Archived: Three Bridges Nursing and Residential Home

Updated 29 February 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection took place on 16 and 18 December 2015 and was unannounced.

The inspection was undertaken by two adult social care inspectors.

It should be noted that the provider was not requested to complete a provider information return (PIR) prior to the inspection. A PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

We looked at all of the information which the Care Quality Commission already held on the provider. This included previous inspections and any information the provider had to notify us about. Furthermore, we invited the local authority and clinical commissioning group to provide us with any information they held about Three Bridges Nursing and Residential Home. We took any information they provided into account.

During the site visit we talked with 21 people who used the service and three visitors. We also spoke with the regional manager; registered manager; three nurses; one senior care assistant; two care assistants and an activity coordinator.

We undertook a Short Observational Framework for Inspection (SOFI) observation during lunch time. SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

We looked at a range of records including: five care plans; four staff files; staff training; minutes of meetings; rotas; complaint and safeguarding records; medication; maintenance and a range of audit documents.

Updated 29 February 2016

This inspection was unannounced and took place on the 16 and 18 December 2015.

The service was previously inspected in May 2014. Two breaches of legal requirements relating to notification of incidents and records were identified. We undertook a follow-up inspection in September 2014 and found that improvements had been made to address the breaches.

Three Bridges Nursing and Residential Home provides accommodation and personal and nursing care for up to 53 older people, some of whom have dementia care needs. It is located in Latchford, a suburb of Warrington in Cheshire. The service is provided by St Andrews Care GRP Limited. At the time of our inspection the service was accommodating 46 people.

Three Bridges Nursing and Residential Home is a two-storey building with all resident accommodation on the ground floor. The home has 53 single rooms (four of which have ensuite facilities), four lounges (two of which lead onto a patio), a central conservatory that overlooks the sensory garden), two dining rooms and accessible bathroom and toilet facilities throughout the home. The home has car parking to the front and large gardens to the sides and rear.

At the time of the inspection there was a registered manager at Three Bridges Nursing and Residential Home. 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.

The registered manager was present during the two days of our inspection and engaged positively in the inspection process. The manager was observed to be friendly and approachable and operated an open door policy to people using the service, staff and visitors.

People living at Three Bridges Nursing and Residential Home were observed to be comfortable and relaxed in their home environment and in the presence of staff. People spoken with were generally complimentary about the standard of care provided.

We found that the needs of people using the service had been assessed and planned for so that staff understood how to provide person centred care and to keep people safe from harm.

The provider had established a programme of induction and ongoing training to ensure people using the service were supported by competent staff. Additional systems of support such as supervision, appraisals and team meetings were also in place.

The registered manager and staff had access to training in the Metal Capacity Act 2005. The manager demonstrated an awareness of the Deprivation of Liberty Safeguards and the need to ensure that people using the service were looked after in a way that does not inappropriately restrict their freedom.

We observed interactions between staff and people to be positive, responsive to need and caring. We also noted that people’s choices were respected and that staff communicated and engaged with people in a compassionate manner.

People using the service had access to a range of individualised and group activities and a choice of wholesome and nutritious meals.

Records showed that people also had access to GPs, chiropodists and other health care professionals (subject to individual need). Medicines were ordered, stored, administered and disposed of safely.

Systems to monitor key aspects of the service, obtain feedback on the standard of care provided and to respond to safeguarding concerns and complaints had been established.