Bradbury Outreach Services

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.

At our last assessment we rated this key question good. At this assessment the rating remains good. This meant people’s outcomes were good.

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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.

People’s needs were assessed, and staff understood their health, wellbeing and communication requirements. Assessments were reviewed when needs changed, and staff used this information to provide consistent care.

The service had a process for assessing people’s needs, this included receiving feedback from people’s relatives and information from the local authority. Care plans included details about communication preferences, routines, risks and the level of support people required.
Staff demonstrated strong insight into the people they supported. Relatives told us staff knew their family members well and described the service as flexible and responsive to changing needs.
Managers were also familiar with people’s needs and provided oversight to ensure information remained current.

The service planned and delivered people’s care 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.

Staff worked in line with current guidance and used information from assessments to deliver effective and personalised care.

Staff encouraged healthy eating whilst respecting people’s choices. Relatives reported confidence in the service’s ability to support people’s health and wellbeing.

Staff described how learning from incidents, training and supervision improved the delivery of care.

The provider worked well across teams and services to support people.

The management team provided us with examples of how they worked with health and social care professionals to support people’s needs. The service worked with external professionals, including local authority teams, safeguarding authorities and other providers.

Staff collaborated effectively with each other, families and external professionals where appropriate to support people’s needs.

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 told us they encouraged people to exercise and eat healthily. People were encouraged to participate in meaningful activities and make choices that promoted healthier lifestyles.

People’s relatives told us staff knew their family members well and they were confident any health concerns would be recognised. One relative told us, “Staff will tell me if [name of person] is seeming unwell. There’s never been a problem in that way.”

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent.
People achieved good personal outcomes, such as increased confidence, improved communication, greater independence and enhanced community participation.

Staff were proactive in helping people achieve positive outcomes. Feedback from relatives identified progress in people’s wellbeing and routines. One relative told us, “They [staff] know [name of person] well enough to anticipate their needs. [Name of person] handles things so much better now with such a good routine and they are happier in themselves. [Name of person] gets up in the morning with a smile on their face.”

The provider did not always tell people about their rights around consent and did not always respect their rights when delivering care and treatment. Some improvements were needed to ensure people’s consent and mental capacity were consistently assessed, recorded and reflected in care planning.
We found 1 instance where a capacity assessment and a best interest decision was not completed where a restriction was in place to keep the person safe. We discussed this with the registered manager who took action to address the shortfall. Improvements were also planned to involve people more fully in consent processes.