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Bradbury Outreach Services

Overall: Good read more about inspection ratings

The Coach House West Lane, East Lydford, Somerton, TA11 7DR 07387 269716

Provided and run by:
Bradbury Outreach Services Ltd

Important: This service was previously registered at a different address - see old profile

All Inspections

During an assessment under our new approach

Date of assessment 11 February 2026 to 26 February 2026. Bradbury Outreach Services is a domiciliary care service providing personal care to people with a learning disability and autistic people living in their own homes. Not everyone who used the service received the regulated activity personal care. CQC only inspects where people receive personal care. Where they do, we also consider any wider social care provided. At the time of the assessment, 3 people were receiving the regulated activity personal care.

We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

We carried out this assessment in response to the age of the rating. At our last assessment we rated the service good. At this assessment the rating has remained good.

People were supported safely. Staff understood their safeguarding responsibilities and were confident in reporting concerns. There were very few incidents because staff knew people well and what triggered their anxieties. When needed they provided calm and skilled de-escalation. Risk management was personalised and reflected people’s preferences, communication needs and the structured routines that helped them feel secure. Staff worked well with professionals where appropriate and maintained strong relationships with families, who remained closely involved in planning their family members care. Medicines were managed safely.

There were some gaps in staff training and staff recruitment records. The manager told us they were addressing this during the assessment.

Staff understood people’s individual communication styles and preferences, including non-verbal communication, signs, gestures and the use of visual prompts.

The culture within the service was positive. Staff morale was high and staff told us they felt valued, well supported and confident to raise concerns or seek advice. Managers were approachable, compassionate and knowledgeable about the people they supported. Staff consistently reported that leaders were responsive, available and maintained strong oversight of day-to-day care. There were examples of learning being shared across the team through daily logs, supervision and the service’s communication systems.

The providers governance and oversight systems had not identified some of the concerns we found. The manager acknowledged the gaps we found and had already begun strengthening oversight. A consolidated action plan was in place, informed by feedback from local authorities and an external consultant, and we saw evidence of progress. Staff training gaps had been identified and work was underway to ensure this was completed. Progress was also evident in record keeping, and managers were meeting regularly to monitor improvement actions. The manager was in the process of applying to be the registered manager. They were being supported by the previous registered manager in the interim.

5 December 2019

During a routine inspection

Bradbury outreach is a service providing personal care and support to people with a learning disability. Support is a mixture of regular, planned hours and respite care.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. At the time of our inspection three people received support with personal care.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

People received a good service provided by staff who were kind, caring and committed. Families told us they were happy with the support and that communication was good. People were supported to take part in a range of activities of their choice. One person told us how they liked to go to cafes with their support worker. We also heard about various activities at a local farm that people were supported to take part in.

People were safe. The service did face some challenges with recruitment and staffing and there were occasions when families reported that unplanned absence of staff had not been covered. However, in the main there were sufficient staff to cover the needs of the care packages. Disclosure and Barring Service (DBS) checks were carried out on newly recruited staff before they began working for the agency. For one person we noted that the provider’s recruitment policy of having two references in place prior to commencing work had not been adhered to. This was discussed with the registered manager.

Arrangements were in place for the safe administration of medicines. There was good communication in place between families and staff to ensure medicines were safely managed.

Staff were well supported in their training and supervision and felt comfortable raising any issues with senior staff. Training covered a range of subjects relevant to the needs of people using the service. Staff told us they were happy and proud to work for the service.

Care was person centred and took account of individual needs and preferences. Care plans reflected this. Staff worked with people consistently and got to know them well. We saw how staff understood people’s communication needs, for example by using Makaton signs. There was a procedure in place to manage complaints. There had been no formal complaints in the last 12 months relating to the regulated activity of personal care.

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.

The service was well led. The service was person centred in nature and built around people’s individual needs. There was a clear management structure in place and senior staff had delegated responsibilities to support the registered manager in their role. There were systems in place to check the quality of the service provided.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

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 30 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bradbury Outreach on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

12 May 2017

During a routine inspection

We undertook an inspection on 12 and 16 May 2017. The inspection was announced, which meant the provider knew we would be visiting. This is because we wanted to make sure the provider, or someone who could act on their behalf, would be available to support the inspection.

Bradbury Outreach Services provides personal care and support to people with learning disabilities who live in their own homes in Somerset and North East Somerset. At the time of our inspection the service was providing personal care and support to two people.

A registered manager was in post at the time of inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are “registered persons”. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The provider operated safe recruitment procedures and ensured all pre-employment requirements were completed. Staff had received appropriate training to identify and respond to suspected abuse.

People received effective support from staff that had the skills and knowledge to meet their needs. The provider ensured that new staff completed an induction training programme which prepared them for their role.

People’s rights were upheld in line with the Mental Capacity Act (MCA) 2005. This is a legal framework to protect people who are unable to make certain decisions themselves.

Records showed that staff liaised with other healthcare professionals when it was appropriate to do so. This helped to ensure there was good communication and sharing of information about the person’s care needs.

Before people commenced a care package with the service, a full assessment of their needs was undertaken with the individual and other interested parties. This included gathering full information about the person’s care needs and their views on the kind of support they wished to receive.

People and their representatives spoke positively about the staff and told us they were caring.

People were given the opportunity to feedback their experience of the service through care planning reviews and surveys.

There were systems in place to monitor the quality of the service provided by the service. There were quality audits in place reviewing the individual support plans, mental capacity assessments, supervision, training, feedback from individuals and staff rotas. Where improvements could be made action plans were implemented.