CQC report explained · a nursing home
What the CQC found at Three Bridges Nursing & Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Risks were assessed and managed, safeguarding procedures were understood, and staff recruitment checks were completed. Inspectors found medicines were stored and administered safely, and records were comprehensive.
- Effective?
- Good
- Care was based on assessments of people's needs and choices. Staff were trained and supported, people's food and drink needs were met, and healthcare referrals were made promptly.
- Caring?
- Good
- Inspectors observed warm interactions and people said staff were friendly, caring and respectful. People were involved in care planning and staff promoted privacy, dignity and independence.
- Responsive?
- Good
- Care plans contained personalised information, including communication needs. The home offered activities, responded to complaints and recorded people's wishes for end of life care.
- Well-led?
- Good
- People and staff said the home was well run and staff felt supported. Audits and checks were used to identify improvements, and the home gathered feedback from people and relatives.
What inspectors found, December 2019
Rated Good; inspectors found safe, kind and personalised care across all five areas.
This was an unannounced planned inspection on 18 and 27 November 2019. Inspectors spoke with people living in the home, relatives, staff and a visiting professional. They also observed care and checked care records, medicines records, staff files and management records.
The home provided personal and nursing care for 47 people aged 65 and over. Inspectors found that people were protected from abuse and avoidable harm, received their medicines safely, and had enough trained staff to meet their needs.
People were involved in decisions about their care and were treated with kindness, dignity and respect. Care plans contained detailed information about people's needs and preferences. People had access to healthcare, food and drink choices, activities and support to keep in touch with others.
The home was rated Good in Safe, Effective, Caring, Responsive and Well-led. All five ratings were unchanged from the previous inspection, published on 8 June 2017.
Personalised care
Care plans gave staff detailed information about people's needs, preferences and communication. People were involved in developing and reviewing their care.
“Care plans identified the needs of people and contained detailed person-centred information to meet the preferences of people receiving care.” from the report
Kind and respectful staff
Inspectors observed warm interactions. People said staff treated them with kindness, dignity and respect.
“We observed warm interactions between staff and people living in Three Bridges throughout the inspection and staff knew people well.” from the report
Safe staffing and medicines
People said there were enough staff, and inspectors saw staff available in communal areas. Medicines were stored securely and records were complete.
“Records of administration were well maintained, in line with best practice and completed comprehensively.” from the report
Activities and choices
The home offered group activities, trips and one-to-one time for people living with dementia. People were offered choices about food, care and daily life.
“Three Bridges employed two activity coordinators and there was a wide range of activities available for people to participate in.” from the report
Strong management checks
The management team used audits and other checks to monitor quality and drive improvements. Staff described an open and supportive culture.
“There was a robust framework of governance underpinning the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and record my relative's individual needs and preferences before they move in?
- 02How will you support my relative's communication needs, including hearing, sight or language needs?
- 03What activities and one-to-one support are available for someone who cannot join group activities?
- 04How will you involve our family in reviews and decisions about care?
- 05How will you record and follow my relative's wishes about end of life care?
This was an unannounced planned inspection covering all five CQC questions, and the home and the care provided were both looked at. This explanation was written from the published report of 25 December 2019 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.
What inspectors found, June 2017
Three Bridges Nursing & Residential Home was rated Good; inspectors found safe, kind and responsive care, with some maintenance and dental record issues.
This was an unannounced inspection on 2 and 8 May 2017. It was the first inspection after a change of service provider. Inspectors spoke with people living in the home, visitors and staff. They observed care, including at lunchtime, and checked care plans, staff files, medicines, complaints, safeguarding records, rotas and audits.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicine arrangements, suitable care planning, training for staff, good access to food and health professionals, and kind and respectful care.
Inspectors also found that some communal areas needed repair and redecoration. Some records did not show dental appointments, although the home had made referrals to community dental services where needed.
Staffing and safety
Inspectors found enough staff on duty to meet people's needs. Recruitment checks and safeguarding arrangements were also in place.
“There were sufficient numbers of staff on duty to meet people's needs.” from the report
Kind and respectful care
People appeared calm, clean and comfortable. Staff took time to talk with people and supported their independence and preferred routines.
“We observed that people using the service were calm and relaxed in their home environment and that staff interactions were appropriate, warm and caring.” from the report
Personalised care planning
The care records reviewed were organised and described people's needs, support and goals. People or their representatives were involved where possible.
“Files viewed were well organised, person centred and outlined identified needs, support requirements and expected outcomes and goals.” from the report
Food and health support
People were offered meal choices, alternatives and support with eating and drinking. Records showed access to health professionals according to individual need.
“We saw that people also had a drink of their choice and additional refreshments and snacks were provided throughout the day.” from the report
Activities and feedback
The home offered a range of activities and gathered views from people and relatives. The report says action was taken in response to feedback.
“People spoken with told us that they were happy with the activities on offer and records of activities were maintained and available for reference.” from the report
Repairs and redecoration
minorSome communal areas needed maintenance. Inspectors saw damaged doors, architrave and skirting that needed repainting.
“Communal areas viewed during the inspection appeared generally homely and comfortable however some areas viewed were in need of maintenance and redecoration.” from the report
Dental care records
needs fixingSome records did not show evidence of dental appointments. The home said it had referred people to the community dental service where necessary.
“We noted that the service had experienced difficulties in accessing domiciliary dental services for some people.” from the report
- 01Which damaged or worn areas identified by inspectors have now been repaired or redecorated?
- 02How do you record dental appointments, referrals and follow-up for each resident?
- 03How do you make sure people and their relatives are involved in reviewing care plans?
- 04How many staff are currently on each day and night shift, and have the night nurse and care staff vacancies mentioned in the report been filled?
- 05How do you check that activities are suitable for people who prefer individual time or have dementia care needs?
This was an unannounced comprehensive inspection covering all five CQC questions and followed a change of service provider. This explanation was written from the published report of 8 June 2017 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.
Every inspection of Three Bridges Nursing & Residential Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- December 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Three Bridges Nursing & Residential Home →
- June 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Three Bridges Nursing & Residential Home →
- June 2016
Registered with the Care Quality Commission on 8 June 2016.
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.
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