Bradbury Manor

Updated 6 December 2019

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 Care Act 2014.

Inspection team

The inspection was completed by one inspector.

Service and service type

Bradbury Manor is a ‘care home’, that provides a short break service for people. People in care homes receive accommodation and nursing or personal care as 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 had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. 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. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with four people who used the service about their experience of the care provided and three relatives. We spoke with seven members of staff including the registered manager, head of service and five support workers.

We reviewed a range of records. This included six people’s care records and multiple medicine records. We looked at three staff files in relation to recruitment and an overview of training and supervision for all staff. A variety of records relating to the management of the service were reviewed.

Updated 6 December 2019

About the service

Bradbury Manor is a residential care home providing accommodation and personal care for up to 11 people with learning disabilities. The registered manager reported at the time of the inspection they were only using a maximum of nine bedrooms. The service is set up to provide a short break for people and was not people’s permanent home. There were 44 people who regularly used the service and at the time of the inspection five people were on a short break.

Although this was not people’s permanent home, the service had still been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them. The service supported people to develop their skills and be as independent at possible. People were supported to continue accessing community services and events during their stay.

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

People were happy with the support they received when they stayed at Bradbury Manor and said they felt safe. Staff knew what to do to keep people safe and were confident any concerns would be taken seriously.

Risks to people’s well-being and safety were assessed, recorded and kept up to date. Staff supported people to manage these risks effectively. People received support to take their medicines safely.

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 supported to develop care plans that were specific to them. These plans were reviewed with people each time they stayed at the service, to ensure they were up to date. The plans contained clear information about people communication needs. Staff had worked with people to ensure information was accessible for them and they used the communication methods people preferred.

Staff respected people’s privacy and dignity.

People were supported to maintain good diet and access the health services they needed.

The registered manager provided good support for staff to be able to do their job effectively.

The provider’s quality assurance processes were effective and resulted in improvements to the service.

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 2 November 2018) and there were breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

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.