Gatwick Rise

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 Good. At this assessment 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.

Relatives told us “They are monitoring [person] and they are weighed once a week or every fortnight.”

Staff told us about how they supported people to manage when they became distressed. One staff member told us, “You can usually talk people down before an incident. You have to know them really well, how they communicate and behave. Be very clear and precise in communicating and give people the space they need to process.” We observed how the team worked together to alleviate a person’s anticipated anxieties when a significant change in their routine was required.

People’s care plans were thorough and detailed as most people who lived at the service had complex needs and required significant support in most aspects of their daily lives. We reviewed the mental capacity assessments completed for people and found these were decision specific and up to date. The provider had submitted appropriate referrals for deprivation of liberty safeguards (DoLS) and had informed CQC when these had been approved.

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.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

We observed staff respecting people’s choices. One person told us, “I don’t want to go to horse riding today” and staff offered them an alternative activity they preferred. Relatives told us their loved ones were supported to make their own choices, but this needed to be consistent. For example, one relative told us “Food is a concern for us. [Person] is very, very active and never sits still and finds it difficult to sit still and eat a meal. It needs someone who knows [person], if they [staff] are inexperienced it’s not so easy. [Person] needs to be able to graze. 2 or 3 plates, not an overwhelming meal.”

Staff supported people to make choices where they could. Information about options was provided to people in ways they could understand, and people used special adaptive tools and resources. We observed staff supporting people to make choices about aspects of their daily lives, and activities. Staff used social stories and communication tools to assist people to understand the options available to them. The manager told us staff have conversations with people around consent.

Each person’s care records contained several mental capacity assessments, and best interests’ decisions where people did not have capacity to understand or make certain decisions. Capacity assessments and best interest decisions involved people’s families as well as professionals where required. We saw there was an easy read consent and choices document for people.