High View Care Services Limited

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.

People using the service were receiving effective care and treatment.

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.

Assessment of people’s needs were carried out before they moved to the service to establish what support people needed for their rehabilitation. As part of the assessment process, the in-house therapy team looked at people’s strengths and weakness and set achievable goals with them in a ‘goal program’. Care plans were developed which outlined people’s care and support needs, and tasks staff were required to complete. Care plans were regularly reviewed to reflect any changes in people’s needs and wishes. A relative told us, “I attend formal care plan reviews every year where the therapy team and staff look at everything. I am always asked for my views, ideas and opinions about my loved one’s care needs.”

The provider planned and delivered people’s care and treatment with them, including what was important to them. A person using the service told us, “I have a care plan. The staff help me with what I need. I am working on my independence, and I am making good progress. I cook and I shop, and I have just done my washing. The neuro rehabilitation coaches talk to me about doing drama and things that I like. I recently went on a boat trip and to the zoo. They are helping me to look for voluntary work.”

Staff worked effectively with health and social care professionals to ensure people received appropriate support when meeting their physical and mental health needs. These included GP’s, dentists, opticians, diabetic nurses, dietitians, occupational therapists and the community multidisciplinary and mental health teams. The in-house therapy team were also involved in meeting people’s health and social care needs.

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’s nutritional and dietary needs were met. A staff member told us mealtimes were breakfast, lunch and dinner. Some people made their own breakfast and lunch, and staff cooked an evening meal. They told us there was a menu for people to choose from and they were aware of people’s dietary needs and medical conditions, so they prepared meals relevant to people’s needs. People told us that the meals provided by staff tasted good. A person told us, “I am a vegetarian I don’t eat meat; I always try to make healthy meals. The staff help me ‘a bit’ with the cooking.” Another person said, “I cook my own breakfast, and I look forward to the meal that the staff cook in the evening.”

People’s health needs were assessed and care plans documented how best people should be supported. Staff monitored people’s conditions and acted if people became unwell. We noted that a member of the therapy team supported a person to a hospital appointment during our visit. People told us they had access to health care professionals when they needed them. A person told us, “I have regular appointments with my dentist, and I see the GP only if I need to.”

The provider routinely monitored people’s care and treatment to continuously improve it. The registered manager told us there were weekly meetings with the therapy team who fed back on any challenges people were having and any improvements people had made. This information was shared with staff. The registered manager told us they had supported people to reconnect with family members and rebuild relationships. They done this through arranging family meetings and planning trips out together. A neuro rehabilitation coach told us they offered people 1-1 sessions each week. These included outings, cooking, yoga, and art therapy.

The provider respected people’s right around consent when delivering person-centred care and treatment. Staff had been trained in the Mental Capacity Act (MCA) and understood their responsibilities in enabling people to make their own decisions and respecting their choices.

Where people lacked the mental capacity to make decisions, the provider met with relatives where appropriate to ensure any decisions made, were in the person’s best interests. Staff promoted people's rights and worked within the principles of the MCA. The MCA provides a legal framework for making decisions on behalf of people who may lack the mental capacity to do so for themselves. The Act requires that, as far as possible, people make their own decisions and are helped to do so when needed. The provider had requested legal authorisations where restrictions were in place. Decisions around these were made in people’s best interests and for their safety.