London Care (Bristol Court)

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.

The last rating for this key question was 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.

Staff assessed people’s needs and choices before they moved to the service. People and their relatives were involved in this process. Staff created care plans which reflected these assessments. They regularly reviewed and updated these. A relative told us, “Staff undertake a day-to-day review of [person’s] care. They speak with the family, and we all get lots of support.”

Staff provided evidence-based care. They undertook a wide range of training. This included training about people with a learning disability, dementia and mental health needs. Staff were able to describe how this learning had helped them provide good quality care.

There were regular meetings with managers to share learning and to test staff knowledge.

People using the service and their relatives told us staff had appropriate skills. A relative explained, “Even though the carers are not trained nurses, they do an incredible job.”

Staff worked well together. There were systems to help them share information and communicate with each other. Staff told us they felt well-informed. They liaised with other healthcare professionals to share information and ask for advice. External professionals confirmed this.

People were supported to live healthy lives. Managers had recorded information about people’s healthcare needs in assessments and care plans. They shared guidance and information with staff about how these needs should be monitored and met. People told us staff supported them to access external healthcare services.

Relatives explained staff had helped to guide people about healthy eating and lifestyle choices. They told us people’s weights had improved.

Staff created health action plans which outlined people’s needs, personal objectives to meet these needs and how to support them to remain healthy.

Staff monitored people’s needs and outcomes. The provider had started a new initiative to help people with a learning disability to plan personal objectives and work towards these. They supported people to become more independent. The scheme they were following assessed people’s skills and achievements at different stages. This information was used to help identify how successful the support they received was at meeting their objectives. This helped the provider to adapt plans to make sure these were personalised.

Staff kept records to demonstrate the care they had provided and any changes in people’s needs and wellbeing. Managers reviewed these to make sure people were safe and to respond to any areas of concern.

People consented to their care and treatment. People confirmed they were offered choices and these were respected. People were asked to agree and consent to care plans. Some people lacked the mental capacity to make certain decisions about their care. Staff assessed these and consulted with people’s representatives to help ensure decisions were made in their best interests.