Background to this inspection
Updated
29 February 2024
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.
Inspection team
The inspection team consisted of 3 inspectors and 2 Expert by Experiences. 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
Bradeney House Nursing and care home 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. Bradeney 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.
This service is also domiciliary care agency. This is to enable them to provide personal care to people living in their own houses on the same estate as the care home. At the time of inspection this service was not required.
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 a registered manager in post.
Notice of inspection
The inspection was unannounced
What we did before the inspection
Prior to this inspection we reviewed the intelligence we held on this 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 contacted the local authority, professionals who work with the service and Healthwatch for feedback. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.
During the inspection
During the inspection we spoke with 10 people and 14 relatives. We looked at 11 care plans and medicine records for numerous people. We looked at 4 staff recruitment files and spoke with 14 staff members including the registered manager, deputy manager, nursing staff, care assistants and ancillary staff. We also spoke with the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We looked at a range of records used in the management of the service, including training records and health and safety records.
Updated
29 February 2024
About the service
Bradeney House is a large nursing home providing personal and nursing care to up to 101 people. The service primarily provides support to older people and those living with dementia. The service can also support younger adults with physical disabilities. At the time of our inspection there were 96 people using the service. This included people with learning disabilities whose primary need was nursing care.
The home is divided into smaller units and the majority of people have an en-suite bedroom. People have access to communal lounges and outside space. Two of the units offered same sex accommodation.
The service is also registered to provide domiciliary support however, no one was accessing that service at the time of our inspection.
People’s experience of the service and what we found
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
Right Support
People received the correct support however, the provider’s electronic care plan system required reviewing to ensure there was accurate record keeping and to ensure staff had access to essential information especially for people on short term placements.
People were supported by sufficient numbers of/suitable staff however, further monitoring of call bell response times was required. People did not always feel their feedback was sought around mealtime experiences.
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 had care plans in place however, the provider was in the process of reviewing these to ensure they contained specific information in relation to certain health conditions .
The home was kept clean and areas in need of attention were scheduled for refurbishment work which had already commenced.
People’s end of life wishes had been considered.
Right Culture
The service had an open culture where concerns were discussed and investigated. People’s communication needs were understood, and people’s relatives had access to a family liaison worker who could assist them in raising any concerns.
People were able to receive visitors throughout the day.
Lessons were learnt when things went wrong although we did discuss the need to ensure there was effective recording of any outcomes.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good published 2 April 2019.
Why we inspected
The inspection was prompted in part due to concerns received about staffing levels and the management of complaints. A decision was made for us to inspect and examine those risks.
Follow Up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.