Beehive Care & Training Group Ltd

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• 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 79 (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.

Systems and processes were in place to capture information as part of the assessment process to determine if the service could support people safely. A care plan was then developed.

People and relatives told us assessments were thorough and person centred. One person told us, “They came round to do an assessment before they started. They gave me a brochure about things I would need. Together we compiled a care plan.” A relative told us, “[Manager] came round to do an assessment first. They were brilliant. They involved both [relative’s].” One professional told us, "I have always found that they ensure their pre-assessments are carried out thoroughly and ensure all information is in place including safe moving and handling plans before they commence their support."

Staff described observing people closely, escalating concerns and reassessing promptly to keep care safe and responsive.

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.

Care plans reflected clinical guidance and professional advice including moving and handling and pressure care.

Staff escalated any concerns appropriately to health professionals such as GPs, district nurses and therapists. One professional told us the service was “Very proactive and prompt particularly when requesting urgent assessments or reviews” and confirmed staff followed agreed guidance and treatment plans. This meant people received care that met their needs.

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.

The provider worked effectively with people, relatives and other services to coordinate care and support. The provider told us, “We have developed strong working relationships with GPs, community health teams, and other professionals, ensuring that concerns are escalated appropriately and that our customers receive coordinated and effective support.”

Staff shared information well, so people did not have to repeat their story and experienced joined‑up care. The service worked with GPs, district nurses, therapists, social workers and hospitals, including during admissions, discharges and periods of increased need. Managers and senior staff were visible and involved in care delivery when required, which supported continuity. Relatives described good communication between services, with one saying, “They deal with the GP and district nurses, they all liaise with each other really well.”

Professionals confirmed communication was timely and the service responded quickly to changes in people’s needs. One professional told us, “They have very good systems of communication in person and over the telephone. The key/allocated worker role in their team works well. Management are very responsive, are very effective and succinct at handing over information on behalf of a person or relative as needed.”

The provider always supported people to manage their health and wellbeing to fully maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Care was strongly focused on enabling people to do as much as possible for themselves, with positive risk taking supported. One person told us due to the services support they have become more independent, and their support had been reduced.

Staff encouraged healthy choices, hydration, nutrition, mobility and social inclusion. One person was attending college which was helping them to build confidence, independence, and life skills. Another person told us staff encourage them to exercise when needed. They told us, “That’s amazing.”

People and relatives described life‑changing support. Comments included, “We are grateful for the care they provide. It has been life changing for [relative] and for us” and “They have been our salvation. I don’t live near [relative], so I now have peace of mind as I trust them all.”

Relatives told us care adapted as needs changed. Comments included, “They have adapted [relatives] original care plan to reflect all [relatives] needs and show what care [relative] needs now” and “They have adapted well to [relatives] changing needs as [relative] is deteriorating.” One relative told us staff “have taken over the doctor stuff and are doing it well”, which had reduced stress and improved their quality of life.

Professionals praised the service for promoting wellbeing and independence and for suggesting creative, person‑centred solutions that led to sustained positive outcomes for people. One professional told us, “They do their very best to support people’s health, lifestyle and wellbeing in their homes, but this is dependent on the persons choice, consent, engagement and motivation. They follow therapy and mobility plans such as occupational therapist and physiotherapist advice. They are very good at suggesting possible health and wellbeing choices and solutions and will have very honest and open conversations with people and/or their relatives as necessary.” This meant people received care which supported them to maintain their health, prevented avoidable decline and they experienced better overall wellbeing, reducing the need for future support.

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

People experienced extremely positive outcomes whilst being supported by the service. Staff described a culture of openness, reflection and support, which helped improve outcomes for people. One person told us they had become more independent due to the services support which had resulted in a reduction in support from the provider. We were given other examples of how people’s lives had improved. This included 1 person who presented as anxious and unsettled during visits, particularly with unfamiliar carers, and was reluctant to accept support. This person was allocated a small, regular care team and became more settled and reassured during visits. For another person, the support the service provided supported them to gain confidence and independence. As a result, the person had recently attended a medical appointment without support from their family for the first time.

The provider respected people’s rights and obtained consent appropriately, supporting people to make decisions about their care and treatment.

The provider ensured people’s consent to care and treatment was obtained and respected, in line with the Mental Capacity Act 2005 (MCA). Care records documented consent and when capacity assessments and best‑interest decisions maybe required. Where capacity fluctuated, care plans guided staff on how to support decision making and involve others appropriately.

Staff sought consent during care and explained what they were doing. One person told us staff “Always ask before they help and give me choices.” A staff member told us they “Ask people for consent before touching them.”

Staff demonstrated a good understanding of the MCA and supported people to make decisions wherever possible, respecting their right to refuse care. One staff member told us people have the “right to refuse care and medication.” Another staff member told us, “People can make their own decisions; I give them as much information as possible to do this to ensure they understand what is happening.”