Bridgeway Care Home

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question good. At this assessment the rating has changed to outstanding. This meant people’s outcomes were consistently better than expected compared to similar services. People’s feedback described it as exceptional and distinctive.

This service scored 88 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider always made sure people’s care and treatment was effective by thoroughly assessing and reviewing their health, care, wellbeing and communication needs with them.

Assessments identified achievable goals, and outcomes were regularly monitored to measure progress and adjust support where required. This collaborative approach meant people consistently received high quality, personalised care that promoted their wellbeing, choice and independence. One person emailed, ‘From the very beginning, the manager has gone above and beyond to support my rehabilitation. I was completely disabled and now I can walk, I'm living in my own home, I couldn't be happier and I couldn't have done it without Bridgeway. The support, rehabilitation and encouragement I have received have enabled me to return to the community as a happier, more capable and well-rounded person, and to continue my journey back towards a normal and fulfilling life.’

Assessments were comprehensive and person-centred, taking full account of the individual's needs alongside the impact of their environment. Management carefully considered the layout of the building, noise levels and the presence of other people to understand how these influenced the person's experiences, wellbeing and behaviours. For example, one person’s family spent a week visiting and observing the home and the day-to-day activities. This enabled them to work with staff to identify effective strategies and make appropriate adaptations to the environment, ensuring their family member received support that was tailored to their unique needs and preferences. Our observations showed this person was happy, interreacting with staff and being a valued member of their local community.

One relative‘s feedback included, ‘[Registered manager] took the time to listen to our complex situation and to understand [relative’s] individual needs.’

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Care and treatment were consistently planned and delivered in line with best practice, and evidence-based standards. Staff worked collaboratively with people to ensure what mattered most to them was central to care decisions.

Clinical tools and guidance were used effectively to assess, monitor, and adapt support, ensuring interventions were safe, personalised, and continuously reviewed to achieve the best possible outcomes. One relative told us, “My [family member] is kept very safe especially where her skin care is concerned. She has had some bad pressure sores in the past and the home, by constant attention and care, has prevented any at this home.”

The provider always worked well across teams and services to support people. They shared thorough assessments of people’s needs when they moved between different services, so people only needed to tell their story once.

Wherever possible, people and those important to them were fully involved in shaping their assessments and plans of care. People praised the effective support they received. One person told us, “I am very involved in how I want my life here to be, and I am asked on a regular basis if everything is good and do I want anything changed. I do make suggestions and they are put in place. My quality of life is as good as it can be given my restrictions.” A second person commented, “They [staff] know plenty about me and I suppose that’s very important so they can look after me.”

Relatives praised how staff worked collaboratively with them and considered people’s individual needs. One relative said, “The meeting we have each month is invaluable because we are kept up to date and if we have a problem, we can just say. We feel our opinion on my [relative’s] health and wellbeing is appreciated by the home. Their health has definitely improved since being here.” A second relative commented, “I have meetings regularly about my [relatives] care and have input into their care plan.

Health and social care professionals spoke positively about the service, describing effective partnership working and a commitment to achieving positive outcomes. They told us staff worked well with them and supported people to make progress towards their individual goals and aspirations. Written clinical feedback included, ‘I hold the care home in high regard as they provide an exceptional level of care. Communication and organisation within Bridgeway are excellent, and they know the individual residents extremely well, which enables the provision of holistic care.’ And ‘The carers consistently provide comprehensive information regarding patients' medical history and healthcare needs, and communication has always been clear and effective. I have found the care provided to be well co-ordinated, professional and efficient.’

The provider always supported people to manage their health and wellbeing to fully maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Staff were effective in maintaining someone’s health when they experienced delays in receiving a clinical assessment following admission to hospital. Recognising the impact this could have on the person's wellbeing, the registered manager and staff attended the hospital to ensure the person received nutritional support and provided additional support, including personal care, to promote their wellbeing and dignity. This proactive and compassionate response ensured the person's needs continued to be met during a challenging time and highlighted the service's commitment to going above and beyond for the people they supported.

Relatives praised the continuity of support their family members received. One relative commented, “It's good continuity of care. The staff work as a team and care about each other along with the residents. This is our [family member] so we have to have complete faith in the staff to care for him and they do. I go home with peace of mind.” A second relative commented, “It’s always the same staff so you get to build a relationship with them.”

Clinical health partners said staff took appropriate preventative action to help people lead healthier lives. Feedback included, ‘The team at Bridgeway work together to provide a nurturing and stimulating environment for their residents. They know their residents well and pick up on the tiniest cues to inform their care.’ And, ‘Highly compassionate, consistent care from team involved and will flag health concerns appropriately, query input from clinicians in a patient first approach when they have concerns that advice/care may not properly reflect the day-to-day situation.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Staff effectively used an electronic monitoring system to maintain oversight of key aspects of people's care, tailored to their individual needs and preferences. This included monitoring areas such as nutrition, hydration, emotional wellbeing, and any changes in mood, behaviour or overall presentation. The system enabled staff to identify emerging trends and respond promptly to changes, ensuring people received timely, responsive support that promoted their health, wellbeing and positive outcomes.

Staff supported people to achieve positive outcomes to their health and quality of life. One relative said, “Because staff know their residents, they give the best care tailored to their needs.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

The management team worked in partnership with people, their families, advocates and representatives in line with The Mental Capacity Act 2005 (MCA). Staff completed training in MCA and understood the concept of consent.

We observed staff gain consent from people before completing any tasks. We saw consent for care and treatment was obtained in people’s care plans and records. The provider made applications to the local authority if people were at risk of being deprived of their liberty.