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Bradbury Grange Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 4 February 2020

About the service

Bradbury Grange is a residential care home providing personal care to older people and people living with dementia. At the time of the inspection, 44 people were living at the service. Accommodation is spread over two floors in a large detached property. On each floor there was a large communal lounge and dining room where people could choose to spend their time. The service can support up to 50 people.

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

Fire safety risks had not always been assessed and well managed. Emergency exits in each area of the service had been blocked by items stored in stairwells and through chairs restricting access to the fire escapes. This would hinder evacuation using emergency evacuation equipment if there was a fire. Some hand rails around the service had been damaged which created sharp edges and splintered wood, which put people at risk of harm. Risks to people's individual health and wellbeing had not always been assessed which put them at risk of infection and harm.

The service worked closely with healthcare professionals to ensure people's health needs were met. However, we found one instance where the service and healthcare professionals had not worked together and communicated in an effective manner which led to one person not having their catheter changed as they should have done. This increased the risks of infection. We made a recommendation about this.

There were systems in place to check the quality of the service. However, these systems were not always robust, they had not identified the concerns we raised in relation to management of risk, fire safety and ensuring joined up and consistent support to meet catheter care needs.

People had received their medicines as prescribed and these medicines were available to them in a timely manner. Staff demonstrated a good understanding of medicines and the needs of the people at the service.

There was enough staff to keep people safe. The manager was able to deploy more staff as and when people's needs changed. Staffing was arranged flexibly. Staff were recruited safely.

Prior to people moving in to the service their needs were assessed. These assessments were used to develop the person’s support plans and make the decisions about the staffing hours and skills needed to support the person. People were reassessed as their needs changed to ensure the care they received met their needs. Some people had been involved in planning and discussions about their wishes and preferences in relation to their end of life care.

People felt safe living at Bradbury Grange. Staff had the knowledge and training to protect people from abuse and avoidable harm. Staff had received training to enable them to meet people's specific health needs. People had choice over their care and support and their choice and privacy was respected by staff. People told us staff were kind and caring. Comments from people and their relatives included, “I am absolutely safe”; “I feel safe because of the surroundings, the staff and my room” and “I can recommend it here, it is very friendly and sociable.”

People were supported to have maximum choice and control of their lives and staff them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People had access to a range of different activities throughout the week. People told us that they took part in these and that they were enjoyable.

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 21 December 2018) and there were two breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection the provider had met both breaches of regulations. However, the service remains rated requires im

Inspection areas

Safe

Requires improvement

Updated 4 February 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 4 February 2020

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 4 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 4 February 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 4 February 2020

The service was not always well-led.

Details are in our well-Led findings below.