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St Bridget's Residential Home Requires improvement

We are carrying out a review of quality at St Bridget's Residential Home. We will publish a report when our review is complete. Find out more about our inspection reports.
All reports

Inspection report

Date of Inspection: 12 March 2013
Date of Publication: 17 April 2013
Inspection Report published 17 April 2013 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 12 March 2013, observed how people were being cared for and checked how people were cared for at each stage of their treatment and care. We talked with people who use the service, talked with carers and / or family members and talked with staff.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people’s safety and welfare.

People we spoke to were happy with the care and support they had received. We saw that staff had supported people to remain independent. For example, one person told us that they liked to make their own bed. The manager said that staff respected their choice, but continued to monitor the situation and offered regular assistance.

We looked at the care plans for four people. Records showed that people had had their physical and social needs assessed, and a plan of care had been developed, aimed at meeting their needs and wishes. We saw that assessments included mobility, environment, personal hygiene, social activities and future wishes. People we spoke to told us that staff knew what their needs were. One person told us that the manager "sits regularly and checks that my care needs are being met." We saw that people's care plans were written in a person centred manner. For example "likes to wash themselves in private, please ensure bell within reach" and "they like to settle themselves at night when ready, after a chat with the lady opposite."

We found that two people had been identified as being at risk of falls. We saw that each person's moving and handling plan had identified measures to be taken to minimise the risk. For example, one persons stated 'make sure that slippers are correctly fitted' and another person's included 'a pressure mat connected to the alarm system is in place to alert staff.' The provider might like to note that we identified shortfalls in risk assessment documentation. This could mean that risks had not been accurately identified. For example: we saw that the home had two different falls risk assessment documents in place. One had been completed but had no scale by which to measure the risk against. The other identified that the scoring process had not been completed accurately.

Records showed that staff had taken action in response to people being identified as being at risk of skin deterioration. One person's care plan stated that the risk assessment scored them as being at high risk of pressure ulceration. The records stated that a pressure relieving mattress and a pressure relieving chair cushion had been put in place as a precaution.

We looked at the home's daily records. We saw that these had been completed daily. We saw that one person's record showed that staff had identified a pattern of tiredness and had discussed this with the person's GP.

During the morning we saw that people could chose to spend time in their rooms or to go to the communal open plan sitting/dining room. One area had a television which we saw had the sub-titles on to allow people who had hearing problems the opportunity to enjoy the programmes. We heard a member of staff chatting with people about what they planned to watch that day, and we heard other people being offered magazines and papers to read. We saw that people looked happy chatting to other people who lived at the home. The manager told us that the home had organised activities once a week. Records showed who had attended each session, and what activities had been held. Examples included bowling, exercises and music. On the day of the visit we observed the weekly activity session. We saw that five people had attended. People played skittles and sang songs. People appeared happy.

We spoke to people who lived at the home. One person told us that they got plenty of good food, another said "the food suits me fine." We spoke to one relative who told us that the staff were 'excellent, lovely and caring'. They told us that their relative was able to make decisions relating to their daily life. The y said that their relative had experienced falls whilst at home. An alarm mat had been put in place, which alerted staff to the person moving, and allowed them to offer assistance. This helped to minimise the risk of falls without restricting the pers