Bradford Regional Office

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. Care plans were detailed about people's wishes and needs. The provider had recently introduced a new care planning software system. People had detailed positive behaviour support plans in place, which detailed their triggers, behaviours and de-escalation techniques. Care plans were regularly reviewed and audited.

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. Care records contained detail about professionals’ advice and equipment which was required for people. Positive behaviour support training was provided by a accredited training provider for the British Institute of Learning Disabilities (BILD) and the service worked within the principles of the restraint reduction network, which aims to reduce the use of physical interventions. People had an annual health review in place, in line with best practice guidance.

The provider worked well across teams and services to support people. Staff told us morale was good, and they worked well together as a team. A staff member said, “It is a great place to work, and we all support each other and we support the people. I love my job.” People had regular reviews which involved a yearly review with their allocated social worker, to ensure they were happy, and their current placement met their needs. Partners told us staff worked with them to meet people's needs. A professional said, “The manager is very responsive. Handovers are very comprehensive, always a well-informed knowledge based about the service user.”

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. Where people had specific health conditions, this was detailed in their care records and provided guidance for staff about how to monitor their health needs. For example, a person with diabetes had a detailed care plan in place and staff supported them to attend health appointments. A person who required a low fat diet due to their health condition had input from a dietician and had lost weight. People had annual health checks in place, with their local GP practice. A relative said, “The staff always tell me what is going on. I go on all their medical appointments with the staff, and I support [name] when they are in hospital. I am happy that there are always enough staff to support [name].”

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 had clear outcomes in place, to enable them to achieve their future goals and aspirations. For example, 1 person was working towards attending a computer course, and another person worked towards going swimming. People were given the opportunity to go on holiday and people had pets if they wished to. A person told us, ““Nothing could be improved. I am more independent here than I was before. The staff tell me how I am getting on and advise me about things.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff understood their responsibilities to gain consent from people and had undergone training and competency assessments about the principles of the MCA. People had their capacity assessed and had either best interest decisions in place or had consented to their care, dependent on their level of capacity. A relative said, “The staff are very kind. They always ask consent. They do know [name] well. They are all friends, or like brothers to [name].”