13. 24 23(2)(b) 14. 15. 16. 17. 24 24 24 24 23(2)(b) 23(2)(b) 23(2)(b) 23(2)(b) 18. 19. 20. 21. 24 24 24 43.1 23(2)(b) 23(2)(b) 23(2)(b) 10(1) been left unfinished, in a very poor decorative state and must be made good Damaged attic window at the front of the house and boarded up, must be replaced with glass. These window frames must be re-painted The outside of the home is in need of redecoration and this issue must be addressed A certificate confirming that all gas appliances and central heating systems have been serviced by a Corgi engineer must be provided There is a patch of dampness in the ceiling of one of the bedrooms, and the ceiling is beginning to sag. This issue must be dealt with Stair bannisters must be checked to ensure that they are fully secure The bath panel is cracked in the first-floor bathroom and must be repaired All radiator covers must be checked to ensure they are secure The carpet near the rear Fire Exit is stained and loose on the top stair and from a safety aspect this must be made good The ceiling in one of the bedrooms is showing a patch of dampness and must be rectified There is a gap between the bedroom wall and ceiling in one bedroom and must be repaired The parquet floors in both hall and dining room are marked and must be attended to The Responsible Individual of the service must assume accountability for the maintenance and upkeep of the home 20/9/05 20/9/05 20/9/05 20/9/05 20/9/05 20/9/05 20/9/05 20/9/05 20/9/05 20/9/05 31/3/06 Immediate The Bridgings Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 Page 23 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 Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 Page 24 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 Limted (Redcar) B51-B01 S111 Bridgings Redcar V242679 040805 Stage 4.doc Version 1.40 Page 25 - 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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