Bradley Apartments

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 requires improvement. At this assessment the rating has changed to 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 theirs needs assessed by the provider prior to them using the service and included details of people’s life history and support needs. People’s care plans were detailed and person-centred.

Positive behaviour support plan (PBSP) were in place to guide staff in how to support people when they showed signs of becoming distressed or agitated. There was also a PBSP grab sheet for staff to use if they were unsure of what actions needed to be taken. These were person centred and specific to that person. A staff member explained, “The people are always involved in the developing and reviewing of these (PBSP) and residents have input too.” Staff knew people well and could identify people’s specific needs and triggers.

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.

People’s nutrition and hydration needs were identified and met. People chose what they wanted to eat and drink each week.

Staff encouraged people to be involved in planning the menu. Healthy eating was promoted and there was regular support from the dietitian. One person told us, “I feel well listened too and will speak to staff about food and then talk to the dietitian.”

One person had a fluid restriction diet due them potentially drinking a high amount of fluid. Staff were able to identify the appropriate number of fluids required each day including any extra fluid requirements during hot weather. There was an effective recording system in place to monitor this.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing information effectively when people moved between different services.

Staff began their shift with a handover from the previous shift, which ensured they were up to date about any concerns, appointments, or changes in people’s care. Furthermore, each apartment had their own handover which involved people, and this was to plan the day together.

There were regular staff meetings, and the minutes were shared with all the staff team. Staff told us they supported each other well and said there was a good sense of teamwork at the service. One member of staff told us, “It is the best team I have worked with. Loads of teamwork, in it together, everyone wants to see everyone succeed.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives.

People were supported to access a range of health care professionals and staff monitored people’s health and well-being. There was a physical health coordinator on site to help monitor people’s health needs and escalate concerns quickly if people’s health deteriorated. One person explained, “Every month [physical health coordinator] comes to the apartment and checks me over which is good.” One member of staff also said, “They [physical health coordinator] are a great use, as they can support so much.”

Staff and people worked with the dietician to help provide a range of different healthy food choices. People were involved in these decisions and had access to easy read information which included, portion size guide and examples of healthy snacks.

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.

Every person had a quarterly care review meeting. These were attended or had feedback provided by a range of health professionals, relatives and the person was invited to attend. This monitored the effectiveness of people’s care, treatment, support and action to be taken. Staff said in relation the quarterly care review meeting, “The feedback is then sent back to us, it is an open conversation, and we can question it.” People also had access to monthly health checks.

Staff completed physical health checks for people prescribed antipsychotics to monitor the effects on their health and wellbeing. In addition to this, staff used established side effect rating scales to review whether people were having side effects from these medicines.

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

The provider was previously in breach of this regulation and had taken actions to ensure this regulation has been met. The service had completed appropriate mental capacity assessments and made an appropriate Deprivation of Liberty Safeguards (DoLS) application. People had been provided with an easy read DoL’s document to support them understand this process. Staff had received training in relation to the Mental Capacity Act (MCA) and understood the importance of gaining consent.

Accessible information such as meal planners and daily diaries had been used to help people understand and contribute to their daily routines.

A person told us they had choice, “I can choose what I want to do, food, disco every Monday, choose if you want to go or if you do not.”