Bradfield Residential Home

Updated 10 August 2022

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was completed by one inspector.

Service and service type

Bradfield Residential Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Bradfield Residential Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there were two registered managers in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used information gathered as part of monitoring activity that took place on 17 May 2022, to help plan the inspection and inform our judgements.

During the inspection

We spoke with seven people and three relatives about their experience of the service. We observed staff interactions with people in the communal areas. We spoke with seven members of staff including the registered managers, assistant manager, administrators, senior support carer and carer.

We reviewed a range of records. This included six people’s care plans and all the medication records. We looked at two staff files in relation to recruitment. A variety of records relating to the management of the service, including checks and audits

Updated 10 August 2022

About the service

Bradfield Residential Home is a residential care home providing personal care for up to 37 older people who may be living with dementia in one extended building. At the time of our inspection there were 32 people using the service.

People’s experience of using this service and what we found

People told us they were happy and felt safe living at the service. Potential risks to people’s health and welfare had been assessed. There was guidance in place for staff to reduce the risks and keep them as safe as possible. Checks had been completed on the environment and equipment people used.

The service had been designed and adapted to meet people needs. There were signs to assist people to move around the service and pictorial signs to identify communal areas. The service was clean and odour free, staff were wearing personal protective equipment in lines with government guidance.

People received their medicines as prescribed. Staff had been recruited safely and there were enough staff to meet people’s needs. Staff had received training appropriate to their role and to give them the skills to support people.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People, relatives and staff told us the registered managers were approachable and they were confident to raise concerns. Relatives confirmed they were able to visit when they wanted and for as long as they wanted.

Checks and audits had been completed on all aspects of the service; action had been taken to rectify any shortfalls. People had been asked their opinion about the service and their suggestions had been acted upon.

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

Rating at last inspection

The last rating for this service was requires improvement (published 8 April 2019).

At our last inspection we recommended that the service seek advice and guidance from a reputable source, about the management of legionella and the service seek advice and guidance from a reputable source, about the design of the premises in relation to people living with dementia and/or visual impairment. At this inspection we found provider had acted on these recommendations and they had made improvements.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Bradfield Residential Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.