Bamburgh Supported Living

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 inspection we rated this key question good. At this inspection the rating has changed to requires improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.
 

This service scored 58 (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’s care and support was effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them.

The provider had completed an initial assessment of people’s needs. However, this information was not always sufficiently detailed or personalised. Assessments did not always provide a comprehensive view of people’s health, care, wellbeing and communication needs and it was not always clear how people or those important to them had been involved in the process. Despite these concerns, we found staff were generally able to tell us about people’s likes and dislikes and how they liked to be supported.
 

The provider did not always plan and deliver people’s care and support with them, including what was important and mattered to them.

Care was not always delivered in line with ‘Right support, right care, right culture’ guidance. Care records were not consistently person-centred and it was not always clear how staff supported people to engage meaningfully in reviewing their care to ensure it reflected what was important to them. Documentation did not always demonstrate how care and support had been adapted to reflect current good practice for autistic people and people with a learning disability, including the use of strengths-based approaches and personalised strategies to promote wellbeing and positive outcomes.
 

The provider worked together across teams and services to support people. They made sure people only needed to tell their story once by sharing information about their needs when people moved between different services. Relevant information was shared with other health professionals to ensure people received appropriate healthcare input and support.

The provider supported people to manage their health and wellbeing. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.
People were supported to access healthcare services when needed, and staff worked with health professionals to help ensure people's health needs were understood and met.

The provider did not always routinely monitor people’s care and support to continuously improve it. They did not always ensure that outcomes were positive and consistent.

Goals were identified for people, such as increasing participation in community activities. However, records did not always demonstrate how progress towards these goals was monitored, reviewed, or achieved. It was not always clear how staff were supporting people to engage meaningfully in reviewing outcomes.
 

The provider did not consistently ensure people were informed of their rights in relation to consent or provide staff with clear guidance for people who did not always communicate verbally. Whilst the provider had completed decision specific mental capacity assessments, records did not always contain clear information about how people communicated consent or refusal for specific decisions. Despite these concerns with documentation, staff were able to tell us how people made choices, and we observed staff offering choice and respecting people's decisions.