Bridge House

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

People had comprehensive care plans which detailed their strengths and promoted their dignity and independence. Their communication needs were assessed and recorded in detail and staff interacted appropriately with people according to their needs. People were supported to have choice and control over their own care and to make decisions about their care, treatment, and wellbeing. 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's support focused on them having as many opportunities as possible for them to gain new skills and become more independent

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People told us they were involved in decisions about their care. People were given information in ways they could understand.

Staff knew about people’s health and social needs and preferences and gave them as much choice and control as possible.

People's needs and choices were assessed before they started using the service. The assessments included looking at their independent living skills as well as their needs. People’s equality and diversity needs and preferences were reflected to ensure their protected characteristics such as religion or sexuality were considered. People’s individual preferences and methods of communication were reflected in their care and support plans. People and their families were involved in the assessment process.

People told us they were involved in ensuring they were receiving care in line with their goals.

Staff were aware of the need to involve people in all aspects of their care and ensuring they were meeting their assessed needs.

The provider had systems and processes in place to ensure care was given in line with best practice guidance, for example monitoring daily records to check care was successfully delivered to meet people’s needs.

People told us the care they received was effective. They told us staff had ensured they got appropriate support if there was a change in their health.

Staff told us they completed various documents to share information within the team following care calls. Regular handover documents were completed which instructed the next person on shift of any changes, amendments or problems.

The provider has suitable policies and procedures in place to ensure staff teams worked together effectively. Staff completed daily records on an app which the provider checked regularly.Staff told us they completed various documents to share information within the team following care calls. Regular handover documents were completed which instructed the next person on shift of any changes, amendments or problems.

The provider has suitable policies and procedures in place to ensure staff teams worked together effectively. Staff completed daily records on an app which the provider checked regularly.

People told us the care they received was effective. They told us staff had ensured they got appropriate support if there was a change in their health. One person told us, "If I need a doctor the staff ring them.”

Staff told us what action they would take if they felt people were unwell or not themselves.

People were supported to access a range of external health care professionals to improve their well-being. Each person had a hospital passport which included information about their past medical history and the level of support they required. If a person was admitted to hospital staff worked shifts to support them during their admission to ensure consistency of care.

People told us they were confident the support they received enabled them to safely live at the home as this was important to them.

Staff regularly asked people to give them feedback on their experiences of the care they were receiving. They listened to their responses and tailored the care they gave where this was needed.

Each person had a care plan which recorded the outcomes they wanted to achieve and contained information about how they wanted to be supported. People were fully involved in the assessment and care planning process to ensure their care was tailored to their own preferences.

People told us they had choice and consented to their care and support. They said they chose what they wanted to eat, what they wanted to wear, what activities they wished to do and when they wished to go to bed and get up. During the inspection we observed people making choices about their daily activities. .

Staff were aware of the need to ask people permission and to include them in all decisions. Throughout the on-site assessment we observed staff seeking consent and involving people in their day-to-day decisions One staff member commented, “People have capacity. They make their own decisions here and we respect the choices they make.”

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. People were encouraged to make their own choices and decisions to promote their independence. Staff offered advice about any decisions that may negatively affect people, so they had all the information they needed to make an informed choice.