- Care home
Bradbury House - Care Home with Nursing Physical Disabilities
Assessment report published 11 June 2026
Contents
Ratings
Our view of the service
Date of Inspection: 27 April to 14 May 2026. Bradbury House is a nursing home providing personal and nursing care for up to 25 people who have acquired brain injuries and long‑term neurological conditions. At the time of inspection, 23 people were using the service. We completed this inspection as part of our routine programme and because of the length of time since the last full inspection.
During this inspection we found a deeply embedded culture of kindness, safety, professionalism and continuous improvement, which was consistently modelled by leaders, embraced by staff and experienced by people using the service.
The service was well led. Leaders were visible, compassionate and inclusive, and promoted a shared vision focused on people’s wellbeing. Staff felt supported and listened to, and there was a clear commitment to learning and continuous improvement. Governance systems were in place and provided reasonable oversight of quality and risk. This had assisted the registered manager to identify staffing levels required strengthening. They were currently in the process of making a case for having an additional staff member on each shift and more nurses in post.
Bradbury House provided people with safe, compassionate and effective care in which they achieved generally positive outcomes. People consistently told us they felt safe and well cared for, and relatives spoke positively about staff knowledge, kindness and commitment. The management team had established a strong, values‑led culture that promoted dignity, inclusion and respect, and staff were motivated and proud of the care they provided.
People experienced exceptionally kind and compassionate care. Staff knew people well, treated them with dignity and respect, and built trusting relationships which supported people to feel valued and confident. Care was highly personalised, and staff followed strong human rights‑based practices. People were consistently supported to make choices, maintain their independence and reach their full potential. Relatives described staff as caring and dedicated. They expressed confidence in the quality of care provided.
People were listened to and actively involved in decisions about their care. People enjoyed a rich activities programme, which supported them to maintain relationships, interests and community connections. Staff worked sensitively with people and families on future planning, including end‑of‑life care.
Care and treatment were effective. Staff worked in line with evidence‑based guidance and collaborated well with healthcare professionals to meet people’s complex needs. This had led to significant improvements in people’s physical health, wellbeing and independence, including outcomes beyond those originally anticipated by clinicians. Staff supported people to live healthier lives through positive risk‑taking, meaningful activity and advocacy.
People were supported safely, and a strong learning culture was embedded across the service. Staff understood safeguarding processes and knew how to recognise and report concerns. Incidents and accidents were reviewed to identify learning, and lessons were shared to reduce the risk of recurrence. Medicines were managed safely, the environment was clean and well maintained.
People's experience of this service
People and their relatives were consistently positive about their experience of living at Bradbury House. Feedback showed that people felt safe, well cared for and supported by staff who knew them well and understood their individual needs. People described feeling comfortable and relaxed in the home and told us staff were kind, respectful and responsive when they needed support. We observed positive, warm interactions between staff and people, with care delivered in an unhurried and compassionate way.
Where people living at the service were unable to verbally share their experiences we used observation and information from relatives and records to understand their experience of care. We also used a structured observation tool to assess whether they received good care. This approach showed people were included and listened to, and staff worked with people in a sensitive, caring and considerate manner. Staff understood people’s communication needs and used a range of approaches, including communication aids and involving relatives or professionals where needed. People were comfortable, engaged and supported in a way that respected their dignity and individual needs. People were supported to be involved in decisions about their care as much as possible. Overall, people experienced care that was person‑centred, inclusive and responsive, with strong involvement from relatives and a clear focus on wellbeing and quality of life.
People told us they felt safe living at the service. Relatives shared strong confidence in staff’s ability to keep people safe and manage risks associated with complex physical health needs. One relative told us, “I feel content in the knowledge they are well cared for at all times.” Where concerns had been raised, relatives told us these were taken seriously and addressed promptly, with clear learning and improvements made. This reassured people and their families that staff listened and acted when things went wrong.
People enjoyed a good quality of life at Bradbury House. Relatives told us the environment was clean, welcoming and well maintained, and that people were supported to look well and feel comfortable. People had access to a wide range of meaningful activities, both in groups and on a one‑to‑one basis, based on their interests and abilities. Relatives were very positive about the activities on offer and the opportunities for people to socialise, including events that involved family and friends. Relatives described how staff promoted independence and dignity, even when people’s needs were complex or changing. A relative said, “The service meets [person’s name] needs very well. They support and encourage [person’s name] to be as independent as they can be.”
People were positive about the support they received from staff and felt they met their needs. Relatives consistently described staff as caring, skilled and attentive, with good knowledge of people’s health conditions and preferences. Staff were responsive to changes in people’s needs and worked closely with healthcare professionals to ensure people received timely and appropriate care. This approach had led to improved outcomes for some people, including improvements in physical health and emotional wellbeing.