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Bradbury House Requires improvement

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Inspection report

Date of Inspection: 17 September 2014
Date of Publication: 15 October 2014
Inspection Report published 15 October 2014 PDF

Overview

Inspection carried out on 17 September 2014

During a routine inspection

An adult social care inspector carried out this inspection. The focus of the inspection was to answer five key questions; is the service safe, effective, caring, responsive and well-led?

As part of this inspection we spoke with two people who use the service, three relatives, the county manager, the team leader, two care staff and a health professional who works with the service. We also reviewed records relating to the management of the home which included, three support plans, daily care records, risk assessments, audits, policies and maintenance logs.

Below is a summary of what we found. The summary describes what people using the service, their relatives and staff told us, what we observed and the records we looked at.

Is the service safe?

People had been cared for in an environment that was safe, clean and well maintained. The design of the home allowed good access to all areas and security measures provided safety for people using the service.

Support plans gave guidance and instruction to staff on how to meet people's needs in a way which minimised risk for the individual. They ensured that staff had the information necessary to support people safely.

CQC monitors the operation of the Deprivation of Liberty Safeguards which applies to care homes. We spoke with the team leader with regard to the recent Supreme Court ruling and found they were aware of the ruling and had been in contact with the local authority deprivation of liberty safeguards (DoLSs) team. There were no DoLS in place at the time of this inspection.

Is the service effective?

People told us that staff helped them to make decisions and ensured they were happy with what was happening. One person told us �I can go out by myself, but I like staff with me, they help me find my way.� and �I am trying to find a job, some staff help me with this�. Staff we spoke with showed good understanding of people's needs, seeking consent and assisting people to make decisions.

We observed staff supporting people in a professional and patient manner. We saw choice being offered and explanations given. We saw staff engaged with people and they responded positively to this interaction by replying or smiling.

Is the service caring?

We saw people laughing and enjoying the company of the staff supporting them. Staff understood how people communicated and how people would express their likes and dislikes during their care and support.

Throughout the inspection we noted people sought advice from staff and had positive interactions with them. We saw people being supported to take part in games and interests as well as routine activities of daily living such as eating and drinking.

Relatives we spoke with commented positively on the support their loved ones received. For example, one relative said: �they (staff) have learnt mannerisms and behaviours by watching carefully and can deal with difficult situations with �..�

Is the service responsive?

People�s needs had been assessed before they used the service. People�s needs were reviewed with them and their relatives as appropriate. Records confirmed people�s preferences, interests, aspirations and diverse needs had been recorded and care and support had been provided that met their wishes. People had access to activities that were important to them.

We spoke with two people and three relatives of people who use the service. They told us they could talk to staff if they were unhappy about something. They all said they felt confident they would be listened to. People told us they knew how to make a complaint if necessary.

The staff we spoke with were knowledgeable about the complaints procedure and confirmed how they would support people to make a complaint if necessary. One staff member told us: �if a person has a concern they are encouraged to speak up and they are listened to and action is taken.�

Is the service well-led?

People and their relatives said they were consulted about their views and they completed satisfaction questionnaires. They told us they could approach staff at any time and they felt listened to.

The provider had a quality audit system in place. We saw evidence that when issues had been identified, they were managed appropriately.

The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people who use the service and others related to the delivery of care.