Bedewell Grange

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 inspection we rated this key question good. At this inspection the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 83 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Staff at the service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. A relative commented, “We went through the care plan when [Name] moved in and it was reviewed 4-6 weeks after, we were asked if we wanted to add things.” Staff told us there were effective systems in place to assess and monitor people’s needs. This included handover meetings between incoming and outgoing staff on shift and staff meetings. Staff members’ comments included, “Communication is good, information is shared, handover is good” and “It is easy to access care plans and risk assessments, on the system, interventions for people, are shown on the front page of the App.”

Staff 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 ensured people’s health needs were monitored and they received a nutritious diet, which, when needed, followed dietitian’s guidance. The catering staff understood people’s needs and how to promote a healthy diet. Staff closely monitored people’s health and made sure they ate and drank well and were not showing signs of ill-health. People and relatives’ comments included, “The dietician suggested milk shakes to build [Name] up. Staff weigh [Name] every week”, “[Name] is well looked after, they are eating properly” and “We enjoy home baking and get a choice of food.” The environment was well-maintained, bright and comfortable and people enjoyed personalised rooms. There was a café where people enjoyed playing bingo and a sensory garden. The environment was designed to meet the needs of people who may live with dementia, or a dementia related condition. The memory lane unit had signage and was themed with murals and decorations in the corridors to keep people orientated and engaged and to maintain their independence.

Staff at the service worked exceptionally well across teams and services to support people to ensure they received timely, seamless and consistent care. They made timely referrals and worked very well with other agencies to ensure people's treatment needs were met. A professional commented, “The home overall is responsive to my input, for example changing beds, adding/removing crash mats, and staff work with me to come up with alternate solutions. For instance, when a floor mat motion sensor is more of a trip hazard, they have switched to light beam sensors.” Staff were involved in a local primary care pilot project for dressings, this had been beneficial as it has enabled wounds to be dressed in a timely manner to aid wound healing as senior staff have received additional training in relation to skin integrity for the management of skin tears. A passport of information was available about people’s needs, for use if people needed to go to hospital, so they only needed to tell their story once.

Staff always supported people to manage their health and wellbeing to fully maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. A professional commented, “The referrals are appropriate, well written out and timely. I have received proactive telephone calls from both the manager and senior carers when they have a case that requires immediate input for safety.” Good oral health care was promoted, and staff had attended sessions from the local ‘mouth care for adults’ programme and a champion had been appointed to provide training to new staff to raise the importance of oral care for people. Staff worked closely with the local GP practice who ran monthly ward rounds in the service. They also worked with other professionals such as Parkinson’s team, community psychiatric team, and falls specialists to help people ensure people’s health needs were met. Some people had experienced very positive outcomes since moving to the service, for example, becoming more independent and more mobile. Specialist advice and guidance had been obtained where people had additional support needs, such as, from the occupational therapist, speech and language therapist or community nursing team. People and relatives told us they were supported to access health care. Their comments included, “The nurse has just consulted with the doctor, to increase [Name]’s medicines, they kept me informed, now they are eating again” and “When [Name] had a skin tear, the nurse would come out to dress it.”

Staff at the service monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of people themselves. Care plans were detailed, personalised and provided guidance to ensure outcomes could be met ensuring people received safe, consistent and effective support. There was a system of regular evaluation of risk assessments and people's care plans. Reviews were carried out regularly with people to ensure people's support and outcomes were monitored and in line with their wishes. A staff member commented, “Care plans are online, they are accessed via the Enable system. The information is clear and personalised, it is helpful information, easy to use.”

Staff told people about their rights around consent and respected these when delivering person-centred care and treatment. Assessments were carried out, around people’s mental capacity and care records contained relevant information. Records captured all the relevant others involved in Best Interest decision making, where people did not have the mental capacity to give consent.