- Care home
High Trees Residential Home
Assessment report published 15 December 2025
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 75 (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
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, relatives and, where appropriate, advocates were actively involved in the assessment and planning process to ensure care plans accurately reflected people’s wishes and best interests.
Each person had a communication plan and a hospital passport, which provided clear information about their preferred communication methods, health needs, and behavioural triggers. These documents helped staff and external professionals deliver consistent and safe support when people attended hospital appointments or accessed other services. A professional involved in people’s care told us, “Communication from the care home staff, whether support staff or managers, in person and by email has always been very good.”
Care and support plans were person-centred, detailed, and regularly reviewed to ensure they remained up to date and responsive to changes in people’s needs.
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.
The service worked closely with GPs, psychiatrists, community health teams, and other professionals to ensure people received coordinated, consistent, and effective care. Regular communication between the service and external professionals meant updates to people’s care needs were acted upon promptly and safely.
Health professional’s recommendations were fully embedded into people’s care and support plans and implemented consistently by staff. This ensured professional guidance was reflected in daily care practices, supporting positive outcomes and reducing risks for people living at the service.
How staff, teams and services work together
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.
Each person had a communication plan and a hospital passport which provided clear information about their preferred communication methods, health needs and behavioural triggers. These documents helped staff and external professionals deliver consistent and safe support when people accessed hospital appointments or accessed other services.
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 where possible, reduce their future needs for care and support. People had access to healthcare professionals, and their guidance was documented in people's care and support plans.
Where people were unable to verbally state they were in pain or unwell, their care plans gave guidance to staff about how to recognise this.
Where people were likely to become anxious or distressed when attending a medical appointment, the home worked with them to try to avoid this and used communication tools to help them understand what was happening.
Monitoring and improving outcomes
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 consulted and their desired outcomes were included in their support plans and staff supported them to achieve them.
Consent to care and treatment
The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.
Care plans contained mental capacity assessments and where necessary, best interest decisions to support the outcome.
Deprivation of Liberty Safeguards (DoLS) had been applied for appropriately. These applications were reviewed regularly to ensure they were still required, and the least restrictive option was being used whilst delivering care to people.
People’s care plans contained detailed information regarding their communication needs when making decisions for example sign language or objects of reference, and we observed staff following the plans and supporting people to make choices.