Gilling Reane Care Home

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the provider met people’s needs.

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 needs were met through good organisation and delivery.

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 were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs.

Care plans were reflective of the person-centred care we observed. People’s individual requests were seen to be acted on. A relative told us, “The staff are very good at noticing changes in my relative’s needs. When their mobility got worse, the home consulted with me, and a new hoist was supplied.”

The provider understood the diverse health and care needs of people and staff demonstrated they knew how to manage people’s specific needs, so care was joined-up, flexible and supported choice and continuity.

The service provides care and support for people living with dementia. We noted the environment lacked in some dementia friendly aspects such as designated signage. The provider and manager identified the home was under a continual improvement programme and that this would be addressed. This included identifying some key staff members to further develop their training and knowledge in becoming dementia champions for the home.

People and relatives, we spoke with were very satisfied with the care and treatment they were receiving. A relative said, “This home is excellent. My relative is kept safe, and they are happy.”

The home worked closely with a variety of local health care professionals and with commissioners. The local authority and quality leads we spoke with had no concerns currently with the provision.

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs.

Relatives told us they were kept informed about people’s appointments and what was going on in the home. A relative told us, “I feel I am kept well informed about my relative’s care and any changes that are implemented.”

Information about people in the home was kept securely via electronic records which staff could access readily. Staff understood people’s communication methods and styles and provided information in a way which met people’s differing communication needs. Where people were nonverbal the staff had devised and used appropriate cues to establish effective communication.

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs.

Relatives told us they were kept informed about people’s appointments and what was going on in the home. A relative told us, “I feel I am kept well informed about my relative’s care and any changes that are implemented.”

Information about people in the home was kept securely via electronic records which staff could access readily. Staff understood people’s communication methods and styles and provided information in a way which met people’s differing communication needs. Where people were nonverbal the staff had devised and used appropriate cues to establish effective communication.

The provider made sure that people could access the care, support and treatment they needed when they needed it. People’s needs and what reasonable adjustments they needed had been implemented to ensure people had equal access to services.

The home had been adapted to provide accessibility for those with mobility difficulties and who used specialised equipment for them to move around independently. There was an on-call system covered by the senior carers and management team to ensure out of hours support was available.

Staff and leaders actively listened to information about people who are most likely to experience inequality in experience or outcomes and tailored their care, support and treatment in response to this.

People were treated equally and their care and treatment was adapted to meet their individual needs. Staff had received relevant training and had a good understanding of people’s rights, discrimination and inequalities and what to do to protect people’s rights.

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life.

People’s wishes for their end-of-life care had been discussed and noted. Staff had received specialised training to support people with their end-of-life care. The service worked with the local community nurses in supporting end of life care. A family spoke with us about their experience and told us, “It’s not an easy time but the staff go above and beyond for our relative. Their medication is managed well, and they are never in pain. We can spend time being at peace with them in a lovely environment.”