Barton House

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 inspection we rated this key question good. At this inspection the rating has remained 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 service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. Staff completed full assessments with people on admission and reviewed them regularly. People’s care plans contained good information about their individual needs, and staff knew people well. All the people and relatives we spoke with told us people’s needs were well met. One relative said, “The care is second to none.”

The service 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 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 had good working relationships with external health professionals. One health professional told us, “The staff are eager to get things right and do everything they can to make the clients comfortable. Senior staff are knowledgeable and respond to problems effectively, they are responsive to advice and quick to pick up on concerns and report to us in a timely manner.”

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. People told us dietary requirements and preferences were well catered for and we saw a variety of snacks and drinks available, including freshly prepared fruit. Staff supported people to remain as independent as possible. A health professional told us, “Barton House are always willing to consider supporting complex clients to help us support with rehabilitation and health needs in the community.”

The service 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. Systems were in place to monitor people’s health where necessary. For example, monitoring people’s weight, or how much they ate and drank.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Where appropriate, people’s capacity had been assessed, and applications to deprive people of their liberty were made in line with the law. Best interest decisions were made where individual restrictions were assessed as being necessary, after consultation with the appropriate people. People’s care plans contained good information about their capacity to consent, and how staff should support them to make decisions.