Background to this inspection
Updated
6 December 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was undertaken by one inspector.
Service and service type
Bridlington House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the CQC. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority about the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
We also asked Healthwatch for their views. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.
During the inspection
We spoke with three people who used the service about their experience of the care provided. We spoke with the registered manager, cook and two care workers.
We reviewed a range of records. This included two people’s care records and 13 medication records. We looked at records relating training and staff supervision. We inspected a variety of records relating to the management of the service, which included policies and procedures and quality assurance checks and audits.
After the inspection
We continued to seek clarification from the provider to validate evidence found in relation to maintenance of the environment, fire safety, quality monitoring checks and audits, staff training, appraisals and supervision. We received information from the registered manager about these areas and the action being taken to address issues found during the inspection.
Updated
6 December 2019
About the service
Bridlington House is a residential care home providing personal care to 12 adults at the time of the inspection. The service can support up to 22 people with mental health needs. Accommodation is provided within a house and annex.
People’s experience of using this service and what we found
Quality monitoring of the service still required improving in some areas to ensure the home remained a pleasant place for people to live in.
We made recommendations in the well-led section of this report about introducing systems to ensure timely quality monitoring is undertaken and advice provided regarding fire safety is acted upon.
Minor environmental issues found during the inspection were addressed. Medicine management was robust. People were protected from the risk of harm and abuse. Safeguarding procedures guided staff about the action they must take if they suspected abuse was occurring. People’s risk assessments identify hazards to their health or wellbeing. Action was taken to reduce risks whilst maintaining people’s independence and choice. There were enough staff to meet people’s needs. Incidents and accidents were monitored, and corrective action was taken to prevent re-occurrence.
Staff undertook training to maintain their skills. Supervision and appraisal were undertaken by staff to develop their skills.
People had their capacity assessed and were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
Staff were kind and caring. They provided encouragement, guidance comfort and support to people. Information was provided to people in a format that met their needs in line with the Accessible Information Standards.
Staff supported people to meet their health and nutritional needs. People were supported and encouraged to maintain their independence, where possible. Staff worked with healthcare professionals to maintain people’s wellbeing.
People felt able to raise concerns and were confident they would be addressed. A programme of activities was provided in line with people’s hobbies, preferences and interests. End of life care was provided with support of relevant healthcare professionals where possible.
The registered manger was available, and they listened to and acted on feedback provided about the service. Data security was maintained.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 08 November 2018) and there were multiple breaches of regulation. 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.
Why we inspected
This was a planned inspection based on the previous rating. The inspection was carried out to follow up on action we told the provider to take at the last inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bridlington House on our website at www.cqc.org.uk.
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.