Bradbury Lodge

Updated 6 December 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection took place on the 31 October 2018 and 1 November 2018 and was unannounced.

The inspection team consisted of one inspector. Prior to the inspection we reviewed information held on the service, including notifications sent to us by the provider. Notifications are information about specific important events the service is legally required to send to us. We reviewed the Provider Information Return (PIR) completed by the Registered manager. The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with the three people currently using the service at Bradbury Lodge. We spoke with two support workers and one senior support worker. We spoke with the registered manager of the service. 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.

We also spoke with an advocate who visited during our inspection. An advocate provides independent help and support with understanding issues and putting forward a person’s own views, feelings and ideas.

We observed a handover meeting and various aspects of care being delivered throughout the day. We reviewed two care files, two health files, one staff file, and other in-house records such as annual quality audits which contained feedback from families, the complaints file, health and safety records, accidents and incidents which included records of restraint, medicine records, weekly audits, and staff training records.

Updated 6 December 2018

Bradbury Lodge is an assessment and transition service for up to a maximum of six adults with learning disabilities and complex behaviour. The home is situated next door to the local cottage hospital and in walking distance of local amenities. Bradbury Lodge meets the values expressed in Registering the Right Support (CQC policy). At the time of inspection there were three people using the service.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People were protected from abuse by staff that understood how to recognise and respond to concerns. People had risk assessments in place regarding their own safety and assessments were made of the environment. People were supported by sufficient staff. People received their medicine on time by staff deemed competent to administer. People lived in a clean home and improvements to the building were being made. Accidents and incidents were reviewed by both the manager and the provider's positive behaviour team.

Peoples care needs were assessed and reviewed. Staff received training relevant to their role and received additional training as and when someone presented with additional needs. People stated that they liked the food and the home supported a healthy diet. Staff reported they worked well together. People had access to health professionals. The building is currently being adapted due to the needs of the current group.

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

People were treated with kindness. People were asked their views on the service. People’s privacy was respected

People received care that was personalised. People had access to a complaints procedure and staff understood the complaints process. The service does not deliver end of life care

The provider has a clear vision for the service. People's care was audited alongside other aspects in the home, People had access to advocacy services. The provider reviewed its systems and processes and worked with other agencies, adopting local best practice when relevant.

Further information is in the detailed findings below