Bridgemarsh Residential Home

This report from the Care Quality Commission (CQC) details an inspection of Bridgemarsh Residential Home, which provides care and accommodation for adults with learning disabilities, autism, and/or complex health needs. The inspection assessed the service against five key questions: Safe, Effective, Caring, Responsive, and Well-led. Overall, the report highlights that significant improvements have been made since the last inspection, addressing previous concerns about governance and quality assurance. The home is now recognised for its commitment to person-centred support, aiming to foster independence and enable residents to live fulfilling lives.

In terms of Safe care, the home consistently protects residents from avoidable harm. Risks are thoroughly assessed and managed, with up-to-date care plans in place. Staff are well-trained in safeguarding and understand how to respond to potential abuse. Procedures for medication administration and infection control are robust, and the service ensures that staff are recruited safely and are well-supported.

Regarding Effective care, residents' needs and choices are consistently met. Care plans are detailed and regularly reviewed with families, ensuring they reflect current needs and promote good outcomes. Staff demonstrate skilled and knowledgeable care, supported by regular supervision and an open-door policy from management. The home also supports residents in maintaining healthy diets and provides access to necessary healthcare professionals.

The service is consistently Caring, with staff demonstrating kindness, empathy, and respect in their interactions. Residents are actively involved in decision-making about their care, and their communication needs are clearly understood and met. Staff go to great lengths to promote privacy, dignity, and independence, fostering strong relationships with residents and their families.

In terms of being Responsive, the home delivers highly personalised care tailored to individual needs and preferences. Residents are encouraged to have choice and control over their lives, with detailed care plans reflecting their histories, cultural backgrounds, and interests. Staff proactively work to minimise anxiety and ensure residents can participate in meaningful activities. While most communication needs are met, a specific request for a care plan in capital letters was noted and is being addressed.

Finally, the Well-led aspect of the service shows significant improvement. The management team demonstrates effective oversight and works collaboratively with staff. Audits are now in place and feedback from residents, relatives, and professionals is actively sought and used to drive improvements. There is a clear commitment to learning from incidents and fostering an open, supportive culture.