Red Gables

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 79 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. The services initial assessment involved meeting with the person and relatives and discussing the support required. This included personal care needs, communication, daily living skills, social skills and relationships, expressing sexuality, interests and hobbies, education and employment, religious, spiritual and cultural needs. A compatibility assessment was also completed before a person first moved to the service.

The service 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. People were involved in choosing and cooking their meals. Staff supported people to maintain links with those that are important to them. One relative told us how their loved one was supported to use technology to enable them to stay in contact.

The service 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. Staff and the management team provided us with examples of how they worked with heath and social care professionals to support people’s needs. When a professional was asked if they are kept informed in a timely manner when people’s needs changed, they told us “Yes. [Management] are excellent at this.”

The service supported people to manage their health and wellbeing to maximise their independence, choice and control. The service supported people to live healthier lives and where possible, reduce their future needs for care and support. People were supported to access the healthcare they required, including annual health checks. Comments from relatives included, “They do update me and whenever [relative] sees a specialist I receive letters and feel they are doing everything they can”, “[Relative] has started going to the dentist more regularly” and “[Relative] is supported to go for the first time in his life to visit the dentist.”

The service monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met the expectations of people themselves. People were involved in setting goals for themselves. Staff told us about people’s short and long term goals, and how people had been involved in setting these. Evidence of positive outcomes achieved was provided throughout the assessment. For example, 1 person had chosen to stop using continence aids which the service was successfully supporting the person with. This has had a positive impact for the persons independence and dignity. For another person, who had become withdrawn during Covid19 and was not engaging in activities and hobbies within the local community that they previously enjoyed. Through staff encouragement and support the person was now leaving their home and accessing the community. This has had a positive impact for the person, who has gained confidence.

The service told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff knew the importance of seeking consent. Staff told us, “We ask all the time, explaining what we are doing” and “[if someone refused] I would come away, reassure, try again later on, we can't make someone.” Staff told us about numerous communication tools they used to support people to make choices and gain consent. This included using picture cards, flash cards and objects of reference. Mental capacity assessments and best interest decisions were in place.