- Homecare service
Highlea Care Limited
Assessment report published 15 January 2026
Contents
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
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 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
Assessing needs
People’s support needs and choices were not always fully assessed to ensure they were consistently met. There were gaps in assessments of people’s cultural and spiritual needs. Relatives told us they did not always feel involved in assessments of people’s needs. The provider said action would be taken to ensure all assessments were fully completed.
Delivering evidence-based care and treatment
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, including support with eating and drinking. People’s needs and choices were used to plan and deliver effective care. During our visits we saw people receiving the support they needed.
How staff, teams and services work together
The provider worked well across teams and services to support people. When staff and leaders had identified needs people had, that lay outside of what they were delivering, they had escalated these to the relevant agencies. Efforts had been made with healthcare partners to increase people’s access to social activities.
Supporting people to live healthier lives
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 access healthcare partners to maintain and promote their health and wellbeing. A relative told us, “[Named person] health is okay as they take him to the GP and dentist.”
Monitoring and improving outcomes
The provider routinely monitored people’s care and treatment to continuously improve it. Staff understood people’s support needs and choices well and used this knowledge to continually monitor whether improvements were needed. A member of staff told us, “Changes to individuals' support needs are usually communicated through handovers, care plan updates, staff meetings, or emails. We are encouraged to read updated documentation regularly to stay informed.”
Consent to care and treatment
The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Where people could not consent verbally staff were knowledgeable on how to gain this using non-verbal means, including through gestures and involving relatives and those of importance to people in decisions. Legal restrictions on people’s choices were appropriately recorded and monitored.