This was an unannounced inspection that took place on 19th June 2015.
Bradbury House is a modern, purpose built care home for up to nineteen older people. It is situated in the rural village of Gosforth and is near to all the amenities of the village. The home has a well-designed garden and a small car park. The home has its own transport.
All accommodation is in single, ensuite rooms and the home has a large dining and sitting room and a smaller quiet lounge.
The home is owned by the Abbeyfield society, a charity which runs similar homes throughout the country.
The home has a registered manager. 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 and associated Regulations about how the service is run.
The registered manager and the staff team understood their responsibilities in safeguarding vulnerable adults. Staff had received training and knew how to make a safeguarding referral.
Accidents and incidents in the home were reported, monitored and suitable changes put into place to lessen risk.
Staffing levels met the needs of the people in the home. The care ratios had been increased to ensure that good levels of care were delivered.
Recruitment and disciplinary procedures were being carried out correctly.
There had been two medication errors and suitable training and checks were in place to lessen the risk of human error. Medicines were in order when we inspected the ordering, administration and disposal of medicines.
The home was clean and orderly with suitable measures in place to prevent cross infection.
We had evidence to show that staff received suitable induction, support and training to develop their skills and knowledge. Staff received supervision and appraisal in a timely fashion.
The staff team understood the legislation around capacity and deprivation of liberty. No one was deprived of their liberty when we inspected. We had evidence to show that people were able to go out when they wished.
There was good quality food provided. People said it was well prepared with lots of choices. They could influence menu planning. Nutritional planning was in place and people were kept well hydrated.
People told us they saw health care professionals when necessary and we saw evidence of regular visits from specialist practitioners.
Bradbury House was a purpose built building and was suitably adapted to meet the needs of older people. The house was well maintained.
We observed staff working with people in a sensitive and polite way that helped to maintain their dignity. People told us they were valued and treated with respect. People had interventions explained to them patiently and appropriately.
We saw evidence to show that people’s privacy was respected. We had a lot of evidence to show that independence was supported.
End of life care was delivered correctly with support from local health care providers. Suitable records were in place about wishes at the end of life.
We saw detailed and up to date assessments and care plans. People told us they were involved in planning their own care.
A wide range of activities and entertainments were on offer. People told us they felt very much part of the life of the local community.
Concerns and complaints were handled appropriately. People told us they felt confident enough to raise any issues with the staff team.
The home had an experienced and suitably qualified manager who imparted the visions and values of the organisation to the staff team. The team worked well with other providers.
Quality monitoring was in place and changes made when people felt that the service needed improvement. Regular internal and external audits were completed.