BITAK Healthcare 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 71 (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 ensured that people’s care and treatment were effective by assessing and reviewing their health, care, wellbeing, and communication needs in partnership with them.

The provider carried out detailed assessments of individuals’ needs prior to the commencement of support. For example, the provider worked closely with 1 individual and relevant professionals to gather comprehensive information about their care requirements, including medical history and previous care experiences. This ensured that staff had the necessary knowledge and understanding to support a smooth and safe transition into the service.

A relative told us, “The manager really took time with my relative. [Manager] really listened during the assessment and found out exactly what they wanted and what their needs were.”

This meant people received care and support that was regularly reviewed, reflected their individual needs, and helped to promote positive outcomes for their health, wellbeing, and independence.

The provider planned and delivered people’s care and treatment in partnership with them. This was done in line with relevant legislation and current evidence-based good practice and standards.

One person had been assessed as requiring an easy chew diet. Their support plan identified they required a texture‑modified diet in line with the International Dysphagia Diet Standardisation Initiative (IDDSI). The IDDSI provides guidance for providers on how to meet the standards to reduce choking when supporting people with meals.

Accessible, person-specific guidance was available to staff regarding people's dietary requirements, including food consistencies and portion sizes. Staff demonstrated a good understanding of people's individual needs and preferences. This meant the delivery of care was supported by clear and detailed information, helping to ensure people's dietary requirements were met safely and consistently.

Feedback from people and relatives indicated that people’s nutritional, hydration, and health needs were understood and managed appropriately, including where specialist guidance was required. This meant people received care and treatment that reflected their individual needs, preferences, and best practice guidance, helping to support their health, wellbeing, and safety.

The provider worked effectively across teams and services to support people. They ensured individuals only needed to share their information once by appropriately sharing assessments when people moved between services.

The provider told us they had good working relationships with commissioners and healthcare professionals. Records demonstrated regular communication and information sharing with relevant professionals, including mental health specialists, to help ensure people's needs were understood and coordinated care was delivered.

Professionals did not raise any concerns about how the provider worked with other services and agencies. This meant people benefited from joined-up care and support, with staff working collaboratively with partner agencies to help ensure their needs were met consistently and effectively.

The provider supported people to manage their health and wellbeing in ways that maximised their independence, choice, and control. Staff encouraged and supported people to live healthier lives and, where possible, reduce their future need for care and support.

We saw that people's wishes, goals, and aspirations were clearly reflected within their care plans and regularly reviewed as part of their ongoing support. The provider shared a positive example of how they had worked with an individual through person-centred planning and goal setting to develop the skills and confidence needed to achieve greater independence and ultimately live independently. This demonstrated a proactive approach to promoting independence, achieving positive outcomes, and supporting people to meet their personal goals.

A relative spoke positively about the support their family member received, telling us, "[Relative] is really well cared for. [relative] is always well hydrated, staff support her nutrition, and their weight is stable."

This meant people received personalised care and support that promoted their health, wellbeing, independence, choice, and control, while helping them to achieve their own goals and desired outcomes.

The provider routinely monitored people’s care and treatment to drive continuous improvement. They ensured that outcomes were positive and consistent, meeting both clinical expectations and the expectations of the people using the service.

The provider sought and considered feedback from people, their families, and carers through satisfaction surveys. Feedback was reviewed, acted upon, and shared, with clear improvement plans in place to support ongoing development.

A relative told us “I think it’s excellent that the manager visits each person monthly to review and check that everything is going to plan”

Staff told us people felt confident to raise concerns and understood the processes for doing so. This meant the provider routinely monitored the quality of care, listened to feedback, and used this information to support continuous improvement and positive outcomes for people.

The provider did not always ensure that people were informed about their rights in relation to consent, or that these were consistently upheld when delivering person-centred care and treatment.

We reviewed records which indicated that a social worker had advised that 1 person lacked capacity in relation to their care needs; however, there was no supporting documentation in place to evidence this decision. This was raised with the registered manager, who confirmed that an external capacity assessment had been requested. At the time of our assessment, the provider had not completed an internal capacity assessment; however, the registered manager took prompt action to initiate this.

Despite this, staff demonstrated a clear understanding of the importance of obtaining consent, and appropriate policies and procedures were in place. One staff member told us they respected people’s decisions and always sought consent before administering medicines. Where a person refused medication, staff explained its importance to support understanding, and any concerns were recorded and appropriately escalated to the manager.