Ashley House

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 as good. At this assessment the rating has remained as good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 67 (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 supported effective care and treatment by assessing and discussing people’s health, care, wellbeing and communication needs with them. However, reviews of assessed need did not always happen as planned.

People’s needs were fully assessed before they moved to the home. This included a face-to-face assessment and a 30-day assessment period to ensure people’s needs could be met, and positive outcomes achieved. Assessments also considered compatibility with those already living at Ashley House.

Initial assessments informed care plans. However, care plans were not always updated promptly to reflect people’s current needs or reviewed in line with the provider’s expectations. The registered manager told us they would address this through improved oversight and audit processes.

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.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure that outcomes were positive and consistent, or that they met both clinical expectations and the expectations of people themselves.

Staff monitored people’s health regularly and referred them to the local GP practice or mental health services when changes or deterioration were identified. However, ABC (Antecedent, Behaviour, Consequence) charts were not completed to record and monitor episodes of distress or agitation. These charts record what happened before, during and after an episode to help identify patterns and effective distraction strategies. This information can also support external health and social care professionals in their clinical decision making. The registered manager acknowledged this was an area for improvement.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.