Baldev Skills Resources Limited

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.

The service was previously in breach of the legal regulation in relation to person centred care and the assessment of needs. Improvement was found at this assessment, and the provider was no longer in breach of this regulation.

This service scored 67 (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 treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Assessments were completed prior to support starting and information collected transferred through to care plans. Care records were person centred and reflected how a person wished to be supported. However, some areas of care plans and assessments needed additional information to guide staff more effectively. Staff had access to care records and demonstrated they knew the people they supported well. Staff received specific training for any individual assessed needs such as peg training or catheter care.

At the last assessment the provider was found to be in breach of the legal regulation relating to person centred care and the completion of assessment of the needs and preferences for all service users receiving care. Improvements were found at this assessment, and the provider was no longer in breach of the regulation related to person-centred care. However, some areas still needed further review. The provider agreed to action these immediately.

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. Staff were supported through regular supervision and training to deliver care and support to people which was in line with good practice guidelines and standards. People and their families were involved in discussions about their care. One partner told us, “[Name’s] needs have evolved over the last twelve months, and they are open to training and discussions on how to solve issues.”

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. Overall feedback from most partners and professionals was positive regarding partnership working. One professional told us, “They have been professional, reliable, and responsive, and all my clients have expressed satisfaction with the support they’ve received.” However, one partner commented, “Working with Baldev has presented some challenges as communication isn’t always clear or followed through.” Staff were positive about managers, their colleagues and how they worked well together as a team. One staff member told us, “We support one another and work well as a team.” Another staff member commented, “We are team players.”

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. We saw that people had access to healthcare professionals and advice from professionals was sought with appropriate follow up by staff when people required health interventions. Staff were knowledgeable about people’s health conditions and ensured they delivered care and support in line with professionals’ guidance.

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. The provider had systems in place to gather feedback from people and relatives on their care and had systems in place to monitor support provided, including on site observations of staff competence.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. However, people’s care plans needed more information about capacity and the type of decisions people were able to make and how best to support them to make these decisions including any support a person may need with communication. The provider agreed to action this immediately. Staff received training in the Mental Capacity Act and understood the importance of ensuring that people fully understood what they were consenting to and the importance of obtaining consent before care was delivered. One staff told us, “I gain consent by explaining the care or support I am providing in a way that the service user can understand, ensuring they feel comfortable and respected in their decision making.” People and their relatives told us that staff sought consent before providing support. One person when asked if staff sought consent told us, “Yes they do yes.”