The inspection took place on 18 December 2017 and 4 January 2018, and was unannounced.

There were no breaches of legal requirements at the last inspection. At the last inspection, the service was rated 'Good' overall, but the caring domain was rated ‘Requires Improvement’. At this inspection we found the necessary improvements had been made and all domains were rated good.

Bridgewater Park is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Bridgewater Park Care Home is registered to provider residential and nursing care to older people and younger adults. Accommodation is situated on the ground floor. There are two separate units with single occupancy rooms. One unit provides care for people living with dementia. It is called Parkwood, accommodation for people requiring nursing care is provided on Westcliffe.

There was a registered manager in place at the service. 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.

There were enough staff available to meet people's needs. Safety at the service was maintained and robust medicine management and infection control measures were in place. Accidents and incidents were monitored and corrective action was taken to prevent further re-occurrence.

Staff undertook training in a variety of subjects to develop and maintain their skills. Staff supervision and appraisals occurred to support staff. New staff undertook a period of supervision and induction.

People were supported to eat and drink, where necessary. People’s dietary needs were monitored and corrective action was taken if there were any concerns.

People had choice and control over their lives, staff supported them in the least restrictive way possible. People made their own decisions about their care and support. The policies and systems in place support this practice.

Information was shared with people and their relatives about what the service could provide.

Staff were kind and caring and respected people’s privacy and dignity. People’s care needs and risks to their wellbeing were recorded. Reassessments of people’s needs took place, as their needs changed to ensure people received the help and support they required.

Complaints raised were investigated and this information was used to improve the service.

The service was well-led. People, staff relatives and visitors were asked for their views and feedback received was acted upon to maintain or improve the service.

Further information is in the detailed findings below.

This unannounced inspection was undertaken on the 22 October 2015. The service was last inspected on 02 August 2013 when it was found to be compliant with the regulations inspected

Bridgewater Park Care Home is registered to provide residential and nursing care for up to 63 older people. The service consists of single occupancy rooms in two separate ground floor units. One of the units provides care for people mainly living with dementia related conditions.. At the time of our inspection visit there were 48 people using the service.

There was a registered manager in place. 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.

Staff demonstrated an appropriate understanding of how to keep people safe from harm and employed appropriate checks had been carried out to ensure they did not pose a risk to people who used the service.

Staffing levels were considered according to the individual needs and dependencies of the people who used the service.

Known risks to people were assessed to ensure they were protected from potential harm and people were supported to make choices about their lives.

People received their medicines as prescribed and systems were in place to ensure medicines were managed safely.

People who lacked the capacity to make informed decisions were supported by staff who had received training about the promotion of people’s human rights, to ensure their freedoms were not restricted. Systems were in place to ensure decisions made on people’s behalf were carried out in their best interests.

Care staff were provided with a range of training opportunities to enable them to carry out their roles safely and help them to develop their careers. Whilst people’s wishes for privacy and confidentiality were promoted, we observed some staff did not always show consideration for people’s individual needs.

People who used the service were provided with a range of meals and we saw their dietary needs had been assessed to ensure they received appropriate nourishment and hydration.

A complaints procedure was in place to enable people to raise concerns about the service and resolve issues, wherever possible.

Whilst there were systems in place to enable the quality of the service people received to be assessed, some elements of the service provision had not always been fully actioned or followed up to enable the service to learn and improve.

People were asked for their consent to receive care. Peoples’ comments included, “I gave my consent to be here,” and “I said I wanted to go into a nursing home.” Relatives we spoke with confirmed that people gave their consent and that this was documented.

People and their relatives spoke positively about their care. One person told us, “I am well satisfied with the care; I have had excellent treatment.” A relative said, “I can’t fault them in any way with the sensitivity they showed to my mother. They keep us informed of everything.”

People spoke positively about the cleanliness of the service. One person commented, “The cleanliness is very good; there are cleaners here and they are good workers.” A relative commented, “Cleanliness is fine; that is one of the things that hit us when we first came; there is always the hand gel when you arrive; mum’s room is absolutely spotless and the place is the same.”

There were effective recruitment and selection processes in place. People’s comments about the staff that worked with them were mainly positive. Relatives’ comments included, “I can’t fault the staff; they have been absolutely lovely and very accommodating,” and “The staff have been pleasant; they were so welcoming.”

People we spoke with were clear about how to make a complaint. One person told us, “I have no complaints at all so far,” and another person said, “I would tell the chief nurse if I had a complaint, but I haven’t had a complaint.”

People told us they were happy with the care and treatment that Bridgewater Park Care Home provided. People’s comments included: “It’s very nice,” “I do like it here,” and I’m well looked after. The carers are very good.” People told us their privacy, dignity and confidentiality were respected. One person said, “They are all right and they respect you.” Another person told us, “They do respect me and they are very kind.” Relatives also told us that people’s dignity and privacy were respected, and this was confirmed by a visiting healthcare professional.

People and their relatives spoke positively about their care. One person said, “It is good care here.” A relative told us, “The home has done all they can to look after my relative. I am happy at that because I can’t wish for anything better for her condition.” We spoke with a visiting healthcare professional who said, “The carers are very caring. It is good; there has been a lot of improvement.” People spoke positively about the staff that worked with them. One person commented, “All the staff are fine. The staff are supported.” A relative told us, “I would not criticise the people that work here. I expect the staff to do their job and they do.” Another relative said, “The staff are brilliant. The staff have been very good and they do what they can.”

We conducted an unannounced inspection of this service on 16 May 2011 and spoke to a number of people who use the service and their relatives. They described staff as being ‘’kind, friendly and helpful’’ and felt they were respected by the staff. The people we talked to spoke positively about the registered manager and were confident that they could raise any concerns they may have and that these would be addressed. People told us that they were satisfied with the care they received and described the care as “good” and that “the staff help us with anything we need”. They told us that the quality and quantity of food was good and we received comments such as “good old fashioned food with fresh vegetables” and “good choice of food and plenty of it”. People told us that if they did not like the choice of food on offer they could request something different. People we spoke to told us that the home was kept “nice and clean”.