Goscote Centre

On this page

• Overview
• Person-centred Care
• Care provision, Integration and continuity
• Providing Information
• Listening to and involving people
• Equity in access
• Equity in experiences and outcomes
• Planning for the future

Responsive – this means we looked for evidence that the provider met people’s needs.

At our last assessment we rated this key question good. At this assessment the rating has remained good.

This meant people’s needs were met through good organisation and delivery.

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 were at the centre of their care and treatment choices and they decided, in partnership with people, how to respond to any relevant changes in people’s needs.

Care plans and risk assessments in place did not always provide enough information about people’s likes, dislikes and preferences. The registered manager had recognised this was an area that needed developing and was working through actioning this. However, carers were able to tell us about people and the support they needed. They were aware of people’s individual likes, dislikes and preferences. People felt involved with their care, and this was reviewed with people. A carer said, “She always went to church with mum, and now goes to church events and meets up with mum’s old friends for lunch. We go to the remembrance garden on mother’s day which is important to her, and we have done a memory book together”.

The provider understood the diverse health and care needs of people and their local communities, so care was joined-up, flexible and supported choice and continuity.

People received support from professionals who understood the diverse health and care needs of people. People had access to a whole range of professionals including, Learning Disability Nurses, mental health teams, Speech and Language Therapists, and GPs. Staff were able to give examples of how they worked with a variety of different professionals to develop individual plans of care for people.

There were systems and processes in place to ensure people’s care was regularly reviewed and updated. The provider ensured there were systems in place to share this information or changes with staff and carers so people could receive consistent care.

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs.

Communication care plans were in place and detailed how people chose to communicate and how information should be made available to them. A carer said, “[Person] is non-verbal and communicates with Makaton and noises that I know. All the family and my children have learnt Makaton. She feels fully understood”. The registered manager confirmed information was provided to people in a format or language they could understand if requested. Staff and carers were aware of people’s communication needs, what this meant for people and how to offer support with this.

The provider supplied appropriate, accurate and up-to-date information in formats that were tailored to individual needs.

Both people and those important to them were at the centre of the care. People, carers and relatives were given the opportunity to offer feedback on the service. The registered manager was in the process of adapting new ways of completing this to ensure all feedback was captured. For example, a carers meeting had previously been held at times when not all carers would be available. They told us they were planning on changing meeting times to evenings and weekends to widen the opportunity and increase attendance.

A recent event had been held called ‘picnic in the park’ where carers and people had provided feedback. These comments were displayed on a board in the office, and the registered manager was in the process of collating and actioning this feedback.

Care plans were in place that had been created with people, ensured carers had information available about how they supported people to make choices and remain independent.

People had access to advocates if needed. The service promoted advocacy and had easy read information available for people.

The provider made sure that people could access the care, support and treatment they needed when they needed it.

People, carers and relatives raised no concerns with the access they had to other health professionals and services.

The registered manager encouraged a multi-disciplinary approach to people’s care and involved a variety of agencies to ensure people received the correct support.

Staff and leaders actively listened to information about people who are most likely to experience inequality in experience or outcomes and tailored their care, support and treatment in response to this.

As people’s care was tailored to their needs and the right support, right care, and right culture guidance was considered, people’s experiences were positive. People were listened to and involved in the process, which meant the outcomes people received were in line with their wishes.

The registered manager understood and considered the importance of ensuring people were involved and listened to and considered any inequalities and barriers they may face.

People were supported to plan for important life changes, so they could have enough time to make informed decisions about their future, including at the end of their life.

End of life plans were considered for people when needed. People and those important to them had been involved with this process. Plans had considered people’s choices and preferences during this time and any medicines they may need. One person had plans in place to move to a more independent placement in the future.