Brisca Healthcare

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 of 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.

Staff made sure people’s care and treatment was effective by assessing and reviewing their health, care and well-being needs with them. The registered manager met with people and their relatives before packages of care started to ensure their needs could be met by the service. A relative commented, “When the service first started, staff gathered lots of information from me about [Name]. We agreed on what they were doing and what we were continuing to do for [Name].”

Staff 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 were supported with their nutrition and hydration where required. A relative told us, “[Name] struggles with swallowing. The speech and language team [SALT] have been out. Staff noticed [Name] was not eating well. They now support them to eat and check the swallowing. They are careful and respectful whilst encouraging [Name] to eat and drink. [Name] now drinks more independently because of their encouragement.”

Staff at the service 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 service had a system in place for staff to communicate with each other which enabled them to effectively deliver people’s care and support. A relative commented, “Staff are quick to inform me of any issues. They took a picture of [Name]’s swollen [part of body]. They sent it to the office who forwarded it to me straight away. I decide what to do with [Name]." Staff had access to an app on their electronic devices where updates and messages could be shared between staff instantly. Staff made timely referrals and worked well with other agencies to ensure people's treatment needs were met. A professional told us, “Staff are very responsive and follow any advice.”

Staff at the service supported people to live healthier lives and where possible, reduce their future needs for care and support. Staff had the knowledge to monitor and identify a deterioration in a person’s health. A relative commented, “Staff are observant of any changes to [Name]’s body. For example, if there are side effects from the anti-biotics they take. They let me know.” Other people managed their own health and wellbeing with the support from their loved ones. Where people required additional help, staff supported people to do this.

Staff routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. There was evidence of regular reviews and action being taken immediately following any changes to people’s health needs. During reviews, care needs were discussed to improve outcomes. A relative commented, “Staff regularly check that we are happy with the care and include [Name] in everything. [Relative] is the main one.” Regular audits were also carried out to monitor and improve outcomes.

Staff at the service told people about their rights around consent and respected these when delivering person-centred care and treatment. People’s consent to care and support was sought and respected by staff. Records relating to mental capacity contained all relevant information and were documented in line with the Mental Capacity Act 2005 guidance.