Bradbury House

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The manager told us they completed a full assessment of people’s needs before they started to use the service. In addition, the manager had access to the assessments completed by the local health and social care teams. When they had completed the initial assessment, the service started the induction process where people were slowly introduced to the service and staff. This included at least 2 short visits and an overnight stay before a longer stay. This helped to ensure people were comfortable and confident staying at Bradbury House and staff had a good understanding of how to meet their needs. Once people had started using the service, a short phone assessment was completed before each stay, to ensure the service was aware of any changes to people’s needs.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. Staff had completed nationally recognised specialist training for people with a learning disability and autistic people. Staff were positive about their training and felt it enabled them to better meet people’s needs. The service had information about people’s specific health conditions from specialist nurses and used these when planning people’s support. This helped to ensure care was planned in line with current best practice guidance.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Staff told us there was good communication between the team and we observed staff working together to meet people’s needs.

Social care professionals told us staff and the management team worked well to make sure people’s needs were known and understood by others. Comments included, “The staff team have excellent communication with the adult social care operational teams.”

The service used electronic recording systems that were accessible to other professionals where relevant, for example social workers. This enabled information to be shared and reduced the need for people to repeat information to professionals.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Staff told us they were aware of people’s health needs and had the guidance they needed to provide effective support. Staff supported people to attend appointments where necessary, for example for people who were staying at the service for longer than a short break.

People’s care records demonstrated they had been supported to access relevant health services, including GP, specialist nurses and emergency paramedics.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. Staff maintained records of the care they had provided and observations of people, for example, people’s skin condition or details of anxiety and distressed reactions. Records demonstrated changes were shared with health and social care professionals where needed.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. We observed staff gaining consent before providing support for people. Staff demonstrated a good understanding of the Mental Capacity Act and consent issues. Staff understood the need to follow the best interest decision making process if people lacked capacity to consent to a specific decision. Records demonstrated these processes had been followed where needed.