British Home & Hospital for Incurables Also known as The British Home

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the service met people’s needs. At this assessment we have not looked at all quality statements under this key question and we have combined the scores based on the key question ratings from the last inspection in July 2021. At the last inspection we rated this key question good. At this assessment, the rating remained good. This meant people’s needs were met through good organisation and delivery.

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.

Despite, not feeling consulted about the care plan, many people told us the care being delivered met their needs and preferences. We received lots of positive feedback about people’s choices being upheld and supported. People were also positive about the range of activities on offer. Comments included, “I am involved with several things. I do all the therapies and the karaoke” and “I take part in the sporting activities in the gym, such as the basketball. I have done cooking and made custard creams. I’m happy enough with things to do.”

Staff knew people they were caring for and were able to tell us about their needs and how to care for them. Staff told us they organised a range of different activities which reflected people's likes and interests. They were able to describe people's individual interests, strengths and abilities. One member of staff told us, “There is always something going on to meet people’s individual taste. Not everyone joins in but that’s their choice.”

Despite our observations of staffing shortages we observed a range of activities being delivered by staff and volunteers. There were lots of group activities, parties and opportunities for people to get together. During the assessment we saw people enjoying karaoke and celebration events.

We did not look at Care provision, Integration and continuity during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Providing Information during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Listening to and involving people during this assessment. The score for this quality statement is based on the previous rating for Responsive.

We did not look at Equity in access during this assessment. The score for this quality statement is based on the previous rating for Responsive.

People were confident there were treated fairly and their protected characteristics such as were considered and respected and they were not being discriminated against. One person told us, “The carers, whatever their religion are non-judgemental and I think that’s really good.”

Staff understood everyone had the right to be treated fairly and free from discrimination. Staff told us people’s religious and cultural needs were known and supported. One member of staff told us, “We have a chapel in the home for different religious services. We also have a non-denominational prayer room for people to use if they don’t want to go to the chapel.”

There was information in place about people protected characteristics such as sexuality, religion and disability. Despite this some elements of the service were not in line with current best practice for people with cognitive impairment. Staff told people the food options available but this was not done in a way that would suit everyone with a cognitive impairment as there were no visual options presented that would help people understand the choices. The design and décor of the service was not adapted with the needs of people who used the service in mind. The building was difficult to navigate around and there was no attempt to add any person-centred visual information to help people orientate around the home and identify their own bedroom. Most people’s bedroom doors had a number only, and there was no personal/visual information to help people identify their room. The signage and lack of considered design gave the service an institutional feel.

We did not look at Planning for the future during this assessment. The score for this quality statement is based on the previous rating for Responsive.