High Meadows

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

The service was effective. People’s needs and choices were assessed and planned for. Care plans were personalised and regularly reviewed. People told us they were able to contribute their views about their care. People’s mental capacity had been assessed and the provider had obtained their consent, or followed a best interests process, when making decisions about their care and support. People were supported to stay healthy and access the healthcare services they needed. We did not assess all the quality statements within this key question. We did not identify concerns relating to those areas which we judged as being met at our last inspection.

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.

People and their relatives told us they were consulted as part of initial assessments and reviews of their care.

Staff explained how they used information in assessments and care plans to understand people’s individual needs and how they liked to be cared for.

People’s needs were assessed and planned for. The management team met people before they moved to the service and carried out assessments of their needs and choices. Where appropriate, they consulted with their representatives and professionals involved in their care. The assessments reflected best practice and gave personalised information about their needs. There were regular reviews of care. Information from assessments and reviews was used to create care plans.

People using the service and their relatives told us they were supported with their healthcare needs. They explained staff worked with other professionals to help monitor these. Some relatives told us that people’s health, wellbeing, appetite and weight had improved since they moved to the service.

The provider employed registered nurses to oversee how people’s healthcare needs were being met. The nursing staff we met had a good understanding of people’s health and were able to explain how they monitored this and liaised with other healthcare professionals.

People were supported to have their health needs met. Each person’s care plan included information about their healthcare needs and how these should be met. Staff regularly worked with external professionals. We saw referrals were made when staff identified a change in a person’s condition or wellbeing. The provider kept records of health appointments and the outcomes of these. Information and guidance from healthcare professionals had been incorporated into care plans.

People explained they had been asked to consent to their care and support, and their opinions were valued.

Staff demonstrated a good understanding of why it was important to offer people choices and obtain their consent. They knew some people needed information and choices presented in specific ways.

The provider had assessed people’s mental capacity relating to specific decisions about their care. They had recorded this, along with their agreement and consent. Where people lacked the mental capacity to make decisions, the provider had consulted with their representatives to make decisions in their best interests. This was recorded.