Gateford Hill 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. This is the first assessment for the service under this provider. This key question has not been rated during this assessment.

The service was in breach of legal regulation in relation to consent.

This service scored 4 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Assessing needs during this assessment. There is no previous rating for the Effective key question so we cannot yet publish a score for this area.

We did not look at Delivering evidence-based care and treatment during this assessment. There is no previous rating for the Effective key question so we cannot yet publish a score for this area.

We did not look at How staff, teams and services work together during this assessment. There is no previous rating for the Effective key question so we cannot yet publish a score for this area.

We did not look at Supporting people to live healthier lives during this assessment. There is no previous rating for the Effective key question so we cannot yet publish a score for this area.

We did not look at Monitoring and improving outcomes during this assessment. There is no previous rating for the Effective key question so we cannot yet publish a score for this area.

People were not informed about their rights around consent. Staff failed to apply and follow the Mental Capacity Act 2005 (MCA). The Mental Capacity Act 2005 (MCA) provides a legal framework for making decisions on behalf of people who may lack the mental capacity to do so for themselves. The MCA requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to make particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible. Consent was not obtained from people before sharing information with other health and social care professionals. People told us they had not been involved in developing their care plan. A person we spoke with said, “I’m not aware of my care plan - I presume I have one, but I don’t get to hear.” Staff did not follow the MCA when assessing people’s capacity. We found mental capacity assessments to be incomplete or completed but not in line with the legal framework. A person living with a cognitive impairment who had been deemed to lack capacity by staff had no mental capacity assessments in place. This meant it was unclear how staff had concluded the person lacked capacity. Failure to ensure staff followed the MCA increased the risk of people’s human rights not being respected.