Bradbury Wing - Care Home with Nursing Physical Disabilities

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the provider met people’s needs.

At our last assessment we rated this key question outstanding. At this assessment the rating has changed to good. This meant people’s needs were met through good organisation and delivery.

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 were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs.

Care was person‑centred and reflected people’s needs, preferences and goals. Staff supported people to engage in meaningful activities and maintain relationships. Care plans were detailed and regularly updated. People and their families have access to the home’s adapted transport so they can access places that are of personal interest without the need for a large group outing. A relative told us,“Having the minibus is so important to us as it means we can do things as a family outside of the home, and that for us is personal and special time together.”

The provider understood the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity.

People had accessto health services to ensure and maintain good health and continuity of care. Care plans evidenced in-put from health professionals, such as GPS and Speech and LanguageTherapy (SALT) team.

Staff ensured continuity of care through communication and teamwork. Staff worked with external professionals, although some gaps were identified in physiotherapy and chiropody services.

The provider supplied appropriate, accurateand up-to-date information in formats that were tailored to individual needs.

There was a visual board with photographs and names of care staff for people and relatives to view. Care plans included information about communication styles for each person.The service communicated clearly with people, relatives and professionals. Relatives said they could talk easily with staff and were told about any changes in care.

Staff used handovers,meetings and digital updates to share information internally, ensuring consistency across shifts. They adapted communication for people with limited verbal communication, using gestures,observation and personalised approaches. Staff said management provided regular updates through flash meetings and notices, helping them stay informed about service developments.

The provider made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. Staff involved people in decisions about their care and told them what had changed as a result.

Staff and managers listened to concerns and acted on them. Relatives said they felt comfortable raising issues and that staff responded promptly. Staff also felt able to raise concerns or suggestions for improvementand said management listened and valued the staff input.

The provider made sure that people could access the care, support and treatment they needed when they needed it.

People had equal access to care, activities and community opportunities. Staff supported everyone to participate in daily routines and social events, adapting support to individual needs. Relatives said staff treated people fairly and respectfully. Staff ensured people with communication difficulties were included in decisions and had the same opportunities as others to engage in meaningful activities. They worked with professionals to remove barriers to access, such as supporting people with mobility needs or sensory preferences.

Staff and leaders actively listened to information about people who are most likely to experience inequality in experience or outcomes and tailored their care, supportand treatment in response to this.

People experienced consistent, person‑centred care regardless of their needs or background. Staff understood each person’s preferences and delivered care that respected their individuality. Relatives described the service as caring and inclusive. Staff monitored outcomes and adjusted support to ensure people continued to benefit from care. They recognised when external services, such as physiotherapy or chiropody, were inconsistent and raised concerns to protect people’s wellbeing.

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life.

Staff supported people to plan for future needs, including transitions to services closer to family links where appropriate. Professionals told us the service had successfully supported several people to move into alternative accommodation, ensuring a safe andwell‑managed transition. Staff involved people and relatives in planning and reviewed goals regularly. They worked with external professionals to ensure future plans were realistic, person‑centred and aligned with people’s aspirations.