Bristol BBA Care Limited

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 75 (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 made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing, and communication needs with them.

The registered manager undertook a comprehensive assessment of people’s needs before starting their care. This included meeting the person, their relatives and assessing the care environment. People’s care plans were detailed and person centred. A relative told us, “There was a thorough questionnaire at the initial assessment, it was a positive experience.” Records showed care plans were kept under continuous review, with an initial review at 6 weeks and regular updates as people’s needs changed.

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.

We saw evidence that the diverse range of people’s needs had been assessed, including their communication needs, and documented in a person-centred way. People received care in line with what mattered to them.People’s care records detailed support to attend religious prayers and events in the local mosque.

The provider worked well across teams and services to support people. Records were accurate and up to date. Staff told us they worked well together with colleagues, so key information was shared as needed. One told us, “We always work as a team for the clients. We have regular handovers, so that any changes to the (person’s) condition is monitored.”

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.

Records showed, staff at the service supported people to access health services such as the GP or pharmacist when they needed. Where health advice was given by professionals, this was incorporated into people’s plans of care and followed by staff.

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

The provider undertook quality assurance through home visits, surveys, and welfare calls. This meant known risks, poor outcomes or concerns raised by people or their relatives to people were immediately identified and acted upon to reduce the risk of poor outcomes.

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

Staff we spoke with were knowledgeable about consent and choice. They told us they sought consent before care interventions and offered choice to people. Staff we spoke with told us they completed Mental Capacity Act 2005 (MCA) training as part of their induction.

Staff had received training and understood the principles of the MCA. One member of staff told us, "I've done the training. We try to explain it. [Person] always has the choice. We always talk about what we are doing. We explain what we are doing."

No concerns were raised by people or their relatives in relation to staff seeking consent. One person we spoke with told us, “The carers are very kind and compassionate. They provide respectful, personal care.”