Buckingham 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

People had the best possible outcomes because their needs were assessed, and plans were in place to ensure their care was effective. The support people received from staff reflected their needs and any protected equality characteristics. Leaders instilled a culture of improvement, where understanding current outcomes and exploring best practice was part of everyday work. There was a new manager in post at the time of our assessment. They were getting to know people and worked with the staff team to review how care was being delivered to ensure it was effective.

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.

We did not look at Assessing needs during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

People were included in their care planning and their choices and wishes were respected. Where people were living with conditions such as diabetes, there was guidance for staff on promoting choices in line with health requirements whilst respecting people’s right to choose. People told us they were supported to access other services as and when required such as GPs and Dentists. Relatives told us they had seen positive improvements in the service and felt their loved ones were supported to access services appropriately.

Staff and the registered manager knew people well which meant they knew when to seek specialist advice and support for people. Staff told us they contacted the GP when needed and other healthcare professionals such as dieticians and occupational therapists.

Processes were in place to ensure people’s needs were monitored. Staff recorded people’s daily well-being on the electronic records system. Records we reviewed detailed staff referred to healthcare professionals such as the GP when needed.

People's told us their experience was positive and they were supported effectively with their care needs.

Staff told us they worked with people to identify their communication needs, preferences and choices. Staff supported people to access treatment for their health needs.

The management team had implemented audit processes to ensure care delivered was effective and recorded accurately. For example, the manager completed reviews of daily notes and records like turning charts and nutritional intake to ensure people’s care was consistent and in line with their wishes.

People told us staff were respectful and sought their consent prior to assisting them with their care. People's right to decline care was understood. During our visit we observed that people made their own decisions and staff respected their choices.

Staff we spoke with were knowledgeable about the Mental Capacity Act and understood the importance of seeking consent to care. Staff were able to describe how they supported people who had varying capacity.

Care plans contained evidence of people’s consent to care and clear guidance for staff on how to support people to gain consent prior to delivering care or where people had varying capacity. Where people lacked capacity, we saw evidence of family involvement which included care planning as well as best interest decisions. Care plans contained evidence the service was working within the principles of the Mental Capacity Act, and appropriate legal authorisations were in place when needed to deprive a person of their liberty, and conditions were met where these were in place.