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Bridge House Care Home Requires improvement

We are carrying out a review of quality at Bridge House Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 2 December 2020

About the service

Bridge House Care Home is a residential care home providing accommodation and personal care to 22 people aged 65 and over at the time of the inspection. The service can support up to 30 people in one adapted building and one separate annexe building with four bedrooms which was vacant at the time of the inspection.

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

People told us they felt safe with the current staffing team, however, this had not been the case prior to certain staff members leaving the home. People told us how they had felt uncomfortable with night staff workers and felt unfairly treated. Previous staff members had made some people feel that they were not always treated with dignity and respect.

People told us staff supported them with medicines. However, the previous medicines procedure had not established why a controlled drug had been unaccounted for. This had not been reported correctly through the safeguarding channels to the local authority and CQC had not been made aware of this as a police incident.

Staff had not always been recruited in a safe way. When previous employment references had raised concerns no thorough investigation or risk assessment had been completed.

We found examples where accidents and incidents were not recorded correctly or not always analysed in a timely way. This prevented the registered manager from identifying patterns and required preventative actions to protect people from risks.

Monthly quality assurance visits had not identified concerns at the home. Regular audits had not highlighted missed safeguarding referrals to the local authority, missed notifications to CQC and the effectiveness of training. Audits around record keeping, analysis of trends and patterns relating to accidents and incidents and training for staff had been implemented in the seven weeks prior to the inspection. We will check whether this has been fully embedded in to the service at our next inspection.

Although safeguarding training had been received by all staff, it was apparent it was not effective as staff were not always confident in how to report safeguarding concerns. New, thorough training was provided to staff the day after the inspection and staff feedback from this training was positive.

Staff told us how they often felt rushed in their role and people told us the home felt short-staffed. There had been a sudden gap in staff resources with five members of staff leaving the home in close succession, including the management team. We could establish by the dependency tool the staffing levels met a “safe” level, however, this level with the absence of a permanent management team was not always effective. People told us that at times staff didn’t have time for much more than meeting their basic care need support. We have made a recommendation in relation to this.

People, staff and relatives have told us that in the past they had not felt that concerns were addressed in a timely way. Since the new temporary management structure had been put in place positive feedback was received. People and staff told us about the improvements to the home that had already been implemented and ongoing improvement plans were in place.

We received mixed feedback from people and relatives with regards to the provider listening to concerns, taking action and involving people in their care.

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. Risks to people were assessed and all staff were knowledgeable in people’s individual needs.

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

Rating at last inspection

The last rating for this service was Good (published 14 December 2019).

Why we inspected

The inspection was prompted in part by notification of a specif

Inspection areas

Safe

Requires improvement

Updated 2 December 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 2 December 2020

Caring

Requires improvement

Updated 2 December 2020

The service was not always caring.

Details are in our caring findings below.

Responsive

Good

Updated 2 December 2020

Well-led

Requires improvement

Updated 2 December 2020

The service was not always well-led.

Details are in our well-Led findings below.