Bath MIND - 82 Lower Oldfield Park

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 told us their needs had been assessed before they moved into the service, and they were involved in developing their support plans. Managers completed assessments of people’s needs before they were offered a place in the service. Records demonstrated these assessments included people’s mental and physical health, support to stay safe and signs of a deterioration in their mental health. The assessments had been completed with input from the community mental health team. Staff told us they received good information about people’s needs.

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 staff provided good support to meet their needs, including support to meet their nutrition and hydration needs. Comments included, “I am part of the meal club. We plan out meals with staff. I like the food” and “I like the variety of meals that are planned and I can always have something different if I want to”. Staff told us the meal club supported people to maintain a balanced diet and increase the variety of food in their diet. Staff completed training in nutrition and food safety to ensure their knowledge was up to date.

Staff had completed nationally recognised training specialist training on the needs of autistic people. Staff were positive about their training and felt it enabled them to better meet people’s needs.

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 told us there was good communication amongst the team and we observed staff working together to meet people’s needs. Health and social care professionals told us staff and the management team worked well to make sure people’s needs were known and understood by others. Comments included, “When visiting I can be assured of a robust and accurate handover of current events. I feel they have fostered a strong personal working relationship with us and are proactive and effective in contacting and communicating concerns should they arise.”

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 said staff supported them to attend medical appointments if they needed it. Staff told us they were aware of people’s health needs and had the guidance they needed to provide effective support.

People’s care records demonstrated they had been supported to access relevant health services, including the mental health intensive team, GP and emergency paramedics. Health professionals told us the service worked flexibly to meet people’s needs and improve their quality of life.

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. Staff maintained records of the care they had provided and observations of people, for example, people’s skin condition or details of anxiety and distressed reactions. Records demonstrated changes were shared with health and social care professionals where needed.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. We observed staff gaining consent before providing support for people. People had consented to their support plan and to live in the service, either in writing or their verbal consent had been recorded. Staff demonstrated a good understanding of the Mental Capacity Act and consent issues. Staff understood the need to follow the best interest decision making process if people lacked capacity to consent to a specific decision.