Baily House

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 71 (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 began using the service. These initial assessments identified and recorded the support people required, including support with medicines, communication, personal care, diet and nutrition, daily living skills, and environmental needs. Information gathered during the assessment process was used to develop personalised care plans and risk assessments. People using the service, their relatives, and relevant health and social care professionals were involved in these discussions to ensure individual needs and preferences were fully considered and met. We saw that people’s care plans and risk assessments were regularly reviewed to ensure they remained up to date and reflective of people’s current needs. reflective of people’s current needs.

The provider did not always plan and deliver people’s care and treatment in line with professional recommendations in a timely manner.

Feedback from professionals told us that information was not always readily available, and advice was not always implemented. One professional told us, “At our GP weekly home round, there is often a lack of information such as [observations] and weight that the [multidisciplinary team] need, which may have been requested prior to the meeting. This may delay advice or treatment.”

We did review care plans which showed people’s preferences and guidance on nutrition.

People were provided with a choice of meals. We observed someone asking for an alternative as they did not like their first meal. This was replaced promptly.

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. People had access to a range of health and social care professionals.

People and their relatives told us they had access to healthcare professionals when they needed them. Staff explained that people were supported, where required, to attend appointments with a range of professionals.

There is a weekly ‘ward round’ where professionals visit to review service users’ healthcare needs. Staff found these helpful in getting support for people residing at Baily House.

The management and staff teams worked jointly with other services and professionals to ensure people received effective and timely care. There were good relationships between the service and external professionals, such as district nurses and dementia specialists.

One professional told us, “I always find the staff to be very helpful, knowledgeable, and caring towards their residents and it is a happy place, with weekly activities taking place to keep the residents entertained.”

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 were encouraged to maintain a healthy, balanced diet. People’s care records included assessments of their dietary needs. Some people were at risk of choking and required their food to be chopped into small pieces. Others had allergies. All this information was contained in care plans and known well by their 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.

Processes in place meant the registered manager had good oversight of people’s care and support. People’s care plans were updated monthly, or sooner if there had been a change, to ensure staff had the current information to provide effective care. The electronic system meant when changes were needed these were made without delay. This meant staff had accurate information to support people effectively. People and their relatives were involved in their care; people were supported to maintain their independence.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People were encouraged to make decisions about daily tasks. They could choose when to bathe or shower, what food and drink they wanted throughout each day, what clothes to wear and where they wanted to spend their time around the home. In relation to washing one person told us they shower, “Every other day, I could have one every day if I wanted”.

Staff knew about the importance of gaining consent from people before supporting them and never forced people to do things they did not want to.

We observed consent before carrying out tasks and staff knocking on people’s doors before entering.

The Mental Capacity Act 2005 (MCA) provides a legal framework for making decisions on behalf of people who may lack the mental capacity to do so for themselves. The Act requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to make particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. Staff had a good understanding of the need to gain consent, and that people had the right to decline care.

We reviewed assessments which were completed in line with the principles of the MCA.