Bkind Care Ltd

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 remained requires improvement. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

This service scored 58 (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 were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them.

Staff generally assessed and reviewed people’s needs, however assessments were not always completed in areas such as communication needs and how a person wished to be supported. There was also some inconsistency in the recording of people’s assessed needs which created a lack of clarity for staff.

The provider did not always ensure good practice guidance was followed to ensure people received effective care. For example, National Institute for Health and Care Excellence (NICE) guidance was not always followed in relation to medicine management.

Further, whilst the provider did use recognised tools to assess risk, for example to assess and monitor risks to people’s skin integrity, additional care planning had then not always been completed to manage the risks identified.

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.

Staff told us there was good teamwork between staff and the management team. Staff supported people to access other healthcare professionals, when required, to meet their individual needs. Although the provider had not developed hospital passports for people.

People and relatives told us staff worked well together and raised any concerns in a timely way. A relative said, “They work well as a team when hoisting[person]around. Always checking if[person] is comfortable. New staff come with a regular carer to learn the routine.”

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’s health was regularly monitored by staff who contacted other healthcare professionals if required. People and relatives told us, “The doctor came last week to see me. The carer had rung the [registered manager] and said I needed a visit from the doctor” and “[Staff] always check family members' skin for marks. If they have a concern, they’ll take a photo and send to the office for them to review.”

Staff appropriately supported people with their nutrition and hydration needs.

The provider monitored people’s care and treatment, however desired outcomes were not identified and monitored. Improvements were required to ensure the system in place to monitor and review people’s care was always effective because we found examples of care plans and risk assessments not always being reflective of people’s needs or being up to date.

Staff always sought consent before delivering care and treatment. People told staff asked for their consent and one person added, “[Staff] always ask first if I would like some help.”

There was a system in place to assess the capacity of people who required it, however we continued to find inconsistency with the provider's compliance with the requirements of the Mental Capacity Act (MCA). There were some appropriate decision specific MCA assessments for people who had a diagnosis or condition that could impact their ability to make informed decisions. However, we also found examples where mental capacity assessments had been completed for decisions that were not required or that had inaccurate information.