Bradbury Wing - 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 promoteda good qualityof life, based on best available evidence.

At our last assessment we rated this key question outstanding. At this assessment the rating has changed to 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,well being and communication needs with them.

Assessments involved families and professionals, and staff monitored changes closely. A professional praised the team’s vigilance, saying one staff member “has an excellent eye for detail… able to pinpoint changes early.” This demonstrated strong clinical awareness and effective monitoring of people’s needs. Care plans were detailed, person‑centred and updated when needs changed, ensuring people received the right support at the right time.

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.

Care plans included clear guidance on communication, preferences, and managing distress. Staff supported people to make choices and participate in daily activities. They followed professional advice and sought additional guidance when needed. Training supported staff to deliver effective, person‑centredcare.

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 worked effectively with each other and with external professionals to support people’s health and wellbeing. They shared information through handovers, meetings and digital records, ensuring people only needed to tell their story once. Staff valued multidisciplinary working and sought advice when needed. One staff member described communication as “very well and nice,” reflecting the strong teamwork and collaborative approach across the service.

Professionals also reported positive partnership working, noting that staff asked questions and sought guidance to improve care. Communication across teams was strong, with regular handovers and updates. On staff member said, “The communication here is good, and I’ve worked in other places so have seen when there is poor communication.”

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 encouraged independence, supported people to make healthy choices, and monitored changes in health. Staff followed guidance from dietitians, speech and language therapists and other professionals. People were supported to access healthcare services promptly. One relative said, “When [person] came here, he couldn’t feed himself but now he can and that makes me know he is in the right place.”

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 used care plans and risk assessments to track changes and acted quickly when people’s needs shifted. Staff worked with external professionals to adjust care plans and ensure people continued to receive effective support. The move to digital records aimed to strengthen oversight and highlight when reviews were due. Staff understood the importance of monitoring outcomes and used learning from incidents to improve practice.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Staff understood the principles of the Mental Capacity Act and supported people to make decisions where possible. When people lacked capacity, decisions were made in their best interests. Care plans contained mental capacity assessments and, where necessary best interest decisions. These documents contained the various options available which had been considered before deciding on an outcome.

AppropriateDeprivationof LibertySafeguards(DoLS)applications were in place. Staff respected people’s rights and used the least restrictive options.