Goscote Centre

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 79 (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’s needs were assessed. Care plans and risk assessments were developed alongside people, based on these assessments. Care was reviewed with people and carers by shared lives officers to ensure it was up to date. A relative told us, “We have annual review meetings”.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them.

There were systems in place which used evidence-based tools to assess people’s needs. Staff and carers were aware of these outcomes to ensure they delivered the correct care that people needed.

The registered manager was aware of and implemented the right support, right care, and right culture guidance. Specific training for staff and carers had been completed, and the provider had sourced further Level 2 training to meet the mandatory training requirement for learning disabilities and autism.

The provider worked well across teams and services to support people.

Staff worked well together, this included collating and sharing information about people. There was a system in place to ensure the staff team worked together and alongside other professionals to identify where people may need support and input. For example, it had been identified a person’s wheelchair was no longer suitable, therefore they had made a referral to Occupational Therapy and a new purpose built wheelchair had been made for the person.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control.

People’s health needs were assessed, and plans were in place to monitor these conditions. When people needed support from other professionals such as the Occupational Therapists or Speech and Language Therapists (SaLT), they were supported by staff to access this. A carer told us, “I support them to medical appointments”. Another commented, “All her health appointments are up to date”. Staff and carers confirmed they were aware of people’s health needs. People’s health was regularly monitored through the reviews the shared lives officers completed. These reviews considered if people had any changes to their health needs and if any health appointments had been completed or were needed.

Hospital passports were available should people be required to attend hospital. These detailed people’s needs including their communication, mobility and health needs. People and carers were aware of these plans and would take them to hospital with people if needed.

The provider monitored all people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they fully met both clinical expectations and the expectations of people themselves.

Without doubt the outcomes achieved for people were exceptional. After 1 person started to use the service in June 2024, it was discovered they had some unhealthy daily living habits, poor diet, self-neglect and no boundaries and routines were in place. The person and carers worked closely with the service and the person was now cleaning their bedroom on a weekly basis and keeping it tidy in between. They had a routine established for completing laundry tasks and tidying other spaces they used in the home. In addition, the person would now shop, budget and cook a variety of meals from scratch as well as batch cooking. The service referred the person to the Local Authority employability scheme, and they were now working in paid employment. A goal was in place to support the person’s wish to transition out of shared lives into a more independent living environment in their own flat.

For another person, the registered manager told us how carers embraced a person’s potential and supported them to pursue further education at university. With planning and support from the Goscote Centre, carers facilitated viewing universities both locally and nationally. At the person’s request, they wished to stay local to their family home to allow them to study but to stay at home. In September 2025, the person commenced a Health and Social care course. The person had commented that they were, loving university and couldn’t thank the shared lives carer enough for; “Trusting and believing in me” and “Making my dreams come true and thinking of my future”. As a well done from the carers and to mark the acceptance of the university placement, the carer and the person went on a trip to New York in May 2026.

Other people also experienced positive outcomes, including a person who had a love of rugby. The person shared with their carer they wanted to go to a live match. They were supported by the carers to do this and also had a tour of the stadium. They were now playing for a specialist disability rugby team. Another person was referred to the enablement team and employability service and they now worked in a library service where they go into local primary schools to read stories to children and facilitates book swaps, book sales and oversee stock rotation of books and media equipment.

Regular review of care, audits, reflective practices and goal setting ensured people’s outcomes were consistently monitored. The registered manager and shared lives officers were always striving to improve the service and make things better for people. There was a strong emphasis on how people could be supported to maintain and develop new skills.

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

Capacity assessments and best interest decisions were in place when needed to ensure the Mental Capacity Act 2005 was applied. Staff and carers had received training in this area and were aware of the processes to follow.