Bowbrook House

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.

At our last assessment we rated this key question good. At this assessment the rating has remained 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.

People’s needs were comprehensively assessed prior to their admission to the home. Assessments were holistic and considered a broad range of people’s care needs including their preferences, risks, communication requirements and their strengths.

People’s assessments were regularly reviewed to ensure they remained up to date and accurately reflected their needs. Staff had an open dialogue with people and their relatives to ensure their input was included within assessments and reviews.

People told us they felt listened to and their views were respected throughout the assessment process. This ensured care was tailored to people’s individual circumstances and promoted their choice, independence and wellbeing.

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.

People received care and treatment which reflected current legislation, national guidance, and evidence-based best practice. Staff demonstrated a good understanding of people's assessed needs and delivered care in line with recognised clinical guidance and organisational policies. Care plans contained clear and up-to-date information which supported staff to provide safe, effective, and consistent care.

The provider developed their own tools in line with national guidance to help them to support people in a way which promoted optimum outcomes for them and met their care needs effectively. Where health professionals had provided input, staff worked alongside them to ensure care was delivered in a way which supported best practice.

Where changes to legislation or guidelines occurred, the provider was proactive in sharing this with staff to ensure their knowledge remained up to date and they could deliver care which was based on current best practice.

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.

People experienced joined up care because staff worked positively and effectively with other teams and partner organisations. Staff shared information appropriately and communicated regularly to ensure people received consistent, person-centred support.

Staff had clear roles and responsibilities which they understood. They worked well as a team and were flexible to meet people’s needs in a way they wanted. Staff communicated effectively through hand overs and the electronic messaging system to ensure important information about people’s care and wellbeing was shared promptly.

Staff worked positively with external professionals such as GP’s and social workers to achieve positive outcomes for people. Referrals were made in a timely manner, and recommendations were incorporated into care planning and delivery to ensure people received consistent care in a way which met their needs most effectively.

People’s care records reflected strong partnership working and a shared focus on improving people’s health and wellbeing. The service promoted a culture of teamwork and mutual respect which enabled staff and external partners to work collaboratively to deliver high quality care and support.

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.

People were supported by staff who were proactive in accessing healthcare professionals when needed. Care records showed input from a range of professionals including GP's, chiropodists, Speech and Language Therapist (SALT) and district nurses. Professional advice was followed to help achieve positive outcomes.

Staff understood people’s individual health needs and worked proactively to encourage healthy lifestyles whilst also respecting their choices and preferences.

People’s care plans reflected their physical, mental and emotional wellbeing needs and provided guidance for staff on how to support them effectively.

Staff monitored people’s health and wellbeing and responded appropriately to any changes in their condition. This included supporting people with nutrition, hydration, physical activity and the management of long-term health conditions. Records demonstrated concerns were identified early and acted upon in a timely manner to reduce the risk of deterioration in people’s health.

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.

People’s outcomes were monitored and support was adapted when people’s needs or circumstances changed. For example, where people were at nutritional risk, their weight was monitored and action taken if needed to reduce risk to them.

People and their relatives were involved in setting goals and making sure care was provided in a way which helped people achieve positive outcomes which were important to them.

Staff understood the importance of outcome-focused care and told us how they supported people to achieve their individual goals. Records showed examples of people increasing their independence, maintaining their health, and improving their overall wellbeing through the support they received.

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

People were supported by staff who asked for their consent prior to delivering care and who were committed to promoting their choice. People were supported to make decisions about their care, and their rights were respected by staff in line with current guidance. People and relatives told us they were encouraged to make decisions for themselves and their choice and autonomy was promoted.

Care records showed people’s consent was sought before care was delivered and their preferences were clearly documented. Staff communicated with people in a way which maximised their ability to make informed decisions about their care.

Staff knew how to apply the principles of the Mental Capacity Act 2005. Relatives told us staff understood how to support people living with cognitive impairments that may impact on their decision making. Where people were unable to make their own decisions, staff made decisions in their best interests.