Bridge House (Somerset)

Date of Assessment: 16 January to 14 February 2025. The service is a residential service providing support to adults living with physical disabilities, learning disabilities or autistic spectrum disorder. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. We undertook this assessment due to the age of the rating. At our last inspection the service was rated good, at this assessment the service has remained good. The service had a learning culture. There were systems in place to review incidents and share any learning at both the location and provider level. People were protected and kept safe. Staff knew people well and understood any risks. Some additional information and control measures were found to be missing from some documentation. This was rectified during the assessment. There were enough staff with the right skills, qualifications and experience. Managers made sure staff received training to maintain high-quality care. We found some areas of medicines management needed to be improved. The service supported people with their rights around consent and respected these when delivering person-centred care. Some improvements were needed to ensure decision specific mental capacity assessments and best interest decisions were in place for all restrictions within the home. People were involved in day to day decisions about their care. There were systems in place to monitor and improve the quality of care, these had not identified some of the shortfalls we found. Leaders and staff had a shared vision and culture based on listening, learning and trust. Leaders were visible and staff felt supported by them.