Bricklehampton Hall

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 inadequate. At this assessment the rating has changed to 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 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 assessed before they went to live at Bricklehampton Hall. At pre-admission assessments, people’s needs relating to their physical and mental well-being were reviewed to help ensure the service was able to provide appropriate care and support.

Care plans were updated regularly and when people’s needs changed, to help ensure care remained in line with people’s needs and preferences. People and their relatives where appropriate told us they were involved in care planning. A relative told us, “They keep me up to date with their care, they have listened to me when I wanted to change something.”

Where required, healthcare professionals were involved in assessing needs and providing guidance in line with best practice, which led to good outcomes for people.

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.

Staff used recognised assessment tools to assess and monitor people's needs, including malnutrition and pressure area risks. Records showed these were reviewed regularly and used to identify when additional monitoring or intervention was required. Where people were at risk of weight loss or dehydration, food and fluid records were implemented, weights were monitored and referrals were made to healthcare professionals when concerns were identified.

Care reflected advice from health professionals. Staff followed professional guidance to support people safely and effectively. A healthcare professional told us, “I feel I have a good rapport with the nursing staff at the home and they usually following advice/ management plans as suggested.”

Staff received regular training to make sure they were kept updated with best practice guidance. The registered manager regularly audited care plan records, to identify concerns or shortfalls.

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 worked collaboratively within the home. Daily handovers and communication systems ensured important information was shared, supporting continuity of care. Staff valued multidisciplinary working and sought advice when needed. There were good relationships between the service and external professionals, such as district nurses, GP and frailty team. A healthcare professional told us, “The staff that I have worked with have always been helpful, enabling me to do my job and ensure that the residents get the best outcomes from their medication reviews.”

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.

The provider made sure referrals to appropriate health services were made quickly when people’s needs changed and acted swiftly on recommendations. People’s dietary needs were understood and effectively met, including specialist diets recommended to support their health or medical conditions.

Staff demonstrated an understanding of people's health conditions and were able to describe how they monitored for signs of deterioration and escalated concerns when required.

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.

Systems to monitor and improve outcomes were effective. The provider had processes in place to ensure people’s care and support were continuously monitored and reviewed to promote good outcomes. People received individualised care, which was flexible and responsive to their needs, delivered by staff who knew them well.

Staff maintained records of care they had provided. Records were in place to monitor how much food and fluid people had taken, people’s level of distress and people’s skin conditions. Body maps were in place where needed to maintain accurate records of pressure damage, injury or bruising. The monitoring of people’s needs allowed quick action to be taken, if required.

The provider did not always tell people about their rights around consent and did not always respect their rights when delivering care and treatment.

Capacity assessments and best interest decisions records were in place when needed to ensure the Mental Capacity Act (MCA) was applied in line with requirements. Staff had completed relevant training in this area and were able to demonstrate an understanding of the principles of the MCA including the importance of gaining consent from people.

However, consent from people and their relatives was not always obtained regarding use of CCTV in communal areas. We brought this to the attention of the provider who told us they will take appropriate steps to obtain people’s and relatives’ consent.