Bradbury Wing - Care Home with Nursing Physical Disabilities

Bradbury Wing is a nursing care home providing accommodation and personal care for up to 20 people with complex needs, including people with a learning disability or autistic people. At the time of our assessment, 20 people were living at the service.The home is alevel accesssingle story facility, with shared outdoor space with the adjacent sheltered accommodation block.

The service had a manager registered with the Care Quality Commission. This means that they are the provider and legally responsible for how the service is run and the quality and safety of the care provided.

Staff delivered safe, person‑centred care,knew people well and supported them to achieve positive outcomes.The staff culture was respectful, inclusive and stable, with many long‑standing staff. One staff member described the home as “such a fantastic, friendly environment to work amongst,” reflecting the positive atmosphere.

The provider ensured there were enough staff to meet people’s needs which included a high levelof 1:1 support. Staff told us there were enough staff on most shifts and that teamwork supported safe care delivery. However, some staff described occasional pressures and inconsistencies, particularly when agency staff were unfamiliar with people using the service. These pressures were managed through teamwork, and care remained safe.

Staff followed care plans and risk assessments and updated records when people’s needs changed. However, staff reported that documentation requirements had increased and could reduce time spent with people. While this created pressure, staff continued to prioritise care delivery and maintained standards.

Medicines were managed safely by trained nurses using clear protocols and verification systems. Staff demonstrated good understanding of safeguarding and took appropriate action when required.

The service worked with external professionals; however, consistent concerns were raised about physiotherapy support and their expectations placed on care staff.There was no evidence these concerns had resulted in harm to people.

Leadership was visible and supportive. Staff described managers as approachable and responsive. One staff member said, “The management team is approachable, attentive, and supportive.”Staff felt able to raise concerns and contribute to discussions about improving the service.

Overall, the service demonstrated a positive culture, effective team working and safe care delivery. While staff identified areas of pressure, including workload,documentation and external service provision, these were recognised,discussed and managed without impacting the consistency of care provided to people.