The Brocken

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 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 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. The initial needs of people had been assessed prior to them using the service. This included reference to their main needs, as well as social history and those areas in which they could be independent. Once completed, this information was translated into a care plan. These care plans were devised in consultation with people and their families, were person-centred and subject to regular review. Staff were knowledgeable about the needs of each person and were able to access care plans.

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 had processes in place which supported the planning and delivery of people’s care and treatment, with a variety of needs and in consultation with them. They did this in line with legislation and current evidence-based good practice and standards. This delivery of care was supported by relevant staff training.

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. The provider had systems in place to make sure information was shared in a timely manner by everyone involved in people’s care. This ensured a joined up and consistent approach to delivering safe and effective care to people, in line with their individually assessed needs and preferences.

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 promoted healthy lifestyles in line with people’s likes and preferences, and care plans showed people had set health goals with staff able to tell us how these goals were progressing. When needed, the provider worked with other health services to ensure health needs of people were met.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves.

People were happy with the service provided .Feedback from some people indicated their aims were to remain living in their own homes, for as long as possible and considered the service had facilitated and sustained this.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. There was information and guidance included in care plans on how people expressed those wishes. Staff demonstrated a good understanding of the Mental Capacity Act 2005.(MCA)

Staff undertook mental capacity assessments for people, where required. These identified where people had the capacity to make their own decisions affecting their support.

People told us staff always asked for their consent prior to them receiving support and personal care. Staff had received training in the MCA.