Background to this inspection
Updated
28 June 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:
This inspection was completed by one inspector and one assistant inspector.
Service and service type:
Bridgedale House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with 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 and Healthwatch (Sheffield). 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 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 used all of this information to plan our inspection.
During the inspection:
We spoke with four people who used the service and three relatives and friends about their experience of the care provided. We spoke with six members of staff including the registered manager, a senior care worker, three care workers and the chef. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. We checked a variety of records relating to the management of the service, including policies and procedures.
We spent time observing the daily life in the service and we looked around the building to check environmental safety and cleanliness.
After the inspection:
We sought some more information from the registered manager. This was provided in a timely manner and was used to inform our judgements.
Updated
28 June 2019
About the service:
Bridgedale House is a residential care home that provides accommodation for older people and people living with dementia who require personal care. The home can accommodate up to 25 people in one adapted building. At the time of this inspection there were 25 people using the service.
People’s experience of using this service and what we found:
People and their relatives were happy with the care they received at Bridgedale House. We observed staff treated people with dignity and respect and without exception, everyone told us all staff were kind and caring. Staff were skilled at promoting people’s independence.
People told us they felt safe living at Bridgedale House. Risks to people were assessed and kept under review. Staff were trained in their responsibility to safeguard people from abuse and they were all confident the registered manager would act upon any concerns they raised about people’s safety.
People were supported by staff who were knowledgeable and skilled. Staff completed a range of training which equipped them to provide effective care to people. Staff supported people to maintain their health by working alongside community health professionals such as district nurses and GPs. People’s nutritional needs were met, and they were very happy with the food on offer at Bridgedale House. 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.
People had access to a range of activities whilst living at Bridgedale House, both within the home and in the community. People were supported to maintain their interests and take part in activities that were meaningful to them. People and their relatives knew how to complain about the service if they needed to. They all told us the registered manager was very approachable and they were confident the registered manager would respond promptly to any issues they raised.
People, their relatives and staff all told us they thought the service was well-run. Everyone told us the registered manager was supportive and operated an ‘open-door’ policy. The registered manager and staff were keen to deliver a high-quality, person-centred service. The registered manager completed a range of checks on the safety and quality of the service on an ongoing basis, to ensure any necessary improvements were identified and implemented.
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 7 April 2016). Since this rating was awarded the provider has altered its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected:
This was a planned inspection.
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.