Braywood Gardens

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 as inadequate. 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 had care plans which were concise, detailed and regularly reviewed. People’s care plans were person centred and guided staff to support people in line with their preferences. People’s loved ones had been involved in care plan reviews. The registered manager had a plan for these reviews to be carried out regularly. This ensured that care plans included what was important to each individual. One person told us, “We had a review meeting the other week and it was all done in depth.” The service ensured that information from health professionals was included in plans and had processes in place to ensure any changes in needs were relayed to staff promptly, for example, in daily handover meetings.

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. Advice was sought from health care professionals when needed. Care plans were updated to reflect changes implemented by other health professionals in order to support best practice.

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. Professionals told us that information given to the service regarding people’s care and support was shared with staff effectively. People told us they had access to a range of healthcare professionals, with prompt action by staff if medical support was needed. The hairdresser was evidently well liked. Staff told us there were effective handovers that ensured actions were shared and actioned in a timely way. Staff told us they worked well as a team and everyone working was aiming to provide the best care they could. One staff member told us, “Care staff follow care plans which are updated with any changes. Care staff will ask CTL [care team leaders] if they are unsure as well.”

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 care plans included specialist advice and guidance that had been obtained where people had additional support needs, such as, from the speech and language therapist regarding special diets. People were supported to access healthcare when needed through professionals visiting the service, or staff contacting them for advice. One person told us, “They know I’m diabetic so I can’t have biscuits from the trolley. The puddings they know what’s ok for me to have.” The kitchen staff were aware of who required a fortified diet, a specific consistency of food, or diabetic diet due to their health needs.

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’s care and support plans were person centred and regularly reviewed to ensure they were up to date. Any changes in people’s needs were notified to staff and health professionals where appropriate, with guidance sought from professionals when needed. People's care plans were reviewed each month or more frequently if required. Care plans included identified needs, planned outcomes, how to achieve outcomes, risks and reviews. There was information about other services and professionals involved in their care and equipment required.

The provider 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 in line with the Mental Capacity Act (2005), and applications to deprive people of their liberty were made in line with the law. Best interest decisions were made where people were unable to make decisions themselves due to lacking capacity and 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. People told us staff offered choices throughout the day and gained the consent of people when delivering care. This was also observed by the inspection team. One person told us, “They'll always ask me first before coming in or doing something for me.”