De Bruce Court

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

People received person centred care. Continuity of care was maintained with dedicated staff assigned to people were possible. Information was provided in a way people understood. People were involved in the service and supported by relatives or advocates where necessary. Where appropriate, plans for the future were discussed.

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 were generally positive about the support they received. They felt staff knew their needs well. People spoke about their plans for the future and how staff had helped them make informed decisions regarding their goals and care needs. One person said, “I want to be as independent as possible; staff here have been amazing helping me and they know me well.”

Staff and management were aware of the Information Accessible Standard, this tells organisations what they have to do to ensure people with a disability or sensory loss can get information in a way they can understand it.

Observations confirmed people received person centred care. Improvements had been made to peoples care records to ensure person-centred care was provided by all staff. Staff were provided with information on how peoples wished to be cared for, their preferences, likes and dislikes.

People received continuity of care and their specific needs been taken into account. One person told us they had a dedicated staff team. Another person told us they could access hospital appointments with support from staff.

Staff told us people were supported with seamless care and support internally and externally. Staff said they worked well with other external professionals to ensure people's diverse needs were fully met.

Staff actively engaged with external professionals. This helped to ensure an holistic approach was maintained for people's care. One healthcare professional said, "The case studies for people's quality of life speak for themselves. They have helped many people live better quality, independent lives or even where they're not independent they can still have visible choice in how they live. Peoples care has improved since coming to De Bruce."

Processes were in place to ensure good care provision, integration and continuity of care was in place. External professionals were involved with people's care reviews and any advice given was recorded and followed by staff.

People received information in a way to meet their communication needs. One person said, "If I need any information, the staff will help me get it. Normally written, but sometimes they can just tell me."

Staff told us they provided information to people in a way they could easily understood. A staff member told us of one person who had their care plans written in easy read format to support their communication needs.

The provider had processes in place to ensure information was supplied to people in a way they understood. Data protection policies were up to date and in place and staff had received training in this area.

People told us they felt listened to and would be comfortable to raise concerns should the need arise. One person told us, "The staff are more friendly (than the previous service they lived) and I can talk about private problems with them."

Staff confirmed people attended 'resident' meetings to discuss any issues they wanted to raise. Staff told us, it was an opportunity to gather feedback about the service. The manager told us, "Every Friday afternoon we intend to come out of the office and be with residents. We have an open-door policy and suggestion box in place to gain feedback and to allow residents to come and talk with us anytime." Staff were asked for feedback in a variety of ways, management held regular team meetings in order to review peoples care needs and gather feedback. Staff completed annual surveys as well as sharing their thoughts and ideas for improvement during supervision and appraisal.

Processes were in place to listen to and involve people in the running of the service. This included complaints procedure which were regularly monitored. There was evidence relatives had been involved in reviews. We did receive a small number of negative comments from relatives, indicating they had not always been involved. The manager was going to review this.

People told us they received support and treatment when they needed it.

Staff and management showed support for those who might face discrimination, safeguarded people's rights, and spoke up for those who needed help with addiction and mental health problems but had not received it in the past.

External professionals were positive about equality and diversity within the service.

Processes were in place to ensure people received equity to access. This included providing staff with training in equality and diversity and policies in place to promote this.

People told us they were treated equally. One person said, "I am treated the same as everyone else I think. There is no favouritism that I have seen."

Staff and management showed support for those who might face discrimination, safeguarded people's rights, and spoke up for those who needed help with addiction and mental health problems but had not received it in the past.

Processes were in place to ensure people had equal access to experiences and could achieve their outcomes. Equality and diversity policies and staff training was in place and up to date. The management team regularly reviewed people's care records to ensure outcomes were monitored and supported.

People and their relatives planned for the future with support from staff. We did receive a small number of negative comments from relatives indicating they were not always included in planning or reviews. Advocates were fully involved. A lot of younger people lived at the service, and we found they did not want to discuss forward plan, particularly regarding end of life.

At the time of inspection there was no one receiving end of life care; however, staff had completed training on providing care to those at the end stages of their lives. Staff were also aware of peoples religious or cultural preferences.

Processes were in place to support people in planning for the future. Staff had received training, including in end-of-life care. There was evidence of appropriate input from a range of healthcare professionals, including other services where people were being assisted to move to.