Bradbury House

Some staff including agency staff did not always have all their checks of suitability completed. People were protected and kept safe. Staff were aware of their safeguarding responsibilities. Staff involved people and those important to them in their care planning and decisions. There were enough staff with the right skills, qualifications and experience. Staff received training and some supervision to support them in delivering safe and effective care. Medicines were managed safely however the storage of some topical creams need to be reviewed. The home was clean and well equipped.

People and their families were fully involved in assessments of their needs. Staff regularly reviewed these assessments taking account of people’s communication, personal and health needs. People’s nutritional needs were assessed and met. The staff team worked well with other organisations and services to support people to manage their health and wellbeing.

People were treated as individuals and with kindness, dignity and compassion. People had choice in their care and were encouraged to maintain their independence. People’s personal, cultural, social and religious needs were supported. People were supported to engage in regular meaningful activities, social interests and maintain relationships with family and friends. The provider cared about the wellbeing of their staff and supported and enabled them to deliver person-centred care.

The service ensured that continuity of care for people was managed making appropriate referrals when necessary to external services. People’s individual communication needs were identified, and where required information was provided in a variety of accessible ways. People and their relatives were able to give feedback on care. Staff understood about equality and diversity. The service contacted emergency services when required and knew when to involve specialist services in people’s care. There was a system for responding to concerns or complaints. People’s end-of-life wishes were noted and reflected in their care records.

The interim manager led the service with integrity, openness and honesty and valued diversity in their workforce. Staff felt more supported by the current management team and were able to report concerns and said they were listened to.

There was a range of quality monitoring and auditing processes in place. However, some issues seen during the assessment by the inspection team had not always been identified through the provider’s oversight and audit processes. The interim manager took immediate action to address those concerns. The management team had already recognised where improvements and consistency were needed and had already introduced some new recording systems.