Bakers' Villas

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.

The service had assessed people’s needs thoroughly, taking into account their health conditions, communication needs, daily routines and personal preferences. Staff told us that assessments and tools, such as observation sheets, helped them understand what people needed and how best to support them, explaining that these records showed “what they eat and drink,” their continence needs and any skin concerns. Care plans seen during the visit contained information about people’s risks, equipment, mobility, and sensory needs, and people told us staff always explained what they were doing. These were used to guide consistent person-centred care.

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

Staff explained that they followed established procedures and used recognised tools, such as observation charts and professional guidance to ensure care was delivered safely and effectively. They had also worked closely with GPs, district nurses, speech and language therapists (SALT) and palliative care teams, implementing recommendations to support best practice. People told us staff knew what they were doing and always explained their actions, which helped ensure care remained person-centred and consistent with evidence-based approaches.

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.

Staff, teams and external professionals worked well together to ensure people received coordinated and consistent care. Staff told us they communicated effectively through daily handovers, shared notes and ongoing discussions about any changes in people’s needs. They described having good relationships with colleagues and visiting professionals and worked collaboratively to support positive outcomes. Managers had also maintained close links with GPs, district nurses, therapists and palliative care teams, ensuring information was shared appropriately so people experienced smooth and well-organised support.

The provider supported people to manage their health and wellbeing to maximise their independence,choiceand control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

The service supported people to live healthier lives by encouraging good nutrition,hydrationand regular engagement with healthcare professionals. Staffmonitoredpeople’s eating and drinking using observation charts and acted quickly when they noticed any changes, and people told us staff reminded them to “keep drinking” and supported them with meals when needed.Peoplealso had access to regular health appointments, such as GP visits,chiropodyand therapy input.Shouldpeople choose, there were opportunities to attend activities such as social clubs, craft groups and communal luncheswhichhelped people stay active, connected andmaintaina sense of purpose in their daily lives.

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 service monitored people’s care and treatment to improve outcomes and ensure support remained effective. Staff used observation charts, daily notes and regular reviews to identify changes in people’s needs, such as appetite, hydration, continence or skin integrity, and acted when concerns arose. Managers carried out audits in key areas including medicines, infection control and care plans, and although some documentation required strengthening, actions were being taken to address these gaps. This approach had helped the team recognise risks, respond promptly and make ongoing improvements to the quality and consistency of care people received.

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

The service had ensured people’s consent was sought before care and treatment were provided. Staff told us they explained each task and asked permission, with one staff member saying they would ask, “Is it okay if we do that now.” People also confirmed that staff always asked before offering support. Where people had fluctuating or reduced capacity, assessments had been completed by the local authority, and staff understood the importance of involving families and professionals when people required support with decision making. This approach helped ensure care was delivered in line with people’s wishes and respected their rights.