Bange Nursing Homes Limited t/a Bradley House Nursing Home

Updated 9 March 2023

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

The inspection was completed by 1 inspector and an Expert by Experience. 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

Bradley House 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 House is a care home with 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 a registered manager in post. The registered manager is also the nominated individual for Bradley House. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority commissioning team. 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 who used the service and 6 relatives about their experience of the care provided at Bradley House. We spoke with 10 members of staff including the registered manager, clinical manager, a nurse, senior support workers, support workers and activity co-ordinator. We also spoke with 2 visiting professionals.

We reviewed a range of records, including 3 people’s care records and multiple medication records. We looked at a variety of records relating to the management of the service, including quality assurance and incident reports.

We observed the support provided throughout our inspection and viewed the environment of the home.

Updated 9 March 2023

About the service

Bange Nursing Homes Limited t/a Bradley House Nursing Home (known as 'Bradley House' by the people who live there) is a nursing care home providing personal and nursing care to up to 34 people. The service provides support to older people, some of whom were living with dementia in one adapted building. At the time of our inspection there were 21 people using the service.

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

People and their relatives said they were safe living at Bradley House. Staff knew how to report any concerns and all incidents and accidents were recorded and reviewed to ensure actions had been taken to reduce the risk of a re-occurrence. Equipment was regularly checked and serviced.

Staff were safely recruited. There were enough staff to meet people’s needs. The number of care staff on duty would increase as more people moved into Bradley House. Staff enjoyed working at Bradley House, but felt they weren’t fully supported following an incident. The management team said they would hold a debrief following incidents in future.

A quality assurance system was in place. Any issues identified were actioned. The audits were made more robust immediately following our inspection. Relatives said communication with the home was good. A recent relatives survey had shown positive results.

People received their medicines as prescribed. A medical professional was positive about Bradley House; they made appropriate referrals and followed advice provided. The home was clean throughout and actions had been completed following a local authority infection control inspection.

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.

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 18 October 2019) and there were 2 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 inspection was carried out to follow up on action we told the provider to take at the last inspection. We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions safe and well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bange Nursing Homes Limited t/a Bradley House Nursing Home on our website at www.cqc.org.uk.

Recommendations

We have made a recommendation for best practice guidance to be followed for completing regular fire drills.

Follow up

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