Bings 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 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 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 and relatives told us that an assessment process was followed before moving to the service. They felt confident in the information that was gathered enabled them to be confident in the team’s ability to meet individual needs. One person told us, “You can be involved as much as you want with everything from the start.” One relative told us, “Yes, we were involved with the assessment process.”

Staff told us that people’s needs were reviewed and they were informed of any changes via handover. We saw that care plans in place were subject to ongoing reviews and amendments had been made when needed.

The computerised care plans in place used recognised tools to assess people’s level of need and risk in relation to aspects of their health such as skin integrity and nutrition.

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 told us they had enough to eat and drink and enjoyed a variety of foods.

On the day of our visit, we saw the lunch time meal was well received and people were offered the support needed to enjoy their meal and interact with others.

The provider had a system in place to ensure policies and guidance were kept up to date. Support from partner agencies enabled the registered manager to have access to 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 told us staff knew them well. We saw good relationships between people and staff. Conversations flowed and staff were able to anticipate people’s needs due to their knowledge of their needs and preferences.

Feedback from partners was positive. They told us that staff were attentive to people’s needs and ensured that all professionals involved in a person’s care were kept informed.

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 had access to a health or social care professional when needed. One relative told us, “[Relative’s] health needs are dealt with and we are kept informed following any GP or health professional visit.”

Staff told us they knew how to response if there were any changes in a person’s health and were confident in escalating their concerns to health care services if needed.

Care plans included a record of information relating to health and social care support provided by professionals.

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 care plans detailed all aspects of people’s care and treatment and described the ways in which monitoring occurred such a dietary intake, skin integrity checks and engagement with activities. We saw that they were routinely reviewed. One relative told us, “Our relative has been supported in achieving goals. Mobility has been maintained since moving into the home.”

However, we found that daily notes completely by staff were not always detailed and were focused on the care tasks delivered. We shared this feedback with the provider who confirmed they would address this with all staff to ensure that records accurately reflected people’s experiences and contained more information in relation to people’s social and emotional wellbeing.

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

People told us they were able to make their own choices, and these were respected. One relative told us, “[Relative] is supported to be independent. [They are] the first one to tell staff if [they are] not happy, and needs anything.”

Staff had a good understanding of the Mental Capacity Act (MCA) and were able to explain how they ensured people’s consent was sought. One member of staff told us, “I feel I support people who lack capacity in so many ways, but we should never assume they lack capacity, I always offer choices, for example, I show them the options, asking ‘would you like this or this’ ‘would you like to wear this or this’. I always involve the person and engage fully with them. I have completed Mental Capacity Act training.”

People’s care plans included capacity assessments which detailed how their capacity for the decision was assessed. Where needed, best interest decisions were made, and also Deprivation of Liberty Safeguards (DoLS) were requested or in place.