Bradley Hall

Updated 17 October 2023

The inspection

This was a targeted inspection to check on concerns we had about diabetic care and medicines.

Inspection team

The inspection was completed by 1 inspector.

Service and service type

Bradley Hall is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Bradley Hall is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. The previous registered manager had recently left the service, and the home manager had been appointed to become the new registered manager. They were in the process of completing their application to become the registered manager during our inspection.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 4 people living at the service and 3 relatives, to gain feedback on their experiences of using the service. We spoke with 8 staff including the home manager, care staff and senior staff. We reviewed a selection of records for 8 people including risk assessments, care plans and medicine records.

Updated 17 October 2023

About the service

Bradley Hall is a residential care home providing accommodation for people who require personal care to up to 60 people. The service is purpose built, with facilities being provided over three floors, each floor providing communal facilities, adaptive bathrooms and bedrooms with full en-suite facilities. The service provides support to older people, some of whom are living with dementia. At the time of our inspection there were 47 people using the service.

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

People’s safety was underpinned by the provider’s policies and processes. Action was undertaken to promote people’s safety which included responding to people’s feedback where they had expressed concerns regarding their safety in relation to other people living at Bradley Hall. Potential risks to people were assessed and measures put in place to reduce these. Lessons were learnt and improvements made through the analysis and reporting of accidents and incidents. People were supported by sufficient staff who had undergone a robust recruitment process and had undertaken training in topics to promote their safety. Medicine systems were managed safely. People lived in an environment which was well maintained and clean, with safe infection and prevention measures.

People’s health and wellbeing needs were assessed, and their health and welfare monitored by staff. Staff liaised effectively with health care professionals to achieve good outcomes for people. Staff had the knowledge and experience to meet people’s needs. People’s dietary needs were met assisted by staff’s commitment to create a positive dining experience for people and having access to snacks and drinks throughout the day. The environment was well-maintained and included facilities for people to relax and take part in activities.

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.

People were involved in key decisions about their day to day lives. Staff provided support and care in a kind and compassionate way, ensuring people’s privacy and dignity was maintained. Relatives were involved in key decisions and were kept informed about their relative’s health and wellbeing.

People’s needs were recorded in personalised care plans, considering all aspects of their care. The registered manager, activity co-ordinators and staff were committed to creating opportunities for people to take part in a wide range of activities. Staff were proactive and creative in encouraging community involvement to avoid social isolation. People and their relatives were aware of how to raise concerns, and in the main felt their concerns were addressed.

People and their relatives were in the main complimentary about the service they received. Staff told us they were supported by the management team and spoke of the opportunities available to them through ongoing training and development, including career progression. The provider had systems in place to monitor and improve the quality of the service provided, which included good communication and recognising and celebrating achievement across the organisation. There was a proactive approach to establishing links within the local community to enhance the quality of life and experiences of people.

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 7 August 2018). At the time of the previous inspection the service was known as Beaumont Hall. The location changed its name to Bradley Hall in April 2022.

Why we inspected

The inspection was prompted in part due to concerns being raised in relation to the management of the home and insufficient staffing numbers having an impact on the safety and quality of care people experienced.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.