Brookfield

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’s needs were assessed before they started to use the service to help ensure these needs could be met. Information collected was transferred into care plans so that people’s needs and preferences were identified to support staff in meeting their needs. This included information about the person’s life history, likes, dislikes, goals, wishes, dreams and worries. A relative told us they had been involved in pre-admission discussions, this included discussions about their relative’s needs, likes and dislikes.
 

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.
The provider used recognised assessment tools to assess and monitor people's needs and risks, including the Malnutrition Universal Screening Tool (MUST) and the Waterlow assessment tool.
Some people were at risk of choking and had been assessed by a speech and language therapist (SALT). Staff were knowledgeable about peoples dietary needs, including those who had a modified diet or were prescribed thickener in their drinks, to reduce the risk of choking. Care plans had been developed which reflected this guidance.
 

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 were organised well to meet people's needs. Each shift was led by a senior member of staff, and management support was available outside normal working hours when needed. Staff told us they shared important information during handovers to make sure they were aware of any changes in people's care and support needs.
Staff worked well with health and social care professionals to help meet people's needs. A healthcare professional told us staff were, “Responsive, excellent at communicating, anything asked for is done.” Staff told us they felt supported and could ask senior staff or healthcare professionals for advice when 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.
Staff worked with people to encourage them to maintain their abilities and make decisions about their day-to-day lives.
We observed a relaxed and positive mealtime experience. People were encouraged to be as independent as possible and were offered a choice of meals and alternatives if they did not want the main meal. People were encouraged and supported to take part in activities that promoted their physical, mental and emotional wellbeing. One person told us “We have people who come in and do things (activities). We can go out and walk in the garden.”
 

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 health and wellbeing were monitored, and staff worked with health and social care professionals when additional support was needed. For example, a staff member told us they had recognised a person was starting to experience memory difficulties. A referral to the Later Life and Memory Service had been made.
 

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.
People were involved in decisions about their care and support wherever possible. Care records included information about people’s preferences, routines and how staff should support people to make choices about their care and treatment.
Our observations showed people were asked what they wanted to do, where they wanted to go or what they wanted to eat and drink.
Staff demonstrated knowledge in relation to consent, the Mental Capacity Act 2005 and best interest decision-making.