80b Randall Avenue

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.

This is the first assessment for this service. This key question has been rated 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 service operated with a strong multidisciplinary team (MDT) focus, where individuals were routinely discussed during management and team meetings. These meetings served as a platform to assess evolving needs, identify action points, and ensure timely follow-up. Staff we spoke with demonstrated a keen awareness in assessing needs and were able to give examples of how they adapted care to support changes.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. Their approach was grounded in evidence-based practice, incorporating a range of psychological models, including positive coaching psychology frameworks, to support people’s personal development. The provider demonstrated measurable outcomes, such as increased pro-social behaviours and enhanced self-awareness, achieved through fostering emotional growth. They did this in line with legislation and current evidence-based good practice and standards.

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. For example, care records we reviewed included detailed histories, diagnoses, and clearly documented short- and long-term goals and wishes. Care plans were regularly reviewed and kept up to date with relevant information, enabling smooth transitions and ensuring continuity of care across the service.

Staff we spoke with told us there was a culture of transparency and ethical practice, particularly in relation to confidentiality and safeguarding. A staff member explained, “I let clients know I’ll be sharing the themes of sessions, but not any personal content,” demonstrating a respectful and person-centred approach to information sharing. Staff also recognised that when an individual may be at risk, confidentiality must be appropriately breached to ensure their safety and enable the team to work together respond effectively.

This feedback reflects a well-integrated service where open communication, professional boundaries, and collaborative working are embedded in daily practice. Staff consistently balanced the need for discretion with their duty of care, fostering trust while ensuring that safeguarding remained a shared responsibility across the team.

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

People we spoke with highlighted the positive impact of cooking group sessions facilitated by the therapies team. These sessions were designed not only to build confidence and practical cooking skills, but also to promote healthy eating and nutritional awareness. One person shared, “We prepare the meal and cook it together, it’s a joint effort,” while another added, “We decide what we want to cook.” This reflected the person-led nature of the group.

In addition to group activities, the service offered tailored one-to-one sessions focused on health and wellbeing, including personal hygiene and physical fitness. A staff member told us, “We run sessions focused on health and wellbeing, personal hygiene, and fitness, like walking groups and forest therapy.” This was evidenced on the provider’s therapy posters. Feedback from people using the service said that the forest therapy sessions were particularly well received, offering both physical and emotional benefits.

These initiatives reflected a holistic approach to wellbeing, where individuals are supported to develop healthy routines, build life skills, and engage in meaningful activities that enhance their overall quality of life.

The provider routinely monitored people’s care and treatment to continuously improve it. Monitoring and improving outcomes were promoted through regular one-to-one sessions with the people they supported, where staff discussed needs, goals, and progress. These sessions also enabled timely and appropriate referrals, such as to the in-house counsellor or therapy team, ensuring that support was aligned with each person’s expectations and wellbeing.

The provider told people about their rights around consent and respected these when delivering care and treatment. Managers and staff had received Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) training.