Brockholes Brow - Preston

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

Improvements had been made. Care provided was individualised and person centred. People’s needs were assessed and care plans were developed to meet those needs. Reviews of care were regularly carried out and if required, external health professionals were involved to ensure care and support met best practice guidelines. Staff worked closely with external health professionals and delivered care according to health professional’s instructions. If people had individual dietary needs, these were accommodated and regular monitoring of people’s health took place to promote their wellbeing. People (or their representative) were involved in care planning and consent was sought before care was delivered. If restrictions were required, the service followed a legal framework to ensure these were lawful.

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.

People’s communication needs were assessed and met to maximise the effectiveness of their care and treatment. When required, interpreters were commissioned to promote effective communication with health professionals. People knew they had care plans, what was included and were they were stored. Reviews of care were planned and changes made when this was appropriate.

Staff told us people’s needs were assessed prior to moving to the service and regular reviews took place to help ensure care provided met people’s assessed needs. A staff member said, “All care is person centred here.”

People’s needs were holistically assessed to ensure staff could meet their individual needs and wishes. When appropriate, other health professionals were involved to ensure care met national guidance and best practice.

People received care and support that met their individual needs. If people had specific dietary or hydration needs, care plans reflected this, and the actions required by staff to promote their health and wellbeing. People told us staff had the necessary communication skills to deliver care, treatment and support and staff knew them well.

Staff understood the help people needed to maintain their wellbeing and told us if they had any concerns, they would seek further health professional advice to ensure people’s needs were met.

Reviews of people’s health took place regularly and documentation we viewed showed expert advice was sought. This was then included within people’s care plans to enable staff to deliver the support required to promote people’s safety and wellbeing.

The service worked collaboratively with other health and social care professionals and agencies. When appropriate, the advice, actions and responsibilities of professionals was documented, and care plans developed to meet individual needs.

Staff worked with interpreters in community-based health settings to ensure effective communication that promoted people’s views and needs effectively.

External health and social care professionals told us they were satisfied with the working arrangements between themselves and Brockholes Brow – Preston.

Referrals to other health professionals were made promptly and in the event of an emergency admission to hospital, documentation which described individual needs, wishes and preferences was provided to support consistent care. Policies were in place to support people to have a smooth transition to other services.

People told us they were supported to be independent when managing their health and wellbeing. People could access health appointments without staff (but with an interpreter) if they wished. One person shared how staff supported them to medical appointments, however they took the lead at appointments. They told us they were empowered in managing their health needs.

Staff told us they enabled people to monitor their own health and access routine health services. The provider was exploring the possibility of changing GP provider to support people to access this service independently.

Documentation showed people were supported to access dental care, chiropody and opticians in line with assessed needs. Information regarding appointments was stored with care records and included in care planning processes.

Individual outcomes were monitored, and professional advice was sought if this was required. A person had received support from a learning disability team. An individualised plan had been developed to help the person express their emotions safely. Staff we spoke with knew the help and support the person needed and the impact this had on their daily life.

The registered manager and nominated individual spoke positively about current and planned changes that would enhance people’s lives. The registered manager told us, “Team managers are being upskilled to monitor and develop care plans.” A member of staff told us, “I help equip people with life skills to move to more independent locations. I encourage people to learn new skills.”

Assessments of need were carried out and these identified where people needed support. This helped ensure people had the right advice and support at the time they needed it.

People (or their representative) were asked to consent before care was agreed and staff supporting people had a good understanding of the meaning of mental capacity. People’s rights were upheld as any restrictions were done so lawfully.

During this assessment we observed staff were asking for people’s consent. The management team told us they had systems in place to ensure any restrictions in place were lawful and monitored. CCTV signage was present throughout the home but not recorded within the preadmission documentation as part of people’s preadmission process. The registered manager stated they would review their documentation.

Processes were in place to ensure rights were upheld. If people lacked mental capacity, mental capacity assessments were completed, and best interest decisions documented. Applications to restrict people’s rights were made as required to the supervisory body. Care records were audited to ensure restrictions in place were used for the shortest time possible and were lawful. There was a designated staff member at the service who was responsible for ensuring records relating to consent and deprivation of liberty remained accurate and current.