Latest Inspection
This is the latest available inspection report for this service, carried out on 18th May 2010. CQC found this care home to be providing an Excellent service.
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.
For extracts, read the latest CQC inspection for Bridge House.
What the care home does well There is an excellent relationship between people staying at Bridge House and the staff team. This means that it is easier for people to feel comfortable and well supported during their recovery. There is also a good, supportive relationship between the people staying at Bridge House who, "Look out for each other". Each person`s recovery programme is very personalised to their individual requirements. People staying at Bridge House told us that very much valued the one to one sessions with their key worker and also benefited from the group work and sharing experiences with other people. One person said, "We do take a lot from each other and support each other". Another person told us that Bridge House "Provides a supportive and therapeutic environment for individual`s to address their recovery needs". A third person said, "I could not ask for anything more, they seem to have everything covered". An open and inclusive atmosphere is encouraged and there are good procedures in place so people staying at Bridge House are able to express their concerns and be listened to, their rights are protected and they are safeguarded from abuse or discrimination. What the care home could do better: The staff team at Bridge House work hard to ensure that a very good service is provided that meets people`s individual needs and expectations. At this short random inspection, no requirements or recommendations were made. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Bridge House 1 St Lukes Place Preston Lancashire PR1 5DE three star excellent service 08/06/2007 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Denise Upton Date: 1 8 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Bridge House 1 St Lukes Place Preston Lancashire PR1 5DE 01772797654 01772791810 Brian.Donaghey@ADSolutions.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Brian Dean Donaghey Type of registration: Number of places registered: Conditions of registration: Category(ies) : ADS (Addiction Dependency Solutions) care home 16 Number of places (if applicable): Under 65 Over 65 0 past or present alcohol dependence Conditions of registration: 16 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Past or present alcohol dependence - Code A The maximum number of service users who can be accommodated is: 16 Date of last inspection Brief description of the care home Bridge House is a residential rehabilitation unit registered for up to 16 adults, whose lives have been severely affected by their misuse of alcohol. Bridge House is managed by Addiction Dependency Solutions (ADS) an established registered charity, the Head Office being in Manchester. The premises, a converted church building, are close to the
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home city centre, with good access to local services and amenities. The accommodation includes 10 single bedrooms on the first floor and 6 self-contained flats on the ground floor, plus a variety of shared living rooms. Therapeutic and client centred interventions form the basis of the service provided. The rehabilitation programme includes a structured therapeutic programme plus individual one to one sessions with a key worker. The team currently consists of an administrative worker, a cleaner/cook, two project workers, a deputy manager and manager. A two-stage programme is currently in operation with individuals initially living on the first floor and then moving into one of the self contained flats as they prepare for discharge. Bridge House also offers acupuncture to residents, carried out by qualified staff. The current charge for accommodation at Bridge House is £426.43 per week. Further details about the charges and what is included in the charges can be obtained from the registered manager at Bridge House. Each person is provided with an individual copy of the Service User Guide. This important document tells clients and prospective clients about the facilities and services provided at Bridge House. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
This short random inspection did not look at all the minimum standards identified in the National Minimum Standards - Care Homes for Adults (18-65) but focused on the personal and healthcare support delivered and the systems in place for managing issues relating to complaints and the protection of people living at the home. These are important issues that directly affect the quality of care delivered and whether positive outcomes for residents has been achieved. People staying at Bridge House are self-caring. If an issue of personal hygiene arose, this would be addressed individually and sensitively during a one to one session with the clients key worker. A clients health may be very poor at the point of admission to Bridge House particularly if that person is still detoxing from alcohol. The health care needs of people are identified early on and people are supported to register with a local General Practitioner (G.P.) for the duration of their stay. A visit to see their chosen G.P. is encouraged soon after admission so that any underlying health issues can be quickly addressed. Health care needs are met in a way that respects peoples privacy, dignity and independence and people are encouraged to manage their own health care and visit their G.P. independently in preparation for living independently. However people staying at Bridge House are also encouraged to first discuss with staff, why they want to visit their G.P. This is because staff may be