The Bungalow

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 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 requires improvement. 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 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 provider had a comprehensive pre-admission assessment document including sections about communication, social activities, cognitive understanding, sensory needs, risk behaviour, anxiety and emotions, as well as preferences around sleep, eating and drinking, and personal care needs. The document captured all the information necessary for the provider to complete their care plans and understand how the person would need supporting in their day-to-day life. The registered manager explained this information was updated and reviewed at least annually and shared with relevant people in the person’s life. Family members told us they were involved in the reviews that took place.
 

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 were trained in best practice approaches to behaviour that might pose a risk to others. Care plans identified proactive approaches to support people around their potential triggers with clear guidance for staff. Communication plans were in place for people, identifying best ways to approach communication styles and what was important for the person.
 

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 registered manager had a weekly meeting with people’s GP to discuss any new or ongoing health issues identified for people. The registered manager worked closely with social care professionals to ensure care needs were reassessed when people’s needs changed. Health care plans were updated regularly and contained relevant information for sharing with health services if needed.
 

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.
For example, healthy food options were discussed with people prior to doing a weekly food shop, a menu was devised and different choices were offered at mealtimes. People were as active as they could be based on their ability in their day to day lives, supported by staff who knew their preferences for activities.
 

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.
People’s care was regularly reviewed and updated to ensure needs were met. People who used day services had a review conducted there, and information was shared between the 2 services.
People who required weekly appointments with district nurses for managing skin ulcers, were monitored closely, and both staff and healthcare professionals worked together to ensure the person’s overall condition was improving.
 

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.
Mental capacity assessments were completed where required to determine the level of support people required for tasks and making decisions. Best interests’ decisions were made where required, and family members were included in this process. Applications for Deprivation of Liberty Safeguards (DoLS) authorisations were submitted and approved appropriately. People were supported to access advocacy services when required to support with the DoLS process.