Enriching Healthcare Ltd Also known as Heritage Healthcare Bristol

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 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 registered manager made sure care and treatment was effective by assessing and reviewing people’s health, care, wellbeing and communication needs with them.

For example, people’s care plans contained important information such as if the person had any specific communication needs. This included if staff needed to use any alternative communication methods or if the person wore glasses or used a hearing aid.

The registered manager planned and delivered people’s care and support that was individual to them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

Care plans contained the person’s wishes such as any individual dietary requirements as well as any medical conditions. People felt supported by staff who respected their wishes and meal choices. For example, 1 person told us, “Staff support with meals, drinks and prepare a lunch. I’m able to say what I want and they get it for me.” Staff provided examples of how they gave people choice with their meals. One member of staff told us, “We give choice of what to eat.”

The registered manager 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 were involved in developing their individual care plans. Care plans confirmed how the person wanted their care to be provided. The registered manager liaised with health and social care professionals when people’s individual needs changed and when referrals were needed. Although professionals provided mixed feedback, 2 professionals provided positive feedback about how the service liaised with them. Whilst another felt there could be improvements to the communication with office staff. We shared this feedback with the registered manager for their information.

The registered manager and care staff 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 and relatives felt supported by staff who promoted their choice and independence. For example, 1 person told us staff promoted their independence, with enabling them to shower by themselves. One relative told us, “They offer choice and what would he like and encourage him.” The registered manager gave examples of where they were liaising with professionals, including where 1 person was having a review of their mobility needs.

The registered manager 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 felt included in regular reviews of their care. One person told us, “They do reviews.” They went on to also say they felt able to raise with the office if they needed to. The registered manager confirmed people had regular reviews of their care and support needs. These were done regularly through visits, telephone calls and an annual review. The registered manager confirmed they liaised with commissioners if there were any changes identified to people’s care and support needs.

The registered manager ensured people knew about their rights around consent and staff respected this whilst delivering person-centred care and treatment.

Staff gained consent from people before they supported them with their individual needs. All people and relatives felt the support provided by staff was supportive and respectful. For example, 1 person told us, “They come to support me, they are so supportive.” A relative told us, “They offer choice and what would they like and are encouraging.”