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CQC report explained · a residential care home

What the CQC found at Bradwell Court Residential Care Home

Goodpublished 28 December 2018, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home used PPE safely, arranged testing, followed social distancing and shielding rules, and had effective infection prevention arrangements. The home was clean and enhanced cleaning schedules were monitored.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors found strong COVID-19 infection control and a welcoming home.

This was an announced, targeted inspection on 5 February 2021. It checked infection prevention and control measures during the coronavirus pandemic.

Inspectors found that the home was preventing infections through visitor checks, testing, protective equipment, cleaning and social distancing. Staff had training and showed confidence in infection control procedures.

People described feeling safe and well cared for. The home was clean, visitors had safety checks, and people could keep in touch with relatives by phone, video calls and window visits.

The service was inspected but not rated. This means the inspection did not give an overall quality rating or a full rating for all five areas of care.

What inspectors praised
  • Infection control

    Inspectors found effective arrangements to reduce the risk of COVID-19 spreading. These included visitor screening, PPE, testing and enhanced cleaning.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
  • Staff training

    Staff had received infection control training and showed confidence in carrying out their duties.

    “Staff had benefited from training, support and guidance on infection control including COVID-19 and demonstrated skill and confidence in the way they carried out their duties and responsibilities.” from the report
  • Keeping in touch

    The home provided several ways for residents to maintain contact with relatives when indoor visits were restricted.

    “People could keep in touch with their relatives by phone, video calls and closed window visits arranged with the home.” from the report
  • Atmosphere

    The home was described as sociable and welcoming, and people made positive comments about their care and staff.

    “The atmosphere in the home was sociable and welcoming.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What infection prevention and control arrangements are in place now?
  2. 02How are visitors currently screened and supported to visit safely?
  3. 03How often are residents and staff tested, and how are the results recorded?
  4. 04What options are available for my relative to keep in touch with family?
  5. 05Can you explain what assessments and care planning would be completed for my relative?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; the service was inspected but not rated and the other key questions were not assessed. This explanation was written from the published report of 2 March 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

An earlier report, explained

What inspectors found, December 2018

Bradwell Court Residential Care Home was rated Good; inspectors found kind, personalised care, with some record-keeping issues corrected during the visit.

This was an unannounced planned inspection on 26 and 27 November 2018. Inspectors spoke with people living in the home, relatives, staff and a visiting health professional. They reviewed care records, medicines records, staff files and management records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People and relatives said staff were kind, respectful and caring. Inspectors found enough staff, safe medicines practices, good training and care that was based on people's preferences.

The home showed strong support for people living with dementia. Staff used signs, sensory equipment and other practical ideas to help people understand and move around the home. Links with health professionals helped support people's health and wellbeing.

Inspectors found a few record-keeping issues, including missing dates and signatures on some checks and one complaint not logged correctly. These issues were corrected during the inspection. The overall Good rating was unchanged from the previous inspection in 2016.

What inspectors praised
  • Kind and respectful care

    People and relatives consistently described staff as kind, caring and respectful. Inspectors observed good relationships between people and staff.

    “Everyone we spoke with told us Bradwell Court was a comfortable home to reside in and visit, that staff were kind and caring and that people were treated with respect.” from the report
  • Personalised support

    Staff knew people's likes, dislikes and preferences and used this information to shape daily care and activities.

    “Staff spent time to get to know people's preferences and used this knowledge to care for them in the way they liked.” from the report
  • Dementia support

    The home used signs, sensory equipment and practical adaptations to support people living with dementia. Staff discussed ways to improve this support further.

    “The service showed a strong commitment to supporting people with their dementia needs.” from the report
  • Staffing and training

    Inspectors found enough staff and a comprehensive training and support programme. Staff were described as knowledgeable, skilled and supported by management.

    “Staff were competent, knowledgeable and skilled; they carried out their roles effectively.” from the report
  • Health support

    The home worked well with GPs, dieticians, district nurses and other professionals. Their advice was included in care records and followed by staff.

    “Staff worked closely with healthcare professionals such as GPs, dieticians and district nurses.” from the report
What inspectors were concerned about
  • Some checks lacked dates and signatures

    needs fixing

    Some quality and safety checks were missing dates and signatures. The registered manager corrected these during the inspection.

    “We found that some of these checks were missing dates and signatures in some places.” from the report
  • Medicine competency records were incomplete

    needs fixing

    Staff had completed medicine-related assessments, but some forms had not been checked and signed. Management said the competencies were discussed annually with staff.

    “We noted that these had not been checked and signed.” from the report
  • One complaint was not logged correctly

    minor

    The complaints system was in place, but one complaint had not been recorded properly. This was corrected on the day of the inspection.

    “On the day of the inspection we found that one of the complaints was not logged appropriately but this was rectified by the registered manager on the same day.” from the report
  • A small infection-control issue

    minor

    Bath towels were stored on an open shelf in communal bathrooms, which was less effective for reducing infection spread. They were moved during the inspection.

    “Towels were removed and stored appropriately during the inspection.” from the report
Questions to ask them, based on this report
  1. 01How do you make sure medicine competency assessments are checked, signed and kept up to date?
  2. 02How do you record, investigate and learn from complaints?
  3. 03What dementia-specific support would you provide for my relative's needs, preferences and communication?
  4. 04How do you check that care records and quality audits are dated, signed and updated?
  5. 05How do you decide how many staff are needed for the people living in the home?

This was an unannounced planned inspection covering the premises, care provided and all five rating areas; the report says the previous overall Good rating from 2016 remained unchanged. This explanation was written from the published report of 28 December 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Bradwell Court Residential Care Home

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Bradwell Court Residential Care Home →

  2. December 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Bradwell Court Residential Care Home →

  3. March 2016Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. April 2015

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 16 December 2010.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

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