Bradbury House - Care Home with Nursing Physical Disabilities

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

This service scored 83 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Staff made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Care records showed assessments were updated when people’s needs changed. Staff were able to describe people’s needs and how care was adapted. A staff member said, “At Bradbury House people are involved in developing their care plans as it is their decision on how they want to be cared for. When care plans are developed or updated the person is always communicated with.” Relatives told us they felt their family members’ needs had been carefully considered and continued to be met as things changed. One relative said, “All their needs have been met, a few issues have arisen over the years but always resolved, the staff are very caring and dedicated.”

Staff demonstrated an exceptional commitment to best practice, routinely delivering care and treatment informed by robust evidence, professional guidance and innovative use of technology, resulting in extremely positive outcomes for people. Staff and external professionals described a strong culture of professionalism, learning and collaboration which meant people received effective, person‑centred care. The culture and ‘can do’ attitude of staff had led to people significantly improving their physical health outcomes and being able to lead a more independent lifestyles than the clinician’s original prognosis. For example, people had moved to the service who the clinical team felt would always need complete support with all aspects of their care. Staff had closely worked with the multidisciplinary team, followed all the current guidance on rehabilitation and supported people to be regain their independence. A relative said, “[Manager’s name] manages the home with excellency which shows with how safe and happy my loved ones feel living there, and I feel content in the knowledge they are well cared for at all times.

Professional feedback found staff consistently ensured they followed current best practices in all aspects of the care and support being delivered. A visiting professional said, “Staff practices have always led to people experiencing really positive outcomes.” A staff member said, “I feel very privileged to be part of Bradbury House team. We strive to ensure the people we support receive the care and support they need to live a life they choose. The health and wellbeing of the people we support is paramount. We have gone through a lot of changes over the years but the sheer determination the loyalty and professionalism the staff show is exceptional, we have embraced it to ensure the people we support get the high standard of care the deserve.”

Staff worked well across teams and services to support people. Staff worked alongside GPs, therapists and specialist services to meet people’s complex needs. Information was shared appropriately to support continuity of care and decision‑making. Multidisciplinary involvement supported positive outcomes, including improved independence and effective discharge planning. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. Staff, teams and services collaborated effectively to meet people’s needs. Feedback from staff highlighted a strong team culture and approachable management. A staff member said, “I love working at Bradbury house and being part of this fantastic team whose main priority is always the people we support. The care given is second to none and I am proud to be a part of that.”

Staff were exceptional in supporting people to live healthier lives, proactively promoting good nutrition and hydration, and preventing avoidable deterioration. Staff worked effectively with external healthcare professionals to achieve significant clinical outcomes. Evidence showed strong multidisciplinary working with specialist teams, enabling a person with complex health needs to make substantial progress in their recovery, including improvements in consciousness and respiratory function, leading to progression to a rehabilitation setting. This demonstrated clear outcome-focused care and effective information sharing. People and relatives told us their health and quality of life had improved since moving to Bradbury House.

Staff also provided a wide range of meaningful activities that significantly enhanced people’s physical, emotional and social wellbeing. People were supported to access a wide range of individualised and group activities, both within the service and in the community. The activities coordinator was described as always finding new and interesting things for people to join in. Activities were co-produced with people and included social events, community outings, and family involvement, promoting social inclusion and wellbeing. Families felt communication was strong. Relatives said staff and managers were approachable, kept them informed about any changes, and always contacted them promptly.One relative told us, “Its very well run by the manager and deputy manager who seem to be on the ball. If you need to go and discuss anything it’s done immediately. The nursing staff are brilliant and I was put at ease if we have any concerns.”

Staff monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of people themselves. The management team had developed a strong learning culture where accidents and incidents were systematically used to drive and evidence continuous improvement. Relatives and professionals consistently reported positive outcomes for people, including feeling safe, settled, and well supported.

Staff told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff had received additional training on the Mental Capacity Act 2005. We observed staff seeking consent during care interactions, and people told us their preferences were respected. Staff described involving families in best-interest decisions. People told us they felt respected and involved in decisions about their care. A staff member said, “People are involved with care plans through communication, discussion and decision making asking them what is important to them and how they would like things done for them, best interests are carried out for those who lacked capacity and unable to communicate along with information from professionals and family.”