This inspection took place on 23 and 24 July 2015 and was unannounced.
Bradbury Lodge provides accommodation and personal care for adults who have a learning disability for a maximum of six people. On the days of our inspection four people were living in the home.
The home had a registered manager in post who was present for our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
At our previous inspection no improvements were identified as needed.
People told us that they felt safe living in the home and staff knew how to keep them safe. Arrangements were in place to ensure that people were actively involved in managing risk with activities they did within and outside the home. Staff told us they had access to risk assessments that told them how to support people safely. Accidents and incidents were recorded and reviewed and where necessary action was taken to reduce further risk.
People told us that staff were always nearby to support them when needed and staff confirmed there were enough staff on duty to meet people’s care needs. The provider’s recruitment procedure ensured that all staff were suitable to work in the home.
We found that people were supported to take their prescribed medicines and saw that systems and practices ensured they received their medicines when needed. We saw that medicines were recorded and stored in accordance to good practice guidance.
Staff told us that they had access to training that ensured they had the skills to care for people. Staff were supported within their role and received regular support and supervision from the manager. People told us that staff asked for their consent before providing support and that staff listened to them. We found that staff had a good understanding of the Mental Capacity Act 2005 and people told us that staff did support them to make a decision. The manager and the staff team were aware of the principles of the Deprivation of Liberty Safeguards and when this should be applied to protect people’s human rights.
People told us that they had a choice of meals and we saw that people had access to drinks at all times. People said they were able to obtain healthcare services when needed.
People informed us that staff were kind and we saw that staff were supportive to people’s needs. People were involved in making decisions about their care and said they were happy with the support they received. We saw that people’s right to privacy was respected and staff were able to tell us how they maintained people’s privacy and dignity.
We saw that people were supported to engage in social activities of their choice and staff assisted them to maintain contact with people important to them. The provider’s complaint procedure was accessible in various formats so everyone could understand it and people told us that staff did listen to their concerns.
The provider encouraged people to be involved in the day to day running of the home and supported them to maintain links with their local community. Regular meetings and reviews of the service ensured people received a service that met their specific needs. People and staff were aware of who the manager was and said they felt supported. The provider had systems in place to monitor the quality and effectiveness of the service provided to people.