Bletchley House Residential Care and Nursing Home

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 requires improvement. At this assessment the rating has changed to 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. For example, the provider completed a comprehensive assessment when people joined the service and care plans were regularly reviewed and updated as needed.

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. Tools, such as the Waterlow assessment, were used to assess the risk of skin tissue breakdown and Malnutrition Universal Screening Tools were completed to identify and act in response to people’s nutritional risks.

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. Prior to our assessment, there were concerns around working with other services and communication. The provider had worked with the integrated care board (ICB), local authority, and other partners to address these concerns and demonstrated measures they put into place to ensure people’s support was joined up.

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 been identified as being at risk of malnutrition, the provider ensured fortified foods and build up shakes were made available to promote weight gain.

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. Care plans were regularly reviewed and reflected people’s needs. Where additional input from other health professionals was required, their advice and guidance was clearly recorded.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Where people’s mental capacity was questioned, the provider ensured they completed mental capacity assessments, and any decisions were made in people’s best interests. However, we found the quality of these assessments varied and would benefit from review, but this had not had an impact on people. Where people were deprived of their liberty, the provider had requested the appropriate authorisations.