Bradbury House

Updated 30 September 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 3 inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Bradbury House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Bradbury House is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post, however the manager had submitted an application to become registered with the CQC.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 10 people and 3 family members about their experience of the care provided. We spoke with 9 staff members including the nominated individual, manager, deputy manager, nurses care staff and activities staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with one visiting healthcare professional.

We reviewed a range of records relating to people's care and support. This included five people's care records and multiple medication records. A variety of records relating to the management of the service were also reviewed.

Updated 30 September 2023

About the service

Bradbury House is a nursing home providing personal and nursing care to 47 people at the time of the inspection. The service provides support to people with physical disabilities, older people and people living with dementia. The service also supported autistic people and people with a learning disability. The service can support up to 50 people in one adapted building.

People’s experience of using this service and what we found

People and their relatives feedback about Bradbury House was mostly positive. However, we identified shortfalls relating to care planning, documentation, checks, audits and feedback from people about staffing. Although there were sufficient numbers of staff in line with the providers dependency tool, the allocation of staff did not always meet people’s needs. There was a new series of audits being completed, however they were not sufficiently embedded to provide assurances that they were identifying issues.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support: Guidance in place to inform staff how best to support people was not always detailed, however, staff we spoke with knew people well and were aware of risks to them. Staff had good knowledge of healthcare conditions and how they may affect people, for example, for people living with diabetes or people who could become distressed.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Right Care: People experienced person-centred care, which promoted their dignity and privacy. Most people told us the care they received was good, but some told us staff were sometimes rushed.

Right Culture: We observed a positive culture, where staff knew people well, and adapted the support they gave to people depending on each person’s preferences. People were supported to maintain contact with their families and be involved in activities in line with their interests. The staff showed kindness and compassion and the management team demonstrated a desire to improve the service.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 30 May 2022. The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made to the previous breach of regulations, however new breaches of regulations were identified.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can see what action we have asked the provider to take at the end of this full report.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.