Gabs Healthcare

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 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 newly registered service. This key question has been rated inadequate. This meant there were widespread and significant shortfalls in people’s care, support and outcomes.

This service scored 38 (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 did not make sure people’s care and treatment was effective because they did not check and discuss people’s health, care, wellbeing and communication needs with them. Care plans written by the provider were basic and did not cover all aspects of people’s needs for care and support. There was over-reliance on care plans and risk assessments written by health and care professionals. The provider’s care plans did not reflect the additional needs and support required for people with a learning disability or autistic people.

The provider did not always plan and deliver people’s care and treatment with them, including what was important and mattered to them. The provider did not have a systematic approach to planning, delivering and reviewing the care and support provided to people. The provider was dependent on support from the local multi-disciplinary team linked to a person’s care and support. Health and care professionals had recognised an improvement in the quality of daily care notes and records completed by members of staff. This improvement was as a result of intensive support from health and care professionals.

The provider worked as part of a local multi-disciplinary team linked to a person’s care and support and attended regular meetings. However, they did not have the systems and processes in place to work consistently across teams and services to support people. They did not have processes in place to share their assessment of people’s needs when people moved between different services and the provider’s suite of information, reports and documentation about care and support was limited and did not support joined up working and effective sharing of information.

The provider did not support people to manage their health and wellbeing, so people could not maximise their independence, choice and control. Staff did not support people to live healthier lives, or where possible, reduce their future needs for care and support. The provider did not have systems or processes in place to support people to live healthier lives. The provider’s documentation and records did not reference how health and care reviews for people with learning disabilities or autistic people would be carried out. We did not see any evidence of specific health-related care plans or assessments put in place by the provider; they relied on plans and processes put in place by local multi-disciplinary teams.

The provider did not routinely monitor people’s care and treatment to continuously improve it. They did not ensure outcomes were positive and consistent or met the expectations of people themselves. The provider did not have suitable systems or processes in place to monitor and improve outcomes for people. We saw evidence of activities, determined by a local multi-disciplinary team, implemented by members of staff which had positive outcomes for people. We were not assured a system was in place which could be replicated for any other people outside of the support networks already in place.

The provider did not always tell people about their rights around consent and did not always respect their rights when delivering care and treatment. The provider did not demonstrate an understanding of the Mental Capacity Act 2005 and how people’s capacity should be assessed as part of the process to determine consent to care and support. The provider had a handbook in place for people but it was not available in easy-read format and was not accessible to people with a learning disability or autistic people. We did see evidence of consent gained from family members where care and support was provided to a child.