Archived: Bradwell House

Updated 29 March 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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was carried out by two inspectors.

Service and service type:

Bradwell House is a care home. People in a care home receive accommodation and nursing or personal care. 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:

This inspection was unannounced

What we did:

We reviewed information we had received about the service. This included details about incidents the provider must notify us about, such as serious injuries. The provider had completed a Provider Information Return. Providers are required to send us key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

Not everyone living at Bradwell House could verbally tell us about their experiences living at the service. We spent time observing interactions between staff and people in communal areas during the inspection.

During inspection we looked at the following:

We reviewed some records and made observations, these included;

• The environment, including the kitchen, bathrooms and one person’s bedroom

• We spoke with one person

• We spoke with the deputy manager, regional manager, four staff and one visitor

• Medicines records

• Training records of staff

• Two people's care records

• A sample of medicines records

• Deprivation of Liberty records

After the inspection we received additional evidence from the provider to corroborate our findings.

Updated 29 March 2019

About the service:

Bradwell House is registered to provide personal care and accommodation for up to 10 people. There were 10 people using the service at the time of our inspection who had a range of health and support needs, these included learning disabilities. Some people had additional conditions such as sensory impairment, epilepsy and autism. The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

People’s experience of using this service:

The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways; there were no signs outside the property to identify it as a care home. People were encouraged to be a part of the local community; attending clubs, the library, pubs, visiting local shops, cafes, swimming pools and gyms. People were supported to move on to supported living services to become more independent.

Staff were positive about the manager of the service and worked well as a team

The provider had been responsive to the recommendation we made at our last inspection about medicines. Peoples medicine was managed safely.

At our last inspection we recommended that the service provide furniture with different handles to reduce the risk of detachment and handles becoming a choking hazard or the risk of a fixing causing a skin tear. The provider had acted on this and this was no longer an issue at this inspection.

There were enough staff to support people with their needs. Staff had a good understanding of people’s specific needs and were consistent in their approach.

Staff were supported and trained to carry out their roles. People received personalised care that promoted their independence.

People were communicated with and supported in a person-centred.

People had access to health care professionals as required. Staff worked together and with other healthcare professionals to ensure people received joined up care and support.

The service was compliant with the Mental Capacity Act 2005.

Staff spoke to people with kindness and in a patient way. People were treated with respect and compassion.

Auditing and checking procedure’s continued to review the service to ensure people received safe care and support.

The service had a registered manager who promoted an open and fair culture.

Rating at last inspection:

This service was rated, “Good” at the last inspection on 20 and 21 July December 2016. We published this rating on 14 September 2016.

Why we inspected:

This was a planned comprehensive inspection to check the service remained Good. We found overall that the service continued to meet the characteristics of Good.

Follow up:

We will continue to monitor the service through the information we receive. We will carry out another scheduled inspection to make sure the service continues to maintain a Good rating.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk