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CQC report explained · a residential care home

What the CQC found at Bradwell House

Goodpublished 18 March 2022, 4 years ago

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

The five questions inspectors ask
Safe?
Good
Staff understood safeguarding, risks, medicines and infection control. Inspectors found enough staff and detailed guidance for supporting people, including during epileptic seizures.
Effective?
Good
People had personalised care plans and staff received training, supervision and competency checks. People were supported with food, healthcare, accessible surroundings and day-to-day choices.
Caring?
Good
People received kind and compassionate care. Staff respected privacy and dignity, supported communication and encouraged people to do as much as possible for themselves.
Responsive?
Good
Care was planned around people's preferences, goals and communication needs. People were supported to take part in activities, visit family, develop skills and maintain relationships.
Well-led?
Good
The management team was described as approachable and involved. Governance checks identified shortfalls and action was taken, while people, relatives and staff were involved in developing the service.
The latest report, explained

What inspectors found, March 2022

Rated Good in all five areas; inspectors found safe, kind and personalised care at Bradwell House.

This was an unannounced inspection on 9 February 2022. Two inspectors communicated with six people, spoke with seven staff and four relatives, and checked care records, risk assessments, audits and surveys.

The home was supporting 10 people, with capacity for 10. Inspectors found that people were safe, treated kindly, supported to make choices and helped to develop independence. Care plans reflected people's needs, communication methods and goals.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the first inspection under the current provider after the service registered in September 2020. The previous provider's rating was also Good, published in March 2019.

What inspectors praised
  • Choice and independence

    People were supported to pursue their interests, make everyday choices and develop new skills. Staff encouraged people to take part in household tasks and activities.

    “People were supported to pursue their interests that they had chosen.” from the report
  • Kind and respectful care

    Inspectors found that staff knew people well and responded to their individual needs. Privacy, dignity and personal routines were respected.

    “People received kind and compassionate care. Staff protected and respected people's privacy and dignity.” from the report
  • Communication support

    The home used pictures, objects, gestures, symbols and electronic devices to help people communicate. Staff understood different ways people expressed their needs and feelings.

    “People had individual communication passports that detailed effective and preferred methods of communication, including the approach to use for different situations.” from the report
  • Activities and relationships

    People were supported to try new experiences, attend activities and keep in contact with family. Inspectors saw evidence of people enjoying their chosen interests.

    “People had the opportunity to try new experiences, develop new skills and gain independence.” from the report
  • Effective management

    The management team was visible and approachable. The home used audits, feedback and incident reviews to identify and address shortfalls.

    “Governance processes had been effective in identifying shortfalls and action was taken when any shortfalls were identified.” 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. 01How will you use each person's communication passport in daily care and during changes in routine?
  2. 02How will you support my relative to develop independence while managing risks safely?
  3. 03What guidance and staff training are in place for my relative's specific health needs, including epilepsy if relevant?
  4. 04How will you support my relative to take part in activities and maintain contact with family?
  5. 05How are care plans reviewed and updated as you get to know a new resident better?

This was an unannounced inspection that assessed all five CQC areas and included infection prevention and control measures; it was the first inspection under the current provider. This explanation was written from the published report of 18 March 2022 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 House

4 rated inspections over 7 years: the service has improved, from Requires improvement to Good.

  1. March 2022Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Bradwell House →

  2. March 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. September 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. June 2015Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
  5. September 2020

    Registered with the Care Quality Commission on 21 September 2020.

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.

Next steps

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Care at home

39 live-in carers within about an hour of Kent

These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

Most charge £980 to £1,260 a week. 33 can care for a couple. 12 years' experience on average.

“Always on time and with a lovely smile for my mum. Theresa is kind and sensitive to my mum's needs.”
Anthea D., about Theresa L.
“Irene was a very kind and empathetic carer who knew just the right words to say to put a smile on my face.”
Winnie N., about Irene N.
See live-in carers near KentProfiles, rates and reviews are free to look at.

Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.