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Inspection Summary


Overall summary & rating

Good

Updated 21 March 2020

About the service

Bridgewood House is a residential care home providing personal care to 18 people with learning disabilities and physical disabilities. People living at the home had varying abilities with some people living more independently in four bungalows on the site.

The service had been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.

The service was in a rural location with limited access to public transport and the service was larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and other domestic homes of a similar size. There was a separate building with bungalows that allowed people to develop their independence. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

People’s experience of using this service and what we found

Individualised risk assessments had improved. Staff were confident they would raise concerns to safeguard people. Robust recruitment and selection procedures ensured suitable staff were employed.

Medicines were stored safely and staff were trained to administer them correctly. We found records relating to 'as and when required' medicines needed to be put in place, the registered manager actioned this immediately.

There were enough staff to support people and staff were always visible. Staff received support and a variety of appropriate training to meet people's needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Care plans were person centred and people were involved in their reviews where they were able. The registered manager confirmed additional work would be taken place to ensure people’s care plans were easier to navigate.

People were supported to engage in activities they enjoyed, and we saw the service promoted people accessing local community facilities and supporting them to go on trips and holidays.

There were quality assurance systems in place to ensure care and support were kept to a good standard. The service worked with a range of healthcare and multidisciplinary professionals to achieve good outcomes for people.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Why we inspected

This was a planned inspection based on the previous rating.

Rating at last inspection

The last rating for this service was requires improvement (published12 March 2019).

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 21 March 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 21 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 21 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 21 March 2020

The service was responsive. .

Details are in our responsive findings below.

Well-led

Good

Updated 21 March 2020

The service was well-led.

Details are in our well-led findings below.