Bradbury Court

Updated 6 September 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 under the Care Act 2014.

Inspection team

The inspection team consisted of two inspectors.

Service and service type

Bradbury Court is a 'care home'. 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.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because the service is small and people are often out and we wanted to be sure there would be people at home to speak with us.

What we did before the inspection

Our planning considered information we held about the service and included information about events and incidents the provider must notify us about. We asked commissioners for their experiences of the service.

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

We used this information to plan our inspection.

During the inspection

We reviewed records relevant to the running and quality monitoring of the service, we looked at the recruitment records for all the new staff employed in the last year. We looked at training and supervision records. We looked at four care records, associated records of medication administration and medicines storage and management.

We spoke with two people who lived at Bradbury Court to ask about their life there. We observed people’s daily routines in the home and staff interaction.

We spoke with three staff members on duty about their experiences of working for this service and the registered manager, who was present throughout the day.

After the inspection

We continued to seek clarification from the manager to corroborate what we found. This included recruitment and maintenance records. We contacted and spoke with four relatives/friends of people who lived at Bradbury Court and an advocate involved with the service.

Updated 6 September 2019

About the service

Bradbury Court is a purpose-built residential care home providing personal care for up to four people with learning disabilities and/or autism. At the time of the inspection four people were living within the home.

The home is a single level property in a residential area of Market Drayton. All bedrooms have en-suite wet rooms/ toilets and the property is wheelchair accessible throughout. There is a large garden and separate community allotment space. There is a car parking area to the front.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. People using the service received planned and co-ordinated person-centred support that was appropriate and inclusive for them.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.

The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.

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

People were supported by a stable staff group who were kind, caring and delivered high quality, personalised care. Staff had developed close and trusting relationships and detailed care plans with the people they supported, were aware of their life histories and their expressed preferences.

The provider had safeguarding systems to protect people from the risk of abuse or unsafe care. Staff were aware of the procedures, had received training on it and knew what action to take. Staff had the required skills and expertise to meet people's needs effectively and provide good outcomes that promoted well-being and a good quality of life.

Staff assessed and reviewed people's physical, mental health and social needs and the progress they were making towards their goals. Records confirmed people's choices were always considered and they and/or their representatives had been involved in any decisions about their care.

The safe and effective management and monitoring of medication meant that people received their medicines as prescribed and there was strict monitoring of 'as required medicine'. Staff worked with other agencies and health professionals to support people to receive the care, treatment and support they needed promptly.

The registered provider had procedures in place for assessing a person's mental capacity in line with the Mental Capacity Act 2005. 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 received support to maintain good nutrition and hydration in line with their personal choice and preferences and their healthcare needs. The service worked collaboratively with other agencies and professionals to support people’s health and well-being.

People's social and emotional needs were emphasised as part of people's overall individual support. The staff helped people living in the home to maintain their friendships and independence. Advocacy services were available to provide independent support if people needed this.

People's communication needs were thoroughly assessed and understood by staff. This helped to support people's communication needs and the Accessible Information Standard (AIS).

A complaints procedure was in place and people, their relatives and friends were given the opportunity to give regular feedback on the service.

The registered manager and staff showed a clear desire to develop and improve their service in a planned and managed way. They showed knowledge, enthusiasm and an understanding of the importance of openness and working closely with families, other agencies and healthcare professionals to make sure people had the best care.

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 23 February 2017).

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 inspection programme. If we receive any concerning information we may inspect sooner.