Highgrove

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 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 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. Assessments were completed before support began, and the information was added to care plans, which were regularly reviewed and updated. These assessments involved the person, their family, and relevant professionals, where appropriate, to ensure a full understanding of their 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. Systems were in place to ensure staff were up to date with evidence-based guidance and legislation. Care records demonstrated care was provided in line with current guidance. The provider offered a varied menu, and people reported enjoying the meals served. One person told us, “The food here is very good. I have put on weight since I have been here.” Another person told us, “The food isn’t bad at all. There are usually a couple of things to choose from. I get enough drinks through the day as well. There is always a jug of water or juice, and they offer plenty of cups of tea.” We noted where people were on a modified or pureed diet a choice of meal was not always available. The registered manager acted promptly to ensure all people had a choice of menu.

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. Clear communication processes were in place, with information routinely shared through handovers, staff meetings and care records, supporting consistent and continuous care. Staff overall were positive about working together. One staff member commented, “Generally all staff work well together as they want to achieve the same goals and feel rewarded for making a difference.” Professionals who worked with the service were positive about joint working. One professional told us, “I have found the staff and management easy to communicate with.”

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. Records showed people had access to external professionals as required and where health concerns were noted these were followed up. One relative told us, “I can’t praise this place enough. [Person] was in hospital and they told us on more than one occasion they wouldn’t see out the week … they came here and 2 years and 4 months later they are still with us … it is the best place I could have hoped to find for them.”

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’s needs were assessed to identify any health or well‑being concerns. The service worked with healthcare professionals to meet people’s health needs, including supporting them to attend appointments.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People were asked about their consent to care and support and their decisions recorded. People’s capacity to make decisions was reviewed under the Mental Capacity Act 2005 (MCA) and where people lacked capacity, decisions were made in people’s best interests. We found the service was working within the principles of the MCA and if needed, appropriate legal authorisations were in place to deprive a person of their liberty. Staff obtained people’s consent before providing care, and our observations showed that individuals were actively involved in everyday decisions about their support.