Ralle Health 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.

At our last assessment we rated this key question good. At this assessment the rating has changed to 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 had care plans and risk assessments that reflected their individual circumstances, including environmental, medication and daily living risks. Plans were written in a person-centred way, often using first-person language, and described people’s routines, preferences and life histories. For example, 1 person’s plan reflected their daily routine, independence with mobility aids and strong connection to family life, while another included detailed instructions in their own words about how they preferred care to be delivered. Monthly reviews were taking place, and daily notes showed care was delivered in line with assessed needs.

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 delivered care in line with care plans and risk assessments, including medication support at the appropriate assessed level. Care records showed staff supported people with personal care, nutrition, hydration and mobility and responded to changes in people’s presentation, such as low motivation or tiredness. A health professional told us, “They go above and beyond, no concerns.”

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.

The service had arrangements in place to manage staff absence and maintain visits, with staff arranging cover and informing people or families of any delays. Records showed staff worked with relatives and external professionals, including district nurses, to share information and raise concerns promptly. Professionals spoke positively about joint working, with one telling us, “They highlight concerns quickly and we recommend them to people.” Relatives also described good communication and reliability of staff.

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.

Care plans included information about people’s health conditions and the support required, such as medication prompts, support with eating and drinking and encouragement with mobility. Relatives consistently told us they felt reassured by the care provided. One said, “I just never worry, they are so consistent and brilliant.”

The provider 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.

Daily notes provided ongoing oversight of how people responded to care. Daily notes showed staff monitored people’s wellbeing and responded to changes, offering reassurance, encouragement and emotional support. Records reflected positive interactions, including chatting, laughing and shared activities, which supported people’s emotional wellbeing.

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

Care plans included information about people’s capacity, decision-making arrangements and relevant legal frameworks, such as DNAR decisions where applicable. Policies and training covered the Mental Capacity Act and safeguarding principles, including supporting people to make their own decisions and using the least restrictive approach. Records showed care was delivered in line with people’s expressed preferences and routines, indicating ongoing consent and involvement in decisions. Relatives described staff as respectful and attentive to people’s wishes, supporting that care was provided with people’s agreement.