Raby Hall

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 requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (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. Systems were in place to ensure people’s needs were fully assessed before moving into Raby Hall. Some people were moving into new flats within the service. Staff were working closely alongside people and social stories were used to support people through this transition. A social story is a tool which helps people with autism to understand social situations and change. They are used to reduce people’s anxiety, enhance their communication and encourage decision making.

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. Care plans had been developed with guidance from other professionals. Staff received training and guidance around people’s specific care needs. This included training which enabled staff to effectively respond to people during emergency situations caused by health conditions.

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. Referrals were made for people to other health and social care professionals when needed. Family members told us they were informed of such referrals. Referrals were appropriate and made in a timely manner. A healthcare professional told us, “Generally I find the managers very helpful and knowledgeable about the residents. From my perspective they have a good handle on individuals needs and treat them as such to best help all of us treat them most appropriately.”

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. For example, people were encouraged to eat a healthy balanced diet and take physical exercise. We observed people were offered nutritious and healthy food at mealtimes. A family member told us, “The food is fine. [Name] is a good eater. They like healthy food.”

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. Outcomes were developed and agreed with people and regularly reviewed. For example, some people were working towards goals to develop independent living skills, such as cooking. Other people were planning to take holidays and planning new leisure activities. Regular reviews were undertaken with people to monitor their progress.

The provider did not always tell people about their rights around consent. Decisions had not always been made in line with the Mental Capacity Act 2005 (MCA). For example, a family member had signed a consent form for one person to have photographs taken. The person was unable to consent themselves. Family members cannot consent on behalf of a person unless they hold legal authority to do so. We discussed this with the deputy manager who told us they would undertake a review. For all other aspects of care, including any restrictive practices, we were assured decisions had been made in line with the MCA and detailed records were maintained.