17 November 2022
During a routine inspection
Bridge House Nursing Home is a care home providing personal and nursing care to up to 54 people. The service provides support to older adults who may also have a physical disability, sensory impairment or dementia. Bridge House Nursing Home accommodates people across two separate buildings, which have separate adapted facilities. One of the buildings specialises in providing respite and rehabilitation to people and external physiotherapists visit the home daily.
People’s experience of using this service and what we found
The registered manager ensured infection prevention and control guidance was followed to keep people and staff safe. People reported they felt safe living at the service.
Care plans were person centred and included the input of the relevant people. The environment in the home had improved from previous inspections including improvement in decoration and signage around the service. However, further development is still required. This was acknowledged by the registered manager and operations director.
People told us they felt staff were caring. The service supported people to be as independent as possible. People felt involved in their care and care plans were reviewed regularly to meet the needs of the person.
People’s communication needs were assessed, and staff were aware if a person required further support with their communication. People and relatives told us they were aware of how to raise a complaint with the service. Staff worked well with people, families and health and social care agencies to support people’s wellbeing.
The service had an open and transparent way of working to ensure the safety of the people living at the service. The provider was able to demonstrate that quality assurance systems ensured the quality of the service improved. There was a positive culture amongst staff at the service. Staff knew people they supported well and cared about their wellbeing. The provider was able to demonstrate their compliance with legal obligations and any learning from incidents or accidents was undertaken effectively.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 3 November 2021). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
At our last inspection we recommended that the provider reviewed their staff training, documentation regarding people’s abilities to make decisions and learning from incidents and accidents. At this inspection we found the provider had acted on the recommendations and they had made improvements.
Why we inspected
We carried out an unannounced focused inspection of this service on 21 and 22 September 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve the premises, medicine management, staff recruitment records and governance.
We undertook this comprehensive inspection to check they had followed their action plan and to confirm they now met legal requirements.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bridge House Nursing Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.