Bright Care Horsham

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. This is the first assessment for this service. This key question has been rated 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. The registered manager completed assessments with people, they documented their needs, wishes and preferences directly into care plans for staff to instantly access through a care planning app. People and their relatives contributed during the assessment process to provide staff with a full understanding about people’s personalities, backgrounds and histories. Care plans were expanded on as additional information was gained, the registered manager reviewed care plans and gained feedback from people to ensure they were happy with the service. Assessments included people’s communication needs and any requirements they may have.

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 registered manager identified where people may be at risk of pressure damage to their skin. They were concerned about a person who sat for long periods of time and had started to develop redness on their pressure areas. With the person’s permission they contacted the district nurses for a pressure relieving cushion. They further minimised risks by planning for staff to encourage the person to stand to relieve pressure and to apply prescribed creams. This avoided skin integrity breakdown for the person.

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. The registered manager gave examples of working well in teams both within the service and with external professionals. A person at high risk of falls was seen by the falls prevention team. Staff encouraged the person to complete exercises as advised, however, the person did not engage with the planned approach. The registered manager updated the falls prevention team who discharged the person. Staff continued to encourage the exercises to promote good mobility and independence. Staff received up to date information about how they could support the person and feedback any concerns they had. A staff member told us, “We will ensure that our care notes are in plenty of detail and if we had any concerns also report this to our care manager.”

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. Some people were supported with meal planning and preparation. People told us staff helped them to their preference. A person said, “They bring me meals and things, which is very nice. They give me all the choices.” Staff monitored people and when needed, raised concerns quickly. For example, a person experienced a bowel blockage which was identified by staff, professional involvement was sought and a low fibre diet was recommended which staff supported the person with.

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 records confirmed regular reviews were completed, and staff monitored people on a day to day basis. Where needed, referrals to healthcare professionals were made. A person gave an example of when staff had raised concerns after monitoring a surgical wound they had and said, “They have contacted the doctor for me before, they got onto the doctor when I wasn't well last week.” The person told us they felt much better following the intervention and explained the seriousness should staff not have noticed the deterioration and acted quickly.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People told us staff consistently asked their permission for all decisions. Comments included, “They ask me permission always and check I am happy.” And, “They also ask permission before helping me.” We reviewed various consent forms which people were asked to sign, including forms to share information with relevant professionals.