BYS Care & Training Services Ltd

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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

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 as good. At this assessment the rating has remained as 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.

The provider involved people and their relatives in planning their care. Care plans provided staff with information about people’s personal care, nutrition, health and wellbeing, and preferences. A staff member told us, “The people I support have care plans which explain the support they need. I use the information in the care plan and get to know the person, so I understand their needs and preferences.”

People said they were involved in decisions about their care and felt listened to. Relatives said care plans were clear and provided staff with the information they needed. A staff member told us, “The care plan is updated when the person’s needs change or following an incident or when changes to their support are 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.

Staff understood people’s healthneeds, recognised changesand knew whento escalate concerns. They also supportedpeople to accesshealthcare when needed. A person told us, “For hospital appointments,[care staff] organise transportfor me anddoctor’s appointments.” Records showed staff monitored people’s food, fluid intake and wellbeing to identify concerns promptly.

Healthcare professionals told us the provider worked effectively with other services to meet people’s changing needs.

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.

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’s care needs were reviewed regularly using care reviews, daily records and feedback from people, relatives and healthcare professionals. Support was amended when needs changed. A staff member told us, “We report changes to the manager and the care plan is updated.”

Care was person-centred and focused on what mattered to people. Staff reviewed people’s needs and outcomes andadapted support whenrequired. People were supported to maintain their independence, health and wellbeing and were involved in decisions about their care.

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

The provider ensured staff followed legal requirements around consent. Staff understood people’s capacity to make decisions and involved people in decisions about their care and support. Where required, they involved others who were legally able to make decisions on people’s behalf.

Staff explained what they were doing before providing care and checked people agreed. A staff member told us, “We ask people what they want rather than making decisions for them.”