HF Trust - Bradbury

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the provider met people’s needs.

This is the first assessment for this newly registered service. This key question has been rated good. This meant people’s needs were met through good organisation and delivery.

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 did not always make sure people were at the centre of their care and treatment choices and they did not always work in partnership with people, to decide how to respond to any relevant changes in people’s needs.

Care records did not contain information relating to people’s goals or ambitions. There was no clear guidance on how staff could support people to work towards outcomes that mattered to them over time.
Staff completed daily notes to record how people had spent their time. These sometimes lacked detail. There was limited information to indicate what had worked well for people and whether they had enjoyed their day. This meant opportunities to improve outcomes for people might be overlooked. However, staff told us they communicated well as a team and shared information about people’s preferences.
Care plans were individualised and provided clear descriptions of people’s needs and preferences. Staff tailored their communication and approach according to the needs of the person they were supporting.

The provider understood the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity.

People received consistent support from staff who knew them well. The use of agency staff was limited. Where it was needed this was provided by a small number of agency staff. The consistent staff group enabled people to build strong and trusting relationships with staff.
People had a range of diverse health needs. The service had worked closely with relevant healthcare professionals to help ensure people received appropriate and timely support. Staff acted promptly on any advice given.

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs.

Information such as house meeting minutes and hospital passports was presented using pictures, photographs and simple language to help make it accessible for people. Key worker meetings were completed using pictures, symbols and tick box responses to support understanding and choice.

The provider made it easy for people to share feedback and ideas, or raise complaints about their care, treatment and support. Staff involved people in decisions about their care and told them what had changed as a result.

Relatives told us they felt listened to and confident that concerns or suggestions would be taken seriously. One told us they had never felt the need to raise a complaint as any worries were dealt with immediately. They commented, “We discuss things, it’s all pretty relaxed.”
Residents’ meetings were organised to give people an opportunity to speak up. However, no-one in receipt of a regulated activity was attending these meetings. HF Trust provided easy read documents to support people’s understanding. For example, people had access to easy read tenancy agreements, complaint forms, rotas and meeting minutes.
Surveys were used to gather feedback from staff and relatives. This showed the provider sought feedback and used it to make improvements.
 

The provider made sure that people could access the care, support and treatment they needed when they needed it.

The provider had an equality and diversity policy and staff completed equality and diversity training. This meant staff had access to information to help them understand the potential barriers to accessing care people might face and how they could be supported to overcome them.

Staff and leaders actively listened to information about people who are most likely to experience inequality in experience or outcomes and tailored their care, support and treatment in response to this.

People were supported without discrimination. Staff encouraged people to access local facilities in the community and develop social networks. It had been identified one person was having difficulty getting in and out of the bath. The registered manager told us they were working with the local learning disability team to get a referral to apply for adaptations in their bathroom.
Staff completed training in autism and learning disabilities to help them understand the inequalities they might face.

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life.

The provider had developed new processes for recording people’s wishes at the end of their lives. Relatives were asked for their input into end-of-life care plans. When people had experienced bereavement, this was used as a starting point to help engage people in discussions and start thinking about their own wishes.