able to offer more suitable interventions and more appropriate ways of managing symptoms if the symptoms are likely to be associated with the abuse of alcohol, for example sleeplessness, rather than taking medication. However we were told this is only a request and that if the individual preferred not to discuss why they wanted to visit the G.P., this was always respected. Holistic therapies provided at Bridge House or elsewhere are also available and other professionals may need to be engaged with such as mental health services. This is to ensure that people staying at Bridge House can improve their physical and mental health before returning home. If it is felt during the pre admission assessment process that the mental health needs of the prospective client cannot be met at Bridge House, the person will not be admitted. One person spoken with explained that he was physically unwell and had neglected himself prior to admission but with the support of staff, particularly his key worker, he was now much improved. This person also told us, I think the staff are excellent, I really do, they could not be more helpful. All very very helpful, no problem with anybody. People are very well supported during their time at Bridge House. Each client is allocated a key worker whom they work with throughout their treatment. Initially clients are offered two, one to one sessions with their key worker each week for the first two months of their treatment, which is reduced to one session per week as they settle into their programme. During the second stage of their treatment programme clients are given much more responsibility for seeking out and arranging their own one to one sessions when they need them. By adopting this approach, individuals are more likely to seek any support required should this become necessary once they are finally discharged. The client spoken with gave a very good account of how he had sought and accepted the support of his keyworker when an unexpected incident occurred. We were told that the
Care Homes for Adults (18-65 years) Page 4 of 9 support received had made a big difference to the way he reacted to the event. Clients are also encouraged to explore goals and issues that they feel are important to them and are encouraged to prioritise their decision. For example this could include family issues, debt or welfare support. This is usually addressed first so that people can then focus more fully on emotional or painful life events that may have influenced their alcohol consumption. Clients are supported to carry this forward into the group programme and helped to develop group work skills. The client spoken with told us that he had very much benefited from the group work describing it as Excellent and that he had, Learned so much from here. We were told in the Annual Quality Assurance Assessment, completed by the registered manager prior to the site visit taking place, that the staff team work very closely with with clients regarding their medication, as this can be a very important part of their recovery. Initially staff carry out a medication risk assessment in conjunction with the individual client and administer prescribed medication until the client is in a position to do so themselves. Clients continue to be supported with medication as they begin to take responsibility for this themselves, at a pace that is most suitable for the individual. The key worker and client continue to undertake further risk assessments at regular intervals to ensure that the client remains competent in the task. The client spoken with confirmed that this was what had happened when he had first been admitted to Bridge House but that he was now managing his own medication successfully. A lockable box is attached to the wall in his flat for items of a personal nature including medicines. All staff with responsibility for supporting clients with medication have received appropriate medication training. Complaints regarding Bridge House are rare however since the last inspection, one complaint was received that resulted in a safeguarding investigation. The management team fully cooperated in the matter and swiftly took appropriate action. The issue is now concluded. However this shows that complaints or concerns are taken very seriously and quickly acted upon. Bridge House continues to provide an open and inclusive environment where people are encouraged to express their views and opinions openly and with honesty. This enables issues to be addressed either individually or collectively. The relationship between clients and staff is excellent which helps to promote open discussion within a very supportive environment. One person that completed a Care Quality Commission (CQC) survey, told us that Bridge House, Keep a safe and relaxed environment catering for different personalities. A second person said, I have been treated very well since becoming a resident. The staff are brilliant. The complaint procedure is made available to all clients and incorporated in the written information provided to people when they are first admitted to Bridge House. The policy and procedures outlines the commitment to providing a written acknowledgement of any complaint received within 24 hours of receipt and to respond to complaints where ever possible within 14 working days. There is also a robust policy and procedure for protecting people using the service from abuse or any sort of discrimination. We were told that this policy and procedure is about to be updated. All staff receive mandatory adult protection training that is regularly updated. This helps to protect people staying at Bridge House.
Care Homes for Adults (18-65 years) Page 5 of 9 What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 9 of 9 - 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!
