Bradbury Wing - Care Home with Nursing Physical Disabilities

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm.

At our last assessment we rated this key question good. At this assessmentthe rating has remained good. This meant people were safe and protected from avoidable harm.

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 had a proactive and positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice.

Staff reported incidents and risks through established systems, and managers reviewed these to identify learning and improve practice. Staff reflected on safety risks and raised concerns when they felt tasks were outside their competence. This included concerns about visiting physiotherapist’s expectations that staff carry out exercises following limited training. One staff member said, “I find it very unsafe to do the exercise by ourselves.”Staff demonstrated awareness of safety responsibilities and raised concerns appropriately. However, staff also described pressures linked to increased documentation, which could reduce time available for direct care.

The provider worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care, including when people moved between different services.

People’s needs were assessed prior to moving to the home to ensure that the service could meet their individual care and support needs in a safe and dignified manner. The provider used care plans, risk assessments and regular reviews to support safe care delivery. Staff followed these processes and updated records when people’s needs changed.

Staff communicated effectively through handovers and meetings, which supported continuity of care and helped ensure people received consistent support.

The provider worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. Staff concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The provider shared concerns quickly and appropriately.

People living atBradley Wing had the correct and valid paperwork in place to protect and support them from the risk of harm. Staff had received appropriate training to confidently support them to identify and report any safeguarding concerns and ensure the people in their care remained safe. One staff member said, “I’d report any concerns to [registered manager] or to an outside agency.”

Staff described a clear culture where safeguarding was prioritised, and people were protected from harm. They followed policies and procedures and worked with external agencies when required.

The provider worked with people to understand and manage risks by thinking holistically. Staff provided care to meet people’s needs that was safe,supportive and enabled people to do the things that mattered to them.

Staff knew people well and monitored changes in their needs. Relatives said they were included in reviews and decision‑making. Staff balanced safety with independence and respected people’s rights.

While staff identified workload pressures, they continued to prioritise managing risks and supporting people safely.

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care.

The environment was safe,cleanand well maintained. Staff followed safety procedures, including fire drills and emergency routines. Equipment was serviced and used safely by trained staff. Visual aids supported people to move around independently. Some staff noted that certain areas or equipment could be updated, but everything remained safe for use.

The provider made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs.

Staffing levels were generally sufficient to meet people’s needs. A stable,long‑standing team supported consistent care. Recruitment checks were completed, and new staff received appropriate training. Staff worked together to manage busy periods, although they noted occasional pressure when agency staff were unfamiliar with people. Despite this, care remained safe.

The provider assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly.

Staff followed effective infection control procedures. Staff received IPC training and understood their responsibilities.The home was clean and odour‑free, with regular cleaning schedules and audits. Staff used PPE appropriately and maintained good hygiene practices. Staff received IPC training and understood their responsibilities.

The provider made sure that medicines and treatments were safe and met people’s needs,capacitiesand preferences. Staff involved people in planning, including when changes happened.

People’s medicines were managed safely. The service had an effective electronic medicines administration system in place which highlighted any anomalies. The electronic system made closer scrutiny of medicines administration simpler and meant fewer errors.

People told us that they received their medicines on time. Care plans were in place for medicines. There wereappropriate instructionsfor giving medicines, including, via a percutaneous endoscopic gastrostomy feeding system (PEG), or medicines for the control of diabetic conditions.

Staff received initial training, and regular competency checks of their practice to ensure they were safe and confident. The provider’s policiesregardingmedicines were up to date and in line with good practice.  Weobservedstaff administering medicines in a safe and person-centred way. 

The clinical room was clean and tidy, and the temperatures weremonitored.Medicines were stored securely, and controlled drugs were managed appropriately,althoughthereturnedprescriptionmedication process would benefit being checked upon collection from the pharmacy.