Bspoke Social Care

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 changed to 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.

People and their relatives told us their care was reviewed regularly. Initial care calls would be covered by a manager who would ensure there was enough detail for staff to support the person’s needs. A review of the persons care would be completed after 6 weeks, 3 months and then a year. If staff or the person and their family reported that there were changes in the persons care needs, a review would take place. We were told all changes were communicated to people, relatives and staff.

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.

The service used nationally recognised evidence-based tools. Waterlow tools were used to assess people’s skin integrity and risk of developing pressure areas. The service made referrals and worked with health professionals to ensure they were delivering evidence-based care. The provider and registered managers kept up to date with best practice by being part local forums and keeping themselves informed of changes within the care sector.

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.

Where possible the service delivered consistency by ensuring people received care from the same staff member. They also supported each other when needed and would communicate with the manager if there were any changes. Staff used a chat function on their phones to communicate anything that needed to be handed over about a person’s care. Managers prompted staff to review peoples care records when changes had been made. Managers did spot checks of peoples care and would ensure that care records had been read. Where needed staff supported people with health care appointments and would assist them to make sure other health care professionals were up to date on the person’s healthcare needs.

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.

Staff worked with people and their families to find out what a healthy lifestyle meant to them. For example, one person needed a high calorie diet to maintain their weight. Staff supported the person and their family to make appropriate food choices and offered advice around meal replacements. This ensured the person’s nutritional needs were met.

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 and their families told us that their care was regularly reviewed. They said staff supported them to have positive outcomes by listening to them. The registered manager explained how they had adapted a person’s care package to ensure staff stayed until the person had finished eating their meal. Staff would then remove the dirty dishes, otherwise the person would attempt to do this themselves and had a history of falling when doing so.

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

Staff always asked for consent before carrying out personal care. The service supported people to have their views heard, gaining consent before sharing any personal details with family members. The registered manager said that they support families to understand and respect the views of the person receiving care.