Background to this inspection
Updated
20 May 2022
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
Two Inspectors, and an Expert by Experience carried out the inspection. 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 or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service did not have a manager registered with the Care Quality Commission. However, a manager had been recruited and they were intending to register with the Care Quality Commission. A registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before inspection
Before the inspection we discussed the service with the safeguarding team and received feedback from another health and social care professional. We reviewed all information available to us, including information of concern, notifications and the PIR. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make.
During the inspection
We made observations of people and how they expressed themselves through their facial expressions and body language. We spoke informally with two people, though didn’t ask specific questions about their experiences. We spoke with six members of staff and the manager. We reviewed a range of records. This included four people’s care records and medication records. We looked at a variety of records relating to the management of the service, including policies and procedures.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We spoke to five relatives.
Updated
20 May 2022
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.
About the service
Bradbury House is a residential care home providing personal care to nine people at the time of the inspection. The service can support up to 12 people.
People’s experience of using this service and what we found
Right Support
The service supported people to be independent and they had control over their own lives. One person for example was working with staff to gain independence in going to local shops on their own.
People were supported by staff to pursue their interests. We saw one person independently go to the office to request money to buy magazines they enjoyed looking at. At the time of our inspection, people had also had opportunity to buy Mother’s Day gifts.
Staff enabled people to access specialist health and social care support in the community. Support was given to people to attend appointments. People had hospital passports in place to summarise important information about their health needs, should they ever require a stay in hospital.
Right Care
Staff promoted equality and diversity in their support for people. They understood people’s cultural needs and provided culturally appropriate care.
People received kind and compassionate care. Staff protected and respected people’s privacy and dignity. They understood and responded to their individual needs. We observed that people appeared content and settled in the presence of staff. Feedback from families was positive about how staff supported people.
People’s care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life.
Right Culture
People received good quality care, support and treatment because trained staff and specialists could meet their needs and wishes.
Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing.
Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Why we inspected
We undertook this inspection to assess that the service is applying the principles of Right support right care right culture. The inspection was prompted in part due to concerns received about staffing levels and the culture of the service. 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 until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.