Cranley 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 requires improvement. At this assessment the rating has changed to 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. People, and others involved in their care, had been actively involved in assessments and reviews of their care and support needs. People had been listened to and their choices and preferences had been used to plan their care and support needs. Staff understood people’s individual needs and how these should be met. The deputy manager told us, “A lot of what we do is based and tailored on what people want and their individual needs. We involve them in decision making and respect their choices and we make sure everyone is involved so this includes relatives and loved ones too.” Managers undertook regular checks to make sure staff were delivering the planned care and support needs of people using the service. Managers assessed, monitored and reviewed people’s care records at regular intervals to make sure these remained up to date with information about people’s current needs.

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. People were involved in planning their care and support. Managers made sure the care and support planned for them was individualised and specific to their needs. Staff were supported through training and supervision to deliver care and support to people in line with legislation, good practice and standards. Managers assessed, monitored and reviewed people’s needs at regular intervals which helped them make sure care and support was planned and delivered in line with people’s individual preferences.

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. People were supported by staff that worked well together and with other services. This helped to ensure a joined up, consistent approach to delivering safe and effective care to people in line with their individual needs. The registered manager told us, “We have a good relationship with our GP practice and we call them any time. They are responsive and proactive. Any medication changes are dealt with quickly. We have a great relationship with the pharmacy. The optician has been in recently. We also have a dentist and the nutritionist comes in weekly for one person to help one person improve their diet.” Systems were in place to make sure information was shared in a timely way by everyone involved in people’s care. This helped to ensure care and support was planned for people that met their individual needs and preferences, safely and effectively.

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. People were supported by staff to stay healthy and well in line with their needs and wishes. A relative told us, “They are very watchful about [family member’s] diet and [family member] requires close monitoring and they have made a huge effort to cater for their diet and a nutritionist comes in and works with them.” Staff knew people well and how to identify when people were unwell or in pain and the support they required in these instances. Staff supported people to access services for their healthcare needs when this was required. Information about people’s healthcare needs was assessed and reviewed at regular intervals. This meant staff had up to date information about people’s needs to help them support people to live healthier lives.

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. People experienced positive outcomes from the care and support provided by staff. People’s care and support was regularly reviewed to ensure this was meeting their needs and expected outcomes. Staff understood how to support people to help them achieve positive outcomes in relation to their care and support needs. They monitored the care and support provided to people and knew what action to take if any improvements to this were required. Systems were in place to monitor the care and support provided to people to ensure this remained effective.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People were supported to understand the care and support staff wished to provide them. This enabled people to consent to this if they wished. People could refuse to receive care and support and staff respected their decisions about this. Staff understood people’s capacity to make decisions about their care and support using people’s preferred method of communication. Staff used this knowledge to seek consent before they provided any care and support. A staff member told us, “People have rights about what they want to do and pick so I make sure that people are asked what they want and their choices are respected. I always ask people for permission before we provide care and that is just basic respect for people and their rights.” The service was working within the principles of the Mental Capacity Act (MCA). Appropriate legal authorisations were in place to deprive people of their liberty where this was deemed necessary to ensure their safety.