Care home

Archived: Bridgehouse

Good

1 Forty Hill, Enfield, Middlesex, EN2 9HT (020) 8363 0045

Provided and run by:
London Borough of Enfield

The provider of this service changed. See new profile

All Inspections

This inspection took place on 19 January 2016 and was unannounced. When we last visited the home on 2 February 2014, we found the service met all the regulations we looked at.

Bridgehouse cares for 32 older people providing accommodation and personal care. The service mainly focused on meeting the needs of people with dementia. There were 24 people using the service on the day of our inspection.

The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were provided with a choice of food, and were supported to eat when required. People were supported effectively with their health needs.

People were involved in decisions about their care and how their needs would be met. Staff knew what to do if people could not make decisions about their care needs in line with the Mental Capacity Act 2005.

People were kept safe from the risk of abuse. Risks to people were identified and staff took action to reduce those risks.

There were systems in place to ensure that people consistently received their medicines safely, and as prescribed.

Sufficient staff were available and they had the necessary training to meet people's needs. Staff responded to people’s needs promptly.

Care was planned and delivered in ways that enhanced people’s safety and welfare according to their needs and preferences. Staff understood people’s preferences, likes and dislikes regarding their care and support needs.

People were treated with dignity and respect. There was an accessible complaints policy which the registered manager followed when complaints were made to ensure they were investigated and responded to appropriately. People and their relatives felt confident to express any concerns.

People using the service, relatives and staff said the registered manager was approachable and supportive. Systems were in place to monitor the quality of the service.

This inspection took place on 19 January 2016 and was unannounced. When we last visited the home on 2 February 2014, we found the service met all the regulations we looked at.

Bridgehouse cares for 32 older people providing accommodation and personal care. The service mainly focused on meeting the needs of people with dementia. There were 24 people using the service on the day of our inspection.

The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were provided with a choice of food, and were supported to eat when required. People were supported effectively with their health needs.

People were involved in decisions about their care and how their needs would be met. Staff knew what to do if people could not make decisions about their care needs in line with the Mental Capacity Act 2005.

People were kept safe from the risk of abuse. Risks to people were identified and staff took action to reduce those risks.

There were systems in place to ensure that people consistently received their medicines safely, and as prescribed.

Sufficient staff were available and they had the necessary training to meet people's needs. Staff responded to people’s needs promptly.

Care was planned and delivered in ways that enhanced people’s safety and welfare according to their needs and preferences. Staff understood people’s preferences, likes and dislikes regarding their care and support needs.

People were treated with dignity and respect. There was an accessible complaints policy which the registered manager followed when complaints were made to ensure they were investigated and responded to appropriately. People and their relatives felt confident to express any concerns.

People using the service, relatives and staff said the registered manager was approachable and supportive. Systems were in place to monitor the quality of the service.

We spoke to five people with dementia and two relatives they told us they had been asked about their needs prior to starting to use the service. One relative said, "they asked about my relatives needs when they assessed their needs." People and relatives were positive about the care provided by the service. One person with dementia described their care saying, 'I am happy here." People with dementia were involved in decisions about their care and treatment. Staff involved people with dementia in decisions about their care and treatment. For example, when assisting them to move, they explained and got permission before using a wheelchair. People and relatives told us they had been involved in decisions about their care. One person said, 'they are kind to me.'

People and relatives confirmed that the service made sure they had access to a range of medical professionals to meet their care and treatment needs. One person said, "I am seeing a doctor and staff had arranged this." When people with dementia were admitted to hospital they were sent with detailed information regarding their care and treatment needs. This gave information on why the person was being sent to hospital, their medical history, current medications and relevant contact details. People's care records showed that where they had been admitted to hospital an appropriate plan had been put in place when they were discharged to ensure they received the care and treatment they needed. Where people's needs had changed they had been assessed and referred to the appropriate professional promptly.

The manager explained that they carried out regular audits of the care provided to people with dementia. We looked at two recent examples of care plan audits, and these showed that checks were carried out to make sure that people were receiving appropriate care and treatment. For example, that care plans were appropriately personalised and had included the views of people with dementia and their relatives. Risk assessments were in place for each individual and showed how people could be supported safely to do the things they wished. The manager explained that there were a number of systems in place to monitor and assess the risks resulting from the delivery of care to people with dementia. Care records showed that where people were at risk from falls, urinary tract infections or dehydration and malnutrition these risks had been assessed and action taken to lessen their impact on people. The manager explained that there were regular meetings with relatives and people with dementia so that they could give their views of their care and treatment. Relatives told us that they felt this provided an important way for them to express their views of the service. There were minutes of meetings for people and relatives to share their views of the service. These showed that where issues had been raised action had been taken to ensure they had been addressed.

Most of the people who used the service had difficulty with verbal communication however we were able to speak with some and observe others interaction with each other and staff. We were also able to speak with several relatives who were visiting the home.

People we spoke with told us that they felt happy at the home. They told us how the staff treated them with dignity and respect. We saw that there was a good interaction between people and staff and that staff acted in a polite helpful manner.

We saw care plans that were personalised, reviewed and showed us that people had good access to health care professionals.

People and their relatives told us that they felt safe at the home. Staff that we spoke with told us that they received comprehensive training in all appropriate areas to ensure that the people who used this service were safe.

Policies and procedures were up to date and in order to provide an effective service to the people who live at this home.

People told us that they felt that they were treated with respect by staff. One person when asked about this said, "I have always been treated kindly here.' Staff responded to people's needs. One person when asked about how the home had helped them said, "I feel well and happy."

Staff were approachable and listened to what they had to say. One person when asked confirmed that 'Staff are there when I need them." People spoken to confirmed that they trusted staff and felt safe. They could discuss their concerns with the staff. A person commented that, 'I can talk to staff if I need to.' People felt they could influence and make suggestions for the improvement of the home.

These older reports are from our old approaches to inspection, including those from before CQC was created.

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