Latest Inspection
This is the latest available inspection report for this service, carried out on 23rd October 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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 Care Home.
Annual service review
Name of Service: Bridge House Care Home The quality rating for this care home is: The rating was made on: two star good service 1 7 0 9 2 0 0 8 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Lisa Johnson Date of this annual service review: 2 2 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Farnham Road Elstead Surrey GU8 6DB 01132382690 Telephone number: Fax number: Email address: Provider web address:
www.mariamallaband.co.uk Maria Mallaband Ltd Name of registered provider(s): Name of registered manager (if applicable) Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: The maximum number of service users to be accommodated is 30. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP). Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Bridge House is an established care home that has been operating as a residential care home since 1985. The home was purchased in January 2008 by Maria Mellaband care group. This is the first inspection of the home under this new provider. Maria Mallaband are a national company which operate a wide range of registered services
Annual Service Review Page 2 of 7 Number of places (if applicable): Under 65 Over 65 0 30 1 7 0 9 2 0 0 8 across the UK. Bridge House is located in the village of Elstead close to small local amenities. The home is presented across two floors with a shaft lift providing level access to most parts of the building. There is a small cottage attached to the main building accessed by a semi-covered passageway, which accommodates three bedrooms. Residents accommodation consists of twenty-nine bedrooms, including two potential double rooms, all bedrooms provide en-suite facilities. Communal space consists of a dining room, conservatory and two lounges. There is a courtyard garden along with a large sloped garden which leads to a stream. The homes literature states that the object of bridge house is to provide care to all service users to a standard of excellence which embraces fundamental principals of good care practices. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for since the last key inspection or annual service review. This included: The annual quality assurance assessment(AQAA) that was sent to us by the service. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. This was clear and gave us all the information we asked for. The AQAA identified areas that had improved in the last year and others where further development was being planned, which would benefit people living in the service. One requirement and good practise recommendation were made at the last key inspection in respect of medication. The registered manager has ensured that this matter has been complied with. Information supplied in the AQAA states that since the last key inspection the service have developed their initial assessment paperwork to include more specific risk assessments for oral health, psychological health and risk assessments. The services statement of purpose has been updated and specialist equipment for intermediate care has been audited. The service is intending to review their service users guide to include more information from people currently using the service. The AQAA states that the service continues to involve people and /or their representatives in the care planning process. Care plans contain risk assessments and include continence promotion and assessment. Monthly audits are carried out to monitor occurrence of pressure areas, falls and accidents. Annual Service Review Page 4 of 7 Peoples choices regarding health care professionals are documented. Staff are provided with privacy and dignity training from induction onwards. In the last twelve months three members of staff have commenced palliative care training level 2 by distance learning courses. The service have reviewed, extended and developed their risk assessments and have identified that further training would be beneficial in risk taking and informed choices for people using the service. The service is planning to instigate a programme of Dementia Care Distance Learning in line with the Dementia strategy. As part of this annual service review we sent out ten surveys to people living in the service and eight were returned to us. People say that they continue to be happy with the care and support that they receive. Comments included, They make me feel welcome and nothing is to much trouble;Everything thing is of an excellent quality; There is a pleasant atmosphere, with a homely feel; The home look after me well and I am very happy here; I am very pleased with the home and the attention I receive; The staff are kind and Staff are always welcoming and they provide a friendly and caring environment. Information supplied in the AQAA states that the service continues to provide a range of social activities and they have links with a range of religious and cultural representatives who visit the service on a regular basis. People are enabled and encouraged to access their voting rights and to be able to contact external agencies. The service has asked for suggestions from people living in the service about expanding their activity programme. People surveyed say that the home provides activities that they can take part in , although two people said that trips out could be better . The homes menu is is printed in large print . The service has links with the dietitian for advice regarding special diets and nutritional assessments are carried out . A wider selection has been added to the menus and the service are carrying out a food survey. Eight people surveyed said that they continue enjoy the meals provided. The homes complaints procedure is detailed in the service user guide. Since our previous visit the home has received one complaint , which was investigated and resolved within the agreed timescale. Eight people surveyed said that they know how to make a complaint and know who they could speak to if they were not happy. Staff continue to receive regular safeguarding vulnerable adults from abuse training. New training has been set up on deprivation of liberty safeguards. Since the last key inspection one safeguarding matter was referred to the local authority .This matter was not pursued by the local authority but an investigation was requested to be undertaken by the provider ,which has now been completed. The service has an ongoing , planned and managed maintenance and improvement schedule. Since the last inspection several bedrooms have been decorated, a new boiler has been installed and a new water boiler has been installed in the kitchen. Two bedrooms have been re carpeted. New weighing scales and a medication fridge have been acquired. Eight people surveyed said that the home is always clean and fresh . Information supplied in the AQAA states that over seventy percent of care staff are
Annual Service Review Page 5 of 7 qualified to National Vocational Qualification (Level 2) or above and new staff receive induction following the skills for Care common induction standards. Staff receive regular, formal supervision and annual appraisals, where individual training plans are identified. The service has implemented staff feedback questionnaires. The service continues to be managed by an experienced registered manager who is a qualified nurse. Health and safety matters have been considered in the AQAA. Staff continue to receive regular statutory training including first aid, fire safety, manual handling, food hygiene and infection control . Systems are in place to ensure that regular servicing and maintenance of equipment takes place ensuring peoples safety. Accidents and incidents are recorded, monitored and regularly audited. The service continues to gain the views of people using the service with the provision of quality assurance questionnaires that are sent out twice a year to people and/or their representatives and to members of the multi disciplinary team. These are audited and the results are published. The service also holds regular meetings with people to gain their views about the service. What are we going to do as a result of this annual service review? We are not going to change our inspection plan and we will do a key inspection by 17th September 2010. However we can inspect the service at anytime if we have any concerns about the quality of the service or the safety of people using the service Annual Service Review Page 6 of 7 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline:
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