Crawford Gardens

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 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.

The registered manager reviewed people’s needs regularly, involving families and professionals where appropriate or when circumstances changed. For example, records showed where the frequency and type of calls were adjusted to reflect changes in people’s needs or levels of independence. This approach ensured care and support provided to people remained relevant and responsive.

Families told us they were involved in regular reviews of their relatives’ care plans every 6 months, or earlier if needs changed. One relative said, “Each time my loved one has been discharged from hospital, their health needs have been reviewed and assessed, and each time I have reassurance that Crawford Gardens can meet their needs.” Another relative commented, “The care plan is reviewed regularly every 6 months. The manager is approachable, listens to us, and works with us. We recently had a review, and we changed a couple of things.”

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.

Care plans included information about people’s individually assessed needs. The registered manager incorporated advice and guidance from other professionals, such as specialist nurses, which gave staff clear and consistent direction on how to provide appropriate support.

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.

Records evidenced how staff and managers worked closely with external health and social care professionals and followed appropriate guidance. One professional highlighted this positive partnership working commenting on the prompt information sharing by the registered manager which was essential to ensure the safety of the person.

Staff and managers across different services also worked well together, participating in forums, covering shifts and sharing ideas to support consistency and continuous improvement. Staff told us they were happy and proud to be part of the team, describing how they supported one another and worked collaboratively.

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.

Staff supported people to take part in a range of social activities and hobbies within the service, including bingo, chair exercises, art workshops and coffee mornings. Whilst on site, we observed a chair-based exercise session taking place, where people participated positively and appeared engaged. These opportunities helped people build positive relationships and reduced social isolation for some people.

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.

For example, one person shared a positive account of how the service had supported them since moving in. They reported improvements in their mental health, reduced social isolation, and increased independence and confidence. Feedback from family members also reflected similar positive changes for this person.

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

Staff had received training in the Mental Capacity Act and understood their responsibilities and the importance of gaining consent from people. Care plans documented consent clearly and reflected a person-centred approach. For example, some people preferred for staff to knock before entering their home, while others gave consent for alternative arrangements. Records showed staff sought consent appropriately and adapted this to meet individual communication needs, including the use of easy read documents.