Brighstone Grange

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 has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (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. People’s care and support needs were assessed before they moved into the service, and this information was used to develop individualised care plans. Assessments considered people’s health, mobility, communication, nutrition, personal care, social needs, preferences and independence. Care plans and risk assessments were reviewed and updated when people’s needs changed, with input sought from relevant health and social care professionals where required.

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. People received care and treatment based on their assessed needs and recognised good practice. Staff sought advice from relevant health professionals when people’s needs changed and care plans reflected professional guidance, including around mobility, nutrition and swallowing needs.

People’s nutritional needs and preferences were assessed and monitored, with fortified diets, nutritional supplements and modified food and fluids provided where required. People were offered choices and alternatives at mealtimes, and staff knew people’s individual dietary needs and preferences.

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. Staff worked effectively together and with external health and social care professionals to meet people’s needs. Relevant information was shared between staff through care records and handovers, including changes in people’s health and support needs. Records demonstrated involvement from a range of healthcare and specialist services where required. An external professional spoke positively about working with the service and described management as approachable and receptive to professional advice and recommendations to support people’s wellbeing.

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. People were supported to access healthcare services and specialist advice when required. Staff monitored changes in people’s health and sought medical advice appropriately, including making referrals to GPs and specialist services. Records demonstrated involvement from services including physiotherapy, dietetics, speech and language therapy and dementia outreach, with professional advice incorporated into people’s care and support.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. People’s care and support were regularly reviewed to monitor whether their needs were being met and to identify any changes required. Staff monitored areas such as people’s health, mobility, nutrition and risks, and care plans and risk assessments were updated when people’s needs or circumstances changed. Information from monitoring and professional advice was used to make adjustments to people’s care and support where required.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People’s consent to care and treatment was sought and respected. Where people lacked capacity to make particular decisions, decision-specific mental capacity assessments were completed and best-interest processes followed. People were supported to make everyday choices wherever possible, and records showed staff respected people’s choices and refusals of care. Staff understood people had the right to decline care or medicines and told us they would respect this, offering support again at a later time or in a different way where appropriate.