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CQC report explained · a residential care home

What the CQC found at Bridlington Manor

Requires improvementpublished 14 November 2024, 22 months ago

Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.

The latest report, explained

What inspectors found, May 2023

Rated Requires Improvement; inspectors found risks with the environment, infection control, medicines and quality checks.

This was an unannounced focused inspection on 28 February 2023. Inspectors looked at whether the home was safe and well-led. They spoke with people, relatives and staff, observed the home, and checked care, medicine and management records.

Inspectors found trailing wires, broken window seals, unclean areas and dirty or worn equipment. Infection control practices were not always followed. Some people did not receive time-specific medicines as prescribed, and medicine records were not always accurate.

The systems used to check quality had not picked up these problems. The home was rated Requires Improvement overall, with Safe and Well-led also rated Requires Improvement. The other question ratings were carried forward from the previous inspection, and the home has had this overall rating for the last two consecutive inspections.

What inspectors praised
  • Enough staff

    People and relatives said there were enough staff available to support people.

    “There were enough staff to meet people's needs.” from the report
  • Kind and caring staff

    People said they were happy living at the home, and people and relatives described staff as kind and caring.

    “People and their relatives told us there was enough staff and staff were kind and caring.” from the report
  • Support with choices

    Inspectors found that people were supported to make choices, with decisions made in their best interests where needed.

    “People were supported to have maximum choice and control of their lives” from the report
  • Wellbeing checks

    Audits about people's health and wellbeing were detailed and helped identify improvements.

    “Quality audits for people's wellbeing and health were completed on a regular basis and supported the manager to identify improvements.” from the report
What inspectors were concerned about
  • Unsafe and unclean environment

    serious

    Communal areas had trailing wires and broken window seals. Some bedrooms and bathrooms were dirty, and equipment was worn and dirty.

    “The environment was not always safe. Communal areas were unclean, poorly maintained and exposed people to the risk of harm.” from the report
  • Medicines were not always given safely

    serious

    Some time-specific medicines were given with food instead of before food. Records also showed that an as-needed medicine was given when a person was settled and content.

    “People did not always receive their medicines as prescribed.” from the report
  • Quality checks missed problems

    serious

    Audits did not identify concerns found by inspectors about the environment, infection control and medicines. Personal records were not always kept secure.

    “Audits did not highlight issues which had been identified during this inspection, such as, the risks within the environment, infection control and management of medicines.” from the report
Questions to ask them, based on this report
  1. 01What has been done to remove the trailing wires, repair the broken window seals and improve the condition of communal areas?
  2. 02How do you now make sure time-specific medicines are given at the correct time, and how are medicine records checked?
  3. 03What changes have been made to cleaning, laundry handling and infection control?
  4. 04How do your current audits identify problems with the environment, infection control and medicines?
  5. 05What progress has been made on the action plan sent to the CQC, and what is still outstanding?

This was a focused inspection of Safe and Well-led only; the other question ratings were carried forward from the previous inspection. This explanation was written from the published report of 3 May 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, November 2020

Inspected but not rated; inspectors found improvements in safety and governance, but the previous overall rating remains Requires Improvement.

This was a targeted inspection on 26 August 2020. Inspectors looked at specific concerns about safeguarding, incidents, equipment and infection control. They spoke with people, relatives, care workers and the manager, and reviewed care records, audits and other documents.

Inspectors found that people felt safe and that care workers responded to people's needs promptly. Risk assessments, equipment checks, incident records and infection control arrangements had improved. The provider was no longer in breach of Regulations 12 and 17.

The home was inspected but not rated at this visit. The previous overall rating was Requires Improvement and remains in place because this inspection did not assess the service fully.

What inspectors praised
  • People felt safe

    People told inspectors they felt safe, and inspectors saw that people were relaxed with care workers.

    “People were happy and felt safe living at the service.” from the report
  • Better risk management

    Risk assessments had been updated with more detailed guidance, and incidents were recorded and followed up.

    “Enough improvement had been made at this inspection and the provider was no longer in breach of regulation 12.” from the report
  • Equipment checks

    The home had regular checks for equipment used to keep people safe, and records showed that faults were dealt with promptly.

    “Audits were completed regularly to identify any faults with equipment.” from the report
  • Infection control

    Inspectors found personal protective equipment was available and that infection risks, including COVID-19 risks, were being managed.

    “Infection risks to people using the service are being thoroughly assessed and managed.” from the report
  • Learning from incidents

    Incidents and accidents were shared with care workers so that the home could reduce the chance of similar problems happening again.

    “Incidents and accidents were shared with staff for learning purposes and staff felt able to raise suggestions which improved practices.” from the report
What inspectors were concerned about
  • The full service was not reassessed

    minor

    This inspection covered only specific concerns, not every part of the service. The previous overall Requires Improvement rating therefore remains.

    “The overall rating for the service has not changed following this targeted inspection and remains requires improvement.” from the report
Questions to ask them, based on this report
  1. 01What changes have you made to risk assessments since this inspection, and how do you check that care workers follow them?
  2. 02How are incidents and safeguarding concerns recorded, reviewed and shared with care workers?
  3. 03How often are safety equipment checks completed, and what happens if a fault is found?
  4. 04How are infection control arrangements kept up to date, including arrangements for continence care and COVID-19?
  5. 05When will the next comprehensive inspection take place, and what is the current plan to improve the overall Requires Improvement rating?

This was a targeted inspection of specific parts of Safe and Well-led, focused on particular concerns; it did not assess the full service or change the previous ratings. This explanation was written from the published report of 13 November 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Bridlington Manor

4 rated inspections over 7 years: the service has slipped, from Good to Requires improvement.

  1. May 2023Requires improvementcurrent rating
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Bridlington Manor →

  2. November 2020Inspected but not rated
    Safe: Inspected but not ratedWell-led: Inspected but not rated

    Read what inspectors found at Bridlington Manor →

  3. May 2019Requires improvementdown from Good
    Safe: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. March 2018Goodstayed Good
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. February 2016Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. July 2015

    Registered with the Care Quality Commission on 6 July 2015.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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