Highfield Farm

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 newly registered 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 71 (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 had their needs assessed and care plans contained robust details about people's needs and preferences. This included what was important to them, such as family and friends, activities they liked and any cultural and religious needs. For example, one person enjoyed colouring, and did not like to have a structured day to day routine. Where people had incidents of anxiety and distress care plans detailed people's potential triggers, strategies to manage this and de-escalation techniques.

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. Where people had incidents of anxiety and distress, detailed positive behaviour plans were in place and staff were trained in conflict resolution strategies. People had access to health professionals and information was contained within their care records. For example, 1 person had diabetes and detailed care plans were in place, and this was managed and monitored by the district nurse team. People received information about their rights as tenants and information about their landlords.

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. The leadership team told us the staff team had gone through a period of change, and this had caused some staff culture issues. They told us this was improving under the new manager. Staff we spoke with told us they worked well together and felt supported by the manager. A staff member said, “It runs well, everyone is lovely here. Very welcoming, the management are supportive.” Staff worked with a range of professionals to meet people's health and well-being needs. A professional told us the service worked well with them, and they had recently completed a positive contract and compliance visit.

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 a range of external health professionals to meet their needs. Information was available to people about how to eat healthy and staff prompted people to maintain healthy diet and nutrition. People were supported to attend community health and recovery groups.

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 were supported to integrate into the community and build their independent living skills. Some people were in paid employment, and some were volunteers. A person told us staff were supporting them to look into college courses to start later in the year. Another person said, “I like it here. I go on holidays with my family, which I enjoy. Staff help me do my own cooking. Staff help me to clean, they don’t do it for me, they support and encourage me.”

Staff did not always respect their rights when delivering care and treatment. Most people told us staff sought their consent about their care and support; however 1 person told us staff often didn't knock before entering their flat. This was discussed with the manager on the day of our assessment, and we were assured this would be addressed with staff. People had capacity and had consented to their care and support, including the use of photographs.