Brandon Trust Supported Living - Hampshire

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

Assessments were informed by input from people, relatives, and relevant external professionals. Risk assessments addressed behaviours and other key risks in line with best practice and professional guidance. One relative said, “We are always involved in everything. They ask me what I think and whether we should try something.”

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.

Support plans reflected guidance for managing behaviours and were developed with professional input. Where risks of eating inedible objects were identified, care plans included preventative strategies and response guidance developed in consultation with healthcare professionals.

Care plans incorporated professionals’ input, particularly in relation to choking risks, nutrition and physical health. Staff demonstrated a good understanding of how to apply this guidance consistently within supported living settings.

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.

Staff communicated effectively and worked collaboratively with external professionals to ensure people received coordinated and consistent care. A relative said,” Staff take him to all appointments and let the family know of any outcomes”.

Records showed clear evidence of joint working, including shared assessments, multidisciplinary reviews, behaviour support planning and medication reviews. Information was shared promptly when risks increased or behaviours. People and relatives said communication between the service and healthcare professionals was effective and helped ensure consistent and safe care.

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 supported people to maintain their health and wellbeing by working closely with a range of healthcare professionals. This included helping individuals attend GP appointments, facilitating reviews with community mental health teams, and collaborating with district nurses to monitor physical health needs. Staff were skilled at recognising early signs of deterioration in physical or mental health, such as changes in behaviour, mood, or engagement, and promptly escalated concerns to the appropriate professionals. People told us that staff helped them access the right support at the right time, which had a positive impact on their confidence and wellbeing.

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.

People’s support plans set out clear outcomes, including reducing behaviours, improving emotional regulation, maintaining physical health, and increasing independence. Staff reviewed behavioural data, health observations, and incident records in collaboration with external professionals, ensuring care strategies were adjusted in a timely and effective way. These collaborative reviews helped improve outcomes and ensured support remained responsive to people’s changing needs. People and their relatives reported increased stability, reduced anxiety, and more consistent support over time.

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

Staff understood and applied the principles of the Mental Capacity Act 2005, ensuring people were supported to make their own decisions wherever possible. Consent was routinely sought before care was provided, with staff using appropriate communication methods and reasonable adjustments to aid understanding. When individuals lacked capacity, staff followed best‑interest processes and worked closely with families, advocates, and other professionals, with records clearly documenting assessments and decisions. These practices ensured that people’s rights, autonomy, and legal safeguards were consistently respected and upheld.