5-6 Prior's Court Cottages: Bradbury House

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• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

People’s care plans and risk assessments were detailed and completed thoroughly to support people. Care plans and risk assessments fully reflected emotional, physical and social needs of the people. The provider involved families in the care planning and transitions of the people. The service used innovative and individualised methods to support people and involving families. Staff had excellent understanding of the needs of the people they supported. Staff responded and went the extra mile to support people in achieving the outcomes. There was an innovative approach to using technology utilising the electronic system to record information about people’s need accurately. The provider demonstrated a holistic approach in supporting people and families. The provider followed the Right Support, Right Care, Right Culture guidance.

This service scored 82 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

People’s needs including social, cultural and emotional needs were identified and recorded in a comprehensive care plan. People’s choices and preferences and how these were met were regularly reviewed. Staff excelled at exploring people’s interests to provide people with activities that reflected people’s hobbies and interests. Support plans demonstrated people were encouraged to maintain meaningful activities that interested them. We had examples where staff supported people with pursuing their life-long dreams of visiting another country by introducing a series of activities to slowly build their confidence to be able to do so. Staff supported people to maintain relationships that were important to them, protecting people from the risk of social isolation and loneliness. People felt valued by staff that showed genuine interest in their well-being, quality of life and created a warm, inclusive atmosphere. The provider took innovative steps to ensure people’s care and communication needs were met. A family member told us, “Compared to other provisions that I have visited over the last two years, the staff at Bradbury shine out in their ability to support the needs and manage the behaviours of a complex group of young people.” Other relatives were equally impressed and told us, “[Person] has a PECS book which [person] uses to communicate.” PECS is a Picture Exchange Communication System. “Yes, having a large 50 acre sight is a 'God send' it would be hard to envisage [person] in a smaller setting. It gives [person] so much freedom, and the perfect opportunity for exercise and fresh air. It also allows [person] to leave [person] flat on a regular basis to a safe space. [Person] joins activities on the main site numerous times through out the year, e.g. concerts, plays, sports days, which allows [person] to be part of a safe, loving community.”

There was a tangible, person-centred culture within the home and we consistently observed staff demonstrating genuine empathy for people and passion to provide high quality care. Staff knew people well and adapted their approach, body language and tone of voice to meet the needs of each individual and in line with their communication support plans. We observed people establishing a good rapport with the registered manager and their key staff, with whom they had developed a special bond. Observations identified the approach to support each individual was person centred and delivered at the right level and intensity for them.

All staff understood the provider’s ethos of placing people at the heart of their care delivery and provided us with multiple examples to demonstrate how they successfully achieved this. Staff told us they were focused on providing true person-centred activities and supporting people’s hobbies and interests. Staff described how they supported people to maintain relationships that were important to them, protecting people from the risk of social isolation and promoting their mental wellbeing. The registered manager spoke passionately about their and their team commitment to reducing restrictive practice and achieving successful outcomes for people transitioning into Bradbury House and out of the service into other adult placements. A staff member told us how impressed they were with the quality of the provider’s training particularly in relation to people’s complex needs. Staff told us the manager provided clear and direct leadership, which set the standards throughout the service. Staff praised the registered manager who consistently led by example and was a great role model. They told us the registered manager was ‘brilliant’, highly visible, approachable and the management team as being “really supportive and approachable."

We did not look at Care provision, Integration and continuity during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Providing Information during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Listening to and involving people during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Equity in access during this assessment. The score for this quality statement is based on the previous rating for Responsive.

The provider had fully embedded processes dedicated to delivering high standards of care for people. The provider proactively involved people and families which empowered them to give their views and be actively involved in the care planning. The provider focussed on identifying people’s needs with clear, concise, supportive care plans to provide exceptional care. Regular audits and meaningful reviews were in place to ensure people’s care was consistently achieving good outcomes.

People benefitted from the exceptionally high standards of care, focussed on improving people’s quality of life. The provider consistently and actively worked with people and families to support equity in experience and outcomes. The provider advocated strongly for people to remove barriers and to protect their human rights. A family member told us, “[Person] settled in very quickly and is thriving in [person] personal care skills and daily living skills. I can log on to the portal and see in real time what activities [person] has just done and see photos of [person] doing activities or visiting the local community and I get regular updates from [person] key worker and manager. I am very happy with the care and support [person] is receiving.” People benefited from staff that knew their diverse needs, wishes and preferences which impacted positively on their wellbeing. One relative gave us an example of this and said, “When we attend medical appointments or have an emergency hospital admission, I feel as though the care staff attending, and [person] key worker in particular, are genuine partners in [person] care because they make insightful observations and feedback on the appointment to the wider staff team.” People received continuity of care. One relative told us, “Staff know [person] well and [person] has an allocated keyworker. Staff are vigilant in noticing if [person] doesn't seem [person]self for any reason, which is very important as [person] lacks the communication skills to tell staff when something is wrong.” People’s relatives praised the care provided that was tailored to individual’s wishes. One relative was particularly positive about access to the secure wide-open spaces and also told us, “There is a wide variety of onsite facilities and special events like music festivals and carol services which enrich [person’s] life.”

Staff told us how they sought information to tailor people’s care and support to ensure they experienced equity in their experience. Staff were able to provide comprehensive information about people’s diverse needs. The registered manager spoke passionately about the provider’s commitment to reducing restrictive practice and provided us with an example where they successfully achieved this. Staff knew and followed best practice guidance so people could live lives as full as possible. Keyworkers were able to provide examples about how they championed desired outcomes for people to enrich the quality of their lives.

We did not look at Planning for the future during this assessment. The score for this quality statement is based on the previous rating for Responsive.