BBcare10 Ltd

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.

Each child’s needs were assessed prior to the commencement of the care package to ensure the service had the capacity, skills, and resources to meet the needs of the child and their parent/carers. Children received care which was informed by specialist clinical advice, school records and which was tailored to their individual needs. Care plans were comprehensive, accessible to staff, and subject to ongoing review and updates to reflect changes in need.

Parent/carers were provided with a welcome pack, and staff profiles prior to the start of their care package. The registered manager explained a senior staff member would be allocated to a new family to confirm the child's support needs, and complete any outstanding care and safety information, such as fire risk arrangements. New staff were introduced to the child and their family through a shadowing process to support continuity and consistency of care.
 

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.

Effective systems were in place to ensure children received care and support in line with evidence-based practice and recognised professional standards. The registered manager and key staff maintained their knowledge of current guidance and best practice.

Staff received training relevant to their roles, enabling them to deliver care which met children's individual needs and reflected current standards. The management team-maintained oversight through regular audits, spot checks, and practice observations, which supported quality assurance, identified areas for improvement, and helped ensure standards of care were consistently maintained in line with evidence-based guidance.
 

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 worked collaboratively within the provider’s established care team and alongside parent/ carers, healthcare professionals and commissioners. This ensured children received coordinated and consistent support and parent/carers received regular respite breaks. Care plans incorporated detailed guidance from specialist clinicians, including physiotherapists, dietitians, epilepsy nurses, and respiratory specialists, enabling staff to deliver care tailored to each child's individual needs.

Communication within the service, and with parent/carers, and external professionals, was effective and well established. Staff maintained regular, clear, and constructive communication with parent/carers and healthcare teams and demonstrated a strong commitment to partnership working to achieve positive outcomes for children.
 

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.

Children and their parent/carers were supported to maintain and improve their health and wellbeing both individually and as a family. Staff worked proactively with parent/carers to promote healthy lifestyles for their child and encourage participation in meaningful and engaging activities tailored to meet each child's needs and preferences.

The provider ensured staff followed professional guidance and recommendations to help mitigate children’s health risks and to prevent decline in health and hospital admissions.

Parent/carers reported their wellbeing had improved since receiving support from the service. Healthy eating and positive wellbeing were actively promoted, contributing to improved health outcomes and enhancing the overall quality of life for children and their families.
Some children had complex nutritional needs and required a feeding regime to gain their nutrition via a PEG. Care plans were updated to reflect these practices and the changing nutritional and feeding requirements depending on the child’s wellbeing and health.

The provider worked with professionals such as physiotherapists and Speech and Language Therapy (SALT) to understand their specialist recommendation and to ensure the care provided was continually in line with their specialist recommendations.
 

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves.

Children’s care needs, risks, and incidents were routinely monitored to ensure safe and effective care delivery. Records demonstrated effective oversight of key areas, including seizure activity, nutrition, medication administration, mobility and physical health needs. The service carried out regular risk review meetings and audit processes to identify emerging risks and trends. Where concerns were identified, appropriate action was taken to mitigate risks and support positive outcomes for children.

The provider had introduced staff profiles to help match children with staff who were compatible with their individual needs and preferences. This approach supported the development of positive relationships, promoted continuity of care, and helped to reduce anxiety for children and their parents/carers.

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

Children's day-to-day consent was sought through personalised communication methods tailored to their individual needs and preferences. Children were actively encouraged and supported to participate in decisions about their care wherever possible. Staff demonstrated a good understanding of promoting choice, respecting children's wishes, and acting in their best interests. One staff member said, “We act as the advocate for the children. We are their voices if needed.” Gillick competency assessment checklists (a tool used by professionals to determine if a child under 16 has the maturity and understanding to consent to medical treatment or advice without parental knowledge) were completed where appropriate to support decision-making and ensure children's views and voices were recognised and respected.

In the absence of the child’s consent, parent/carers consented to the care provided and guided staff on supporting their child in their best interest.