Bayview Healthcare 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.

This is the first assessment for this newly registered service. This key question has been rated good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

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 made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

The provider assessed people’s needs, including contacting other stakeholders, before they used the service and only supported people whose needs they could meet.

People felt their needs were well met and reviewed, and care changed as required when their needs changed. The provider regularly reviewed people’s care plans and staff had access to these to guide them.

The provider did not always plan and deliver people’s care and treatment with them, including what was important and mattered to them.

The provider could not always demonstrate people had their assessed needs met. For example, records did not always reflect people were supported in line with their care plans.

However, they used evidence-based assessment tools to monitor and assess people’s needs. These included details of signs of concerns staff should look out for, outcomes, support and monitoring.

Staff knew how to support people’s needs such as providing nutrition and hydration in line with their health needs. For example, 1 person told us staff always made sure they had a bottle of water next to them to stay hydrated, and their dietary needs were understood and met.

The provider did not always work well across teams and services to support people. They did not always share their assessment of people’s needs when people moved between different services.

The provider did not always have effective and robust systems and processes in place to communicate and work effectively with other services. Although they attempted to share information, links were not fully established. This meant there was a risk people would not receive consistent care.

Handovers between staff shifts took place and covered an overview of people’s care and wellbeing. However, records were not always structured or sufficiently detailed, which meant important information could be missed.

The provider worked effectively with other professionals, so people had the support they needed from healthcare providers such as GPs. Professionals knew staff by name and told us staff were effective at sharing information reliably.

People and their relatives told us they were happy with how the provider worked with them, for example, how they worked with relatives so people had enough medication.

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.

People told us they were supported to manage their own health needs. Staff worked effectively with people to support people to speak with health professionals where possible. They told us staff responded immediately if they were feeling unwell. This meant people’s health and wellbeing needs were identified, escalated and managed.

Records of meetings and reviews demonstrated effective working with healthcare professionals. External professionals told us staff worked closely with them to support people to get the healthcare support they need.

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.

Staff supported people to maintain their physical and mental wellbeing. One person told us staff phoned medical professionals when needed. Staff supported people to attend health appointments, including specialist clinics, to maintain their health.

People’s care plans contained planned outcomes for different aspects of their care and wellbeing, with targets and guidance for staff about how these could be achieved. These included managing health conditions, wellbeing and dignity. These were regularly reviewed with people with outcomes met and recorded.

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

People had their rights around consent promoted. They told us staff asked for their consent before supporting them. People felt they were in control of everyday choices, for example, when to go to sleep, wake up, and the activities they chose. People’s preferences were reflected in their care plans, including how they preferred to receive personal care, and support with daily routines.

Staff told us how they understood the importance of gaining people’s consent and respected people’s decisions.