Bradbury House

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this newly registered service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

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 made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. The deputy manager told us how they carried out pre assessments before people came to the home. They told us how they visited people in their own homes or hospital to gather information and get to know people. The deputy manager told us, when people arrive at the home, they are greeted with the same person who carried out the pre assessment. We observed a new person arriving at the home and staff greeted them and spent time with them and their family gathering information such as their preferences and background history. Relatives told us, "We have had meetings to discuss the care plan." Another relative told us, “We are happy with the care home."

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. People’s weights were monitored and recorded on the electronic care system. People’s likes and dislikes around food were in people’s care plans. Care plans contained guidelines from professionals around people’s food and fluid intake and we saw these were followed. Drinks, snacks and sweets were offered throughout the day to ensure people have adequate intake of food and drink. The kitchen staff were knowledgeable about people’s dietary requirements. The chef told us, how they carry out surveys with people, to gather their preferences and gauge what they like and build the menus around this.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. Staff were observed working well together and supporting each other when needed. We saw referrals to community healthcare professionals within people’s care plans. Relatives told us, since the change in the provider, "Their big asset is the staff who have stayed on." Staff told us they felt privileged to work at Bradbury and enjoy the fast pace and the teamworking. Staff also told us, "Proud of the team we have, can’t do without a good team with you." Another staff member told us, "The other team members are supportive."

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. There were regular GP rounds at the home. The home worked alongside community healthcare professionals to ensure people had the right support when they needed. The deputy manager gave an example of how they worked with people and relatives to monitor people’s weight and how they had a meeting to manage someone’s nutritional needs, then the chef would monitor and count calories. The daily handover contained information such as people’s dietary requirements and support they need. The chef told us how they read people’s care plans to know their dietary needs as well as speaking to people. They told us how they ensured people have a well-balanced diet with a variety of vegetables.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. People had regular weights and diets were altered to meet people’s specific heath needs. For example, one person had involvement with the Speech and Language Team (SaLT) and the dietician due to them losing weight. The home had implemented calorie shots into their diet, this had supported them to gain weight. People had pressure areas monitored, and referrals made where necessary. We saw people had turn charts in their care plans and people had pressure equipment in place where needed.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the MCA. In care homes, and some hospitals, this is usually through MCA application procedures called the Deprivation of Liberty Safeguards (DoLS). DOLs had been applied for and was monitored to ensure they remained relevant for individuals. There was a DoLS tracker in place and MCA assessments had taken place. Staff had specific training in MCA and DoLS. Information around the MCA and consent was displayed around the home. People’s care plans contained information around specific decisions. For example, one person liked to go for a walk outside but needed support to keep them safe, this decision had been recorded in their care plan.