Brighter Future Services

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.This is the first assessment for this service. This key question has been rated good.This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them.

The registered manager told us they carried out an assessment of people’s needs prior to the provision of care and records confirmed this. The assessment involved the person and their relatives where appropriate, so it captured what was important to them.

We found that people’s needs were not always fully assessed, and this was not consistently supported by clear risk management plans outlining how those needs should be supported and monitored safely. For example, a care plan identified a risk associated with the use of sharp objects, such as knives, and stated that staff should keep knives and other sharp items stored away. However, the corresponding risk assessment did not provide staff with clear information about where these items should be stored. We raised this with the registered manager, who updated the risk assessment in line with our recommendations.

The registered manager told us a review of care plans operate on a structured review framework. An initial review was done at 6 weeks, then 3 months, followed by 6-monthly reviews, and sooner where needs changed, incidents occurred, or new risks were identified.

Relatives confirmed both they and their family member were involved in putting together and reviewing the care plan and risk assessment. A relative commented, “They [Staff] definitely understand my [Relative] needs”.

A healthcare professional told us, “[Person] struggled in the past in accessing services especially when they stayed at home. The service provider developed a vast array of interests and [Person] had been accessing their community, developing an understanding of the world and building trust in others.”

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

The provider carried out an assessment of people’s needs before they began to use the service. This meant they were able to plan any resources such as staff rotas and activities.

The provider was able to provide evidence-based care and treatment. Policies were in line with national good practice and care was given in a person-centred way, in line with the persons wishes, and they were involved in their assessment of needs.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

The service provider worked closely with the local authority and local community including libraries, leisure centres and football clubs to cater the needs of the people using the service.

The staff we spoke with demonstrated a good awareness of people’s health and medical needs and how they would respond to these if people were to become unwell. The staff had access to the information they needed to appropriately assess, plan and deliver people’s care and support. A staff member told us, “All care plan is easy to read and easy to use.”

The care records enabled staff to communicate well with each other and ensure continuity of care.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. Staff received training in how to meet and appropriately manage people’s health care needs and conditions, for example Infection Prevention Control, Health and Safety, and First Aid.

The care plan we reviewed clearly highlighted the support the person using the service require and how to meet them. Relevant risk assessments were completed to mitigate risks. In addition, relevant people were contacted in making decisions for the person using the service who lack mental capacity to make decisions for themselves.

The provider was working with other agencies to meet people’s healthcare needs, for example, with GPs. Where required, they supported people to access healthcare professionals and make appointments.

Staff were aware of people’s food likes/dislikes. Staff supported people to access their local community where this was part of their planned care and support.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

The provider had systems for monitoring the care provided. Daily records were kept of what support was provided on each shift, and these were reviewed by the registered manager. Regular spot checks were conducted, and themed staff meetings to discuss further concerns and future activities for the people using the service. Moreover, the provider also organised role play activities for staff to enhance their understanding and to address the challenges faced by staff.

The registered manager had regular contact with people and their relatives to check they were happy with the support provided. The relatives we spoke confirmed this.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People and relative told us they were involved in planning their care and support and were able to share their preferences for how they wished to receive care. Consent forms were signed by the relevant individuals and people we spoke confirmed that they were fully involved in the care for people using the services. Staff we spoke with said they always sought consent before providing care. They said people were encouraged to make their own choices and decisions about their care.