Bridgewater Home Care

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. We reviewed care plans and found they contained detailed information about people needs, preferences, likes and dislikes and how staff should support them. This was supported by positive feedback from people and their relatives. One relative told us, “They [manager] spent time and we had a meeting about what [person] needed, what we wanted and likes and dislikes.” One person described their experience of receiving care, stating, “My family sorted it all out for me with the agency at the beginning, but I have had a review, one is coming tomorrow for a review. They come about every 3 months.”
This demonstrated people and their relatives were actively involved in assessing and reviewing care needs.
 

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 obtained and followed the advice and recommendations provided by relevant healthcare professionals. This guidance was clearly recorded within people's care plans, and where people's needs changed, care plans were updated to reflect current needs and professional advice. This helped make sure people received consistent care that reflected any changes in their needs.
 

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 worked with other health and social care professionals to ensure people received the appropriate care and support attending multiagency meetings if required to ensure information was shared and acted upon in a timely manner. Internal communication was effective. Staff completed clear concise records on the electronic care planning system following each visit including how a person was presenting, what support had been provided and if medication had been administered. This ensured staff visiting later were aware of the person’s current needs and changes in their wellbeing and any further support required. Staff told us the system worked well and supported consistent care.
Staff spoke positively about teamwork within the service. One staff member told us, “We work well together,” and, “All girls I work with are all lovely.”
 

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff identified changes in people’s health and sought appropriate support when required. One relative shared, ““If there is a problem, they [staff] will call me. Recently they needed to put barrier cream on as they had noticed red patches, and they phoned me to check. She has been dressed coolly during the hot weather, and the fans have been on, they have been getting as much fluid into her as possible with jellies, ice cream and drinks.” A person shared, “I was sick one time and the carers phoned the doctors to ask for help, it works very well.” This showed staff responded to changes in people's health while helping them maintain their independence.

The provider routinely monitored people's care and support to help ensure positive outcomes were achieved and maintained. People's care plans included goals and their desired outcomes, which were reviewed regularly and updated when required. Where a person's needs changed, care plans were amended to reflect these changes and ensure support continued to meet their needs.
One person told us, “They come about every 3 months. I used to have a carer each weekday but not at weekends. The review gave me the chance to have the extra days, so they come every day.”
This showed people were regularly involved in reviewing their care and that changes were made when required to help achieve the outcomes important to them.
 

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff supported people to make their own decisions about their care and support by involving them in assessments, care plans and reviews. All staff had received training in relation to Mental Capacity Act and deprivation of liberty safeguards.