Gilling Reane Care Home

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 of this key question, 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.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People and their relatives told us they had been involved in their care planning. One person told us, “The staff ask me on a regular basis if things are alright and do we need to make changes to my plan.” A relative said, “The family are very involved in the care planning. Discussions are had all the time. We can make suggestions, and we are listened to.” We saw that care plans were regularly reviewed and involved the relevant people. People’s differing communications needs had been appropriately recorded. A variety of clinical assessments tools were used to assess and understand people’s needs.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. People received care, treatment and support that was evidence-based and in line with good practice standards.

People told us they felt staff knew their needs well and supported them in the right way. A relative said, “My relatives care plan and about their care moving forward are fully discussed with me.” Feedback about the food choices and quality were all positive and demonstrated that the kitchen staff knew people’s individual dietary needs. One person told us, “The food is very good with plenty of choice.” A relative told us, “My relative has modified foods, and it always looks good.”

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.

Care records were electronic, and these were accessible to staff in live time with current information. We observed regular handover of information at each shift change. Meetings were held regularly for sharing information. Weekly clinical reviews of care were held with the GP surgery and or practice staff. A visiting healthcare professional to the home told us, “We have a good working relationship. The staff are proactive and good at communicating with our team.”

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.

People were fully supported in making choices about their own health needs. People were supported to access a variety of external health professionals such as the dentist, optician and podiatrist as they needed to. One person told us, “We get the support we need to live life as best we can.”

The management team 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.

People experienced positive outcomes. Regular reviews were completed where people’s outcomes were reassessed. People told us their independence was actively promoted and supported by the staff in a safe manner. One person told us, “Staff suggested I change from having breakfast in the dining room to having it in my room so I can have my personal care first. It works really well for me as I now feel less rushed.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People’s needs and wishes were upheld.

We observed and people told us staff knew them well. Consent had been obtained in line with the Mental Capacity Act 2005 (MCA). Relatives who had legal responsibility for their relatives told us they were fully involved and kept up to date. We observed staff being courteous and respectful when asking people to do things. One person told us, “I get to make my own choices and staff support me with those. It allows me to live my life comfortably and as unrestricted as possible.”