Branksome Heights

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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

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 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.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

When approaching people to provide care, staff routinely explained what they were proposing to do and asked people if they were happy to be assisted. They respected the person's answer.

People told us staff respected their wishes. For example, someone described how they understood why staff would encourage them to get involved in activities, telling us, "But it's my choice [whether to]."

Staff responded in staff surveys stating they understood the Mental Capacity Act 2005 (MCA), including DoLS.

The service's continuous improvement plan specifically addressed how staff would continue to record consent and best interests decisions. It stated that where there was concern about people's capacity to consent to aspects of their care, staff must follow MCA principles, including involving the person and those close to them, in reaching best interests decisions. People's care records reflected this. Where people had appointed a representative to have lasting power of attorney to make decisions about their health and welfare or their property and financial affairs, details were included in the person's care records. This included evidence that the lasting power of attorney had been activated through registration with the Office of the Public Guardian. Where people had a Do Not Attempt Cardio-Pulmonary Resuscitation document, this was clearly flagged in their care records. Where the doctor signing the document had assessed a person lacked the capacity to consent, the service supported them to consult with the appropriate family members or representatives.