11 March 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This included checking the provider was meeting COVID-19 vaccination requirements. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
The inspection was carried out by one inspector.
Service and service type
Bradbury Court is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection-
We spoke with four people who used the service about their experience of the care provided. We spoke with five staff this included the registered manager, the deputy manager and care staff.
We reviewed a range of records. This included four people's care records and multiple medicines records. We looked at three staff files in relation to recruitment and staff supervision. We reviewed a variety of documents relating to the management of the service, including policies and procedures.
After the inspection –
We continued to seek clarification from the provider to validate the evidence found. This included quality assurance documentation and training information.
11 March 2022
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
Livability – Bradbury Court is a care home that accommodates up to 21 people across two floors, each of which has separate adapted facilities. At the time of the inspection 18 people lived at the service. People who used the service had physical disabilities. Five people living at Bradbury Court had a diagnosis of a learning disability as well as a physical disability. Most people lived there permanently, and some people spent short periods there to receive respite from their main carers.
People’s experience of using this service and what we found
People’s experience of the service was positive. They were protected from the risk of harm and abuse. There were effective systems and processes in place to minimise risks. Medicines were managed safely, and care staff had been recruited safely. Feedback from people showed there were no issues with the number of staff deployed.
People’s needs were assessed, and care plans reflected their needs. Meals provided were discussed with people who used the service and where people required support to eat this was done appropriately. Staff were skilled and knowledgeable about people’s needs and had access to an extensive training programme to learn new skills and update their knowledge. The environment was well maintained and decorated and suitable to people’s needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The provider had a range of quality assurance processes, including systems necessary to maintain safe environments. The registered manager and their deputy ensured policies and procedures met current legislation and were up to date. People who used the were asked of their views about the quality of the service.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right support: Model of care and setting maximised people’s choice, control and Independence. For example, people were encouraged and empowered to make their own decisions. Care staff ensured that people were supported and gave people daily choices which were appropriate to their needs and level of understanding and ability.
Right care: Care was person-centred and promoted people’s dignity, privacy and human rights. Staff knew people well and established positive relationships with them. Peoples dignity, privacy and human rights were maintained. While people were treated and supported as an individual and we saw that the service had made improvements around providing individual stimulating activities.
Right culture: Ethos, values, attitudes and behaviours of leaders and care staff ensured people using services lead confident, inclusive and empowered lives. People who used the service accessed the local community for activities and day to day tasks such as shopping for personal items independently or with staff support. People were put first, and activities and facilities were tailored towards peoples wishes and needs. The new leadership team was open and transparent and easy to talk to. They listened to people who used the service, staff and visitors to discuss concerns and improve the service for people who used the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update - The last rating for this service was requires improvement (published 24 December 2019)
The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively. This included checking the provider was meeting COVID-19 vaccination requirements.
We carried out an unannounced comprehensive inspection of this service on 25 September 2019. We found breaches of legal requirements during this inspection. The provider completed an action plan after the last inspection to show what they would do and by when to improve the management of medicines and the effectiveness of the quality monitoring of medicines administration
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bradbury Court on our website at www.cqc.org.uk.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.