BMBC Reablement Service

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.

This is the first assessment for this newly registered service. This key question has been rated 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 had their needs assessed prior to receiving support from the service and at weekly intervals. A person said, “I have a care plan, and it identifies all my needs that the staff follow. They get gold stars from me every day as they are wonderful. They ask me before they undertake a task and never assume it is ok to go ahead without my say so.” Staff had access to people's care records via a digital app. Care records contained details about people's needs and wishes, including people's history and what was important to them.

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 worked with a range of external health professionals to ensure people had their needs met. This included GPs, occupational therapists and social workers. One person told us, “The carers will contact the district nurse when she needs to visit, and they have contacted the doctor for me when I felt poorly.” The service had their own occupational therapy assistant, to assess and support people with their independence and daily tasks.

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 they worked well together as a team. A staff member said, “Staff morale is good, everyone seems to get along as a team.I enjoy my job very much and enjoy meeting new people.  I enjoy looking after people and caring and supporting individuals helping them to achieve their independence.” Staff had access to an online portal, which provided them with information and policies and procedures and safeguarding information. We received positive feedback from partners about the service, they told us staff worked well with them, to meet people's needs and provide good care. A professional said, “Communication is good, interactions with the team are positive, there are open lines of communication and responses in a timely manner to help the initial response team make informed decisions regarding pathways for individuals and if staff are not in the office, they are easily contactable through other means to support collaborative working.”

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 were passionate about providing support to people to enable them to be more independent and remain at home. A staff member said, “I enjoy meeting new people and hearing their life stories. I feel a sense of purpose and job satisfaction, knowing that my work is contributing to the betterment of individuals within the community.” The service promoted collaborative working with services, to meet people's needs, increase their abilities and reduce their need for future support. People told us staff supported them with their meals and offered them choices. One person told us, “They [staff] will make me some breakfast and encourage me to make drinks and prepare food. They [staff] are meeting me needs. I am feeling a bit better now with the support from the carers.”

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 goals and aspirations were recorded in their care plans and staff supported people to achieve these. For example, 1 person's plan detailed how staff support this person to reduce their anxieties and aid their independence. People told us they had achieved their desired outcomes, such as improving their mobility.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People had signed to consent to their care. This included receiving an assessment and signing a service user agreement. A relative said, “They [staff] are very good and will always [name] if they are ok to have a shower, they always talk and keep them aware of what they are going to do next and ask for consent.” At the time of our assessment, no one who used the service lacked capacity to make decisions. Staff understood their responsibilities to gain peoples consent to care and treatment. A staff member said, “The Mental Capacity Act (MCA) focuses on supporting people to make their own decisions as much as possible and ensures that any decisions made on their behalf are in their best interest and cause the least possible restriction to their rights.”