Tall Trees

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, due to a change in registration. This key question has been rated good. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

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.

Staff at the service made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

Staff told us there were effective systems in place to assess and monitor people’s needs. This included handover meetings between incoming and outgoing staff on shift and staff meetings. People’s care and treatment including their wellbeing was planned and delivered in line with current legislation and recognised best practice and standards. People, their families and or representatives were included in the process to reflect what was important and mattered to the person.

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.

Staff ensured people’s health needs were monitored. The catering staff understood people’s needs and how to promote a healthy diet. Staff closely monitored people’s health and made sure they had access to healthcare wherever needed. One person said, “It works very well, my situation has improved and [health need] is better now than for several years.” Another person told us, “It is a relaxed environment, and I feel confident my needs are met”

Evidence-based care underpinned the policies, procedures and ways of working within the service.

The service 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’s information was shared effectively, for example with the GP or nurse. Staff kept detailed records of the care they provided, these were shared when needed. A relative told us, “When it is ‘Resident of the Day’ we go through the care plan, weight, any issues, any knocks or bruises and I am in every day and any issues I bring up, and I am listened to.”

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 to access medical professionals as and when required however, there was mixed feedback about follow up communication from staff to relatives. One person’s relative commented,“The other day [family member] had an accident. I had a detailed call; the paramedics came and at the end of the shift I had another call from the nurse who told me what they had done and what had been needed and that the paramedics were pleased with the action taken by [Tall Trees nurse].” Another relative told us, “Communication could be better with the doctor the home and myself but if I raise it, it is sorted.

The provider had systems in place to regularly check how people’s care and treatment were being delivered, with the aim of making improvements. However, this didn’t always happen in practice. In some cases, important steps, like following safeguarding procedures or acting on identified risks in a timely manner, were missed. This demonstrated that while the provider was committed to improving care, more consistent oversight was needed to make sure people always received safe and effective support.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.The provider worked in line with the principles of the Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS), ensuring that people’s rights around consent were upheld. One person told us, “Staff always get my consent, it is never assumed, generally they are very kind, they communicate very well which is handy, they get to know [people], and we get to know them.”