Raleigh House

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 was effective by assessing and reviewing their health, care, wellbeing and communication needs with them

Staff had a thorough understanding of each person’s needs and used detailed, up‑to‑date assessments to guide care. Staff actively monitored people’s changing needs, including liaising with healthcare professionals and specialist teams when additional advice and support was required. Staff reviewed care plans regularly, and managers knew people extremely well due to the stable team and long-term placements.

The provider planned and delivered people’s care 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 was clearly guided by recognised best practice, with specialist advice from GPs, speech and language therapists (SaLT), dieticians and behaviour teams incorporated into plans. For example, SaLT recommendations for texture‑modified diets and thickened fluids were followed, and staff prepared meals in line with these requirements.

People’s health needs were monitored closely, including regular GP review for one person’s care and dietetic advice had been used to support another person’s nutrition. Staff monitored mobility changes and sought appropriate equipment advice.

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.

Staff demonstrated strong teamwork, clear communication and coordinated support. Observations showed staff working seamlessly during lunchtime, checking in with each other, sharing tasks and ensuring people received timely help. Staff told us that teamwork was a strength of the service. Handover systems ensured continuity between shifts, and partnership working with external professionals was embedded.

The provider supported people to manage their health and wellbeing to maximise theirindependence, choice and control. Staff supported people to live healthier lives and wherepossible, reduce their future needs for care and support.

People were encouraged to maintain healthy routines, meaningful activity and good nutrition. Staff adapted activity plans when people’s mobility changed and had plans to provide further activities at the service.

Healthy eating was promoted. Menus included varied, balanced meals with choices developed with people. Staff considered health needs, offering softer foods for those with swallowing difficulties and introducing iron‑rich meals. Staff supported independence, prompting people to clear plates and wash hands after meals.

People accessed timely healthcare. Staff liaised with people’s GP regularly and staff responded quickly to new or emerging health needs. Staff recognised signs of discomfort or changes in people’s health and sought professional advice accordingly.

The provider routinely monitored people’s care to continuously improve it. Theyensured that outcomes were positive and consistent, and that they met both clinicalexpectations and the expectations of people themselves.

Managers routinely reviewed people’s care and care plans were kept up to date, reflecting people’s needs, preferences and professional input. Staff monitored patterns such as changes in behaviour, mobility or appetite and took appropriate action, contributing to stable, positive outcomes. An advocate confirmed people “thrived” at the service.

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

Staff followed the principles of the Mental Capacity Act. Capacity assessments and best‑interest decisions were documented clearly for each person. Staff understood how to support people who could not make certain decisions independently.