Bailey House

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.

Assessments were conducted and used to develop care plans for each aspect of people’s care. Care plans were based on people’s needs and preferences. They were usually reviewed monthly, or in response to incidents or changes in people’s needs.

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.

The provider used relevant tools to assess and monitor people’s needs, including nutrition and hydration. People received appropriate support with their nutritional needs. We observed people were offered choice in relation to their food and drinks, and their choices were respected. People appeared to enjoy the food available, and relatives had no concerns in this area. Staff were aware of the support people required in relation to nutrition and hydration, and their weight was monitored.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing relevant information when people moved between different services or accessed other healthcare support. A visiting healthcare professional provided positive feedback about their working relationship with the home. They commented, “I have no concerns when I visit. They are really on the ball and follow the guidance I have given.”

Most staff told us there was good teamwork. One commented, “I feel like we're a good unit now. There is a good team, and I think we work together well.” Key information was passed on between staff shifts, using the handover report on the provider’s electronic system. There were also team and management meetings.

The provider supported people to manage their health and wellbeing to maximise their choice and control. Staff supported people to live healthier lives.

People’s care plans contained information about any specific health needs. Staff made appropriate referrals to health specialists when needed and followed any guidance given. A relative told us staff supported people to attend relevant appointments. They provided a positive example to illustrate how staff had supported someone following a recent eye operation.

One person required a dental check-up, and the registered manager told us how they planned to organise this. There were also plans to develop one person’s range of community-based activity, which would help promote their physical activity and wellbeing.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes met people’s needs and preferences. Staff worked with people to identify any goals or outcomes they wished to achieve as part of the care planning process. On the provider’s care planning system there was a planned outcome recorded for each aspect of the person’s care. It wasn’t always clear from records how progress towards these specific goals was being worked towards and monitored. However, there were monthly reviews of the care plan which tracked people’s progress more generally.

Staff described positive outcomes for people. They told us that one person had become more settled and content since living at the home. This person now rarely needed medicines prescribed on an ‘as required’ basis, to manage their anxiety and behaviour.

Relatives told us there had been improvements in their loved one’s wellbeing. They felt people were settled and happy at the home.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

The provider had made improvements since the last assessment. They now ensured capacity assessments were completed for specific decisions about any restrictions. Records were also kept of decisions made in people’s best interests, with all relevant people involved in the discussions. Staff offered choices and sought people’s consent when providing care.