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Archived: Bradley House Home Care Services

La Grange, Bradley House, High Street, Shirehampton, Bristol, BS11 0DE (0117) 373 1438

Provided and run by:
Bradley House Ltd

All Inspections

4 December 2013

During an inspection looking at part of the service

When we inspected in September 2013 we found that care plans had not been updated to reflect peoples current care needs. The put people at risk of receiving care that was unsuitable for their needs.

We found, in some instances there was a lack of recording in risk assessments. This meant staff may not have supported people who used the service to stay safe.

Assessing and monitoring systems were in place but not always effective in identifying and managing risks and care plans review.

On this inspection we found that care plans and risk assessments had been up-dated to reflect peoples current care needs. We saw there was a system in place to ensure staff monitored and regularly updated peoples care needs.

20 September 2013

During a routine inspection

The people that we spoke with by phone as part of our inspection gave positive feedback about the agency. Examples of comments included, "they are very helpful and very willing to help with anything' and 'they are very reliable and treat me with respect'.

We found that care plans had not been regularly updated to reflect that people's needs had changed. This could put people at risk of unsafe care.

We found that the staff respected people as individuals and encouraged people to make decisions about their care and how their needs were met.

Staff told us that they felt supported and attended training courses to enable them to deliver the care needed.

We found overall there were systems in place to monitor the quality of the service and this included gaining feedback from people who used the service . There was no audit in place to ensure that care plans had been reviewed and were up to date.

14 August 2012

During a themed inspection looking at Domiciliary Care Services

We carried out a themed inspection looking at domiciliary care services. We asked people to tell us what it was like to receive services from this home care agency as part of a targeted inspection programme of domiciliary care agencies with particular regard to how people's dignity was upheld and how they can make choices about their care. The inspection team was led by a CQC inspector joined by an Expert by Experience, who has experience of using or caring for someone who uses this type of service.

For the purposes of this review we spent time with the manager and with four care staff who worked for the agency. We visited four people who used the service in their own homes. In addition we spoke with a number of people by telephone. On this occasion we spoke with eight people. Of the 39 people being cared for by the agency, a number of them were unable to take part in a telephone interview, due to their communication needs.

We received a number of positive comments about the service provided by Bradley House and all of the people that we spoke with were happy with the care they received. Comments included "I'd give them 10 out of 10, I'm absolutely happy with the staff and I love them coming round." Another person told us "we are absolutely delighted with the agency"

10, 12 October 2011

During a routine inspection

We visited the offices of this service, and people who use the service, between 10 and 12 October 2011. The five people we spoke with who use the service told us they felt very happy with the service received and were always asked for their opinions and preferences. They told us the agency had responded quickly to any requests.

People we spoke with told us they felt that the care provided respected their privacy and dignity and enabled them to be as independent as possible. People said they felt staff always put the people who use the service at the centre of their care and seek to respond to their individual needs and wishes.

Examples of comments people made included:

'The service is absolutely wonderful. I couldn't be without them'.

'They give very good value for money as they always do more than they need'.

'They are very respectful and always ask me before doing anything. They always involve me in my care'.

'I feel very safe and respected by the staff'.

'The carers don't always ring if they are going to be late'.

'I have good carers and they are the same ones most of the time'

"The staff are all genuinely caring, both in the office and those who visit".

"The staff are very efficient, competent and confident in their work".

The four staff we spoke with had a good knowledge of the individual people to whom they provided care. They told us they consistently go to the same people most of the time. They told us they would see other people who use the service to cover for sickness and holidays, and they would usually be people they had visited before. Both staff and people who use the service told us that it is very unusual for a carer to visit a person only once.

Care plans we saw were person centred and contained clear and comprehensive information about individuals and their care needs, to guide and enable staff to provide the support and care people needed. Information was current and seen to have been reviewed and updated regularly with the individual person using the service, for those who privately fund their care.

People whose service is funded by the local authority told us they had not received regular reviews, and records seen confirmed this. People funded by the local authority and staff described how changing care needs are discussed and adjusted, to meet peoples changing needs. However, these discussions and changes are not formally recorded and do not evidence a quality service provision.