25 July 2023
During an inspection looking at part of 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.