Bridgewater CHCFT Padgate House

Updated 17 April 2014

Padgate House is situated in the Warrington area. It provides intermediate care and nursing support for up to 31 people and a further four people requiring neurological rehabilitation. The service provides short-term support for up to six weeks in a residential setting to help people regain daily living skills and independence. The service is provided jointly by Warrington Borough Council and Bridgewater Community Healthcare NHS Trust. There is a registered manger in post, employed by Warrington Borough Council. Padgate House is a separately registered location with the CQC and was last inspected in May 2013 and found to be meeting all the standards checked.

Updated 17 April 2014

Padgate House is situated near Warrington. It provides intermediate care and nursing support for up to 31 people and a further four people needing neurological rehabilitation. The service provides short-term support for up to six weeks in a residential setting to help people regain daily living skills and independence. It is provided jointly by Warrington Borough Council and Bridgewater Community Healthcare NHS Trust. There is a registered manager in post, employed by Warrington Borough Council.

During our inspection we talked with patients and staff throughout Padgate House. We observed how patients were being cared for and talked with carers and/or family members. We reviewed personal care records. We found there were systems and processes in place to keep people safe; including incident reporting. Patients’ needs were assessed and evidence from records indicated that care was provided to meet those needs.

There were audit systems in place to check on the quality of care, including the prevention of infections, and Padgate House was visibly clean and well maintained. We saw staff complying with hand washing procedures and staff had access to alcohol hand gel.

The care at Padgate house was focused on the needs of patients. Staff were following best practice guidelines when treating and supporting people. There was evidence that practice and service delivery audits had taken place.

We found that the care at Padgate House was delivered by caring and compassionate staff. All the patients we spoke with were positive about their care and treatment. We observed staff treating patients with dignity and respect.

Padgate House had been responsive to the needs of people who used the service. Staff were able to give us examples of how services had been developed in response to patients’ feedback – for example the main meal time had been changed to the evening.

Padgate House was well-led. Staff told us they felt able to raise concerns and felt supported to carry out their job role. Staff were very passionate and proud to work at the service. We saw evidence of close integrated partnership working and proactive monitoring of the quality of the service being delivered.

Updated 17 April 2014

Padgate House provides individual room accommodation with hand washing facilities. Bathroom and toileting facilities were easily accessible throughout the unit.

During our inspection we talked with seven patients and their relatives at Padgate House. We observed how people were being cared for, talked with carers and/or family members, and reviewed personal care records. We also spoke with eight members of staff.

Systems were in place to ensure the safe running of the building and all activities within the building such as maintenance and infection prevention and control. We found there were systems and processes in place to keep patients safe. Staff were aware of the incident reporting system and were encouraged to report incidents and near misses. The registered manager monitored the findings and action plans resulting from audits on subjects such as falls and record keeping.

Padgate House was visibly clean and well maintained. We saw staff complying with hand washing procedures and staff had access to alcohol hand gel. There were also ample hand washing facilities and liquid soap and hand towel dispensers were adequately stocked.           

The care at Padgate House was focused on the needs of patients. We found that staff were following best practice guidelines when treating and caring for people. An audit of practice had taken place and staff were able to describe how outcome measures were used to identify improvements in care and practice.

The care at Padgate House was delivered by caring and compassionate staff. All the patients we spoke with were positive about their care and treatment. We observed staff treating people with dignity and respect. We also saw examples of how people’s views on the service had been captured and this feedback was available at the service.

Staff at Padgate House had been responsive to the needs of people who used the service. Staff were able to give us examples of how services had been developed in response to patients’ feedback.

Padgate House was well-led. Staff told us they felt able to raise concerns and felt supported to carry out their job role. Staff were very passionate and proud to work at the service and monitoring of the quality of the service was taking place. However, the ownership and operational arrangements for Padgate House meant that the registered manager role was not always clearly connected to the management processes at the trust overall.