Gary Care Limited

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.

This is the first assessment for this service. This key question has been rated 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.

The provider always made sure people’s care and treatment was effective by thoroughly assessing and reviewing their health, care, wellbeing and communication needs with them. People’s needs were assessed and met. A relative told us, “We are involved in the planning of [person’s] care and have regular reviews about the support they provide. Carers contact me with updates about any changes in [person’s] health.”

Care plans detailed people’s individual needs and the support required. Care and support plans were regularly reviewed and updated as needed, ensuring care was effective and tailored to each person. Records showed person was involved in decisions about their care and the communication with healthcare professionals and other relevant agencies when needed.

Staff collaborated with other professionals and held regular team meetings to review care approaches and address emerging needs. The provider maintained active family involvement and open communication channel when reviewing care and support plans. A clinical lead described their role in completing and regularly reviewing assessments and care plans, maintaining oversight of the person’s needs, and ensuring care remained effective. Staff confirmed that plans included input from other professionals. They held regular catchups with the person supported and updated care plans when needs or preferences changed.

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.

Staff involved people’s relatives, where appropriate, in assessing and reviewing each person’s needs. Staff received training specific to people’s health conditions, and one person told us they had helped train staff about their condition. Relatives consistently described staff as skilled and experience.

Care plans included information about people’s health, the support they needed, and their preferred times for care. A clinical lead supported staff through training on any changes identified in the persons and facilitated regular team meetings to review care approaches and troubleshoot emerging triggers. The provider continued to use expertise from specialist staff, such as trauma nurses, to address complex medical and emotional needs. A trauma nurse contributed to assessments, balancing medical, sensory, emotional, and communication needs, ensuring care was supportive and minimised distress. Support plans reflected these issues and provided guidance for staff on how to manage the person’s care and treatment effectively. The person benefitted immensely from this and had enjoyed increased health and wellbeing outcomes.

People told us they received care in line with their needs and preferences. Staff supported people with nutrition and hydration according to guidance. Care plans were regularly reviewed and updated to reflect current needs, and staff followed provider and healthcare professional guidance to deliver safe and effective care in line with best practice.

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.

Staff received regular updates about changes to people’s needs, enabling them to deliver appropriate care. A staff member said, “We get daily updates at the start of the shift,” and “The registered manager gives us updates in meetings, supervisions and via email.” Staff participated in handovers to share important information about people and any changes in their care. They knew each other well and reported enjoying positive working relationships.

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.

Staff supported people to live as independently as possible. They made appropriate referrals to healthcare professionals and accompanied people to appointments when needed. Records showed that people attended appointments, including dental check-ups and health reviews with their GP, as required.

People received the support they needed to maintain their health, with care plans in place to promote this. A relative told us, “The carers have supported [person] to remain independent. They encourage [person] to choose how they wish to live their life and have made it possible for them to continue living in the community.”

The provider routinely monitored people’s care and treatment to ensure continuous improvement. They consistently ensured that outcomes were positive, meaningful, and in line with both clinical expectations and people’s own goals and preferences.

Staff carefully observed people’s health and well-being, responding promptly to any changes. A relative told us, “Carers let us know if [person] is unwell. They get in touch with their GP.” Records confirmed that staff actively monitored health, contributing to positive outcomes for people’s physical and mental well-being.

The provider ensured that a nutritionist and health fitness lead worked closely with a person to plan and manage their weight, significantly improving their ability to lead a full and independent life. Staff embedded healthy eating, menu planning, and regular exercise into day-to-day routines, supporting lasting positive outcomes. People were living purposeful lives, becoming more confident, and enjoying activities, with improvements reflected in both their physical and mental well-being.

Family members described clear improvements for example, one relative said, “[Person] had [weight management issues] before. Now he’s lost a significant amount of weight and looks so much healthier.” Another commented, “Every time I see [person], it’s amazing how healthy they look. [Person] told us they had never been happier in their life because of the care provided.”

The provider also carried out quality assurance spot checks to ensure that care remained appropriate and of a consistently high standard. Staff received regular updates and guidance, ensuring people’s needs continued to be met in the way they wanted and required.

As a result of these measures, people consistently experienced high-quality care that led to improved health, well-being, and overall quality of life, reflecting a culture of continuous monitoring, learning, and improvement of outcomes.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People told us they gave consent for staff to provide their care. Staff supported people to make decisions about their care wherever possible. Care records included information about decisions people could make independently and areas where they required additional support, such as managing their finances, medicines, or personal care.

The provider had a Mental Capacity Act 2005 policy, which staff used to guide them in upholding people’s rights to make decisions about their care and support. The registered manager carried out mental capacity assessments and best interests’ meetings when required.