Ashbury Lodge Residential Home

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. The service completed comprehensive initial assessments of people’s needs, to assess their suitability for the service. When a new person moved to the service, staff told us they had access to information about their needs and preferences prior to supporting them. People’s care plans and risk assessmentswere regularly reviewed which meant people’s needs were assessed and up to date.

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. Care was being tailored to meet the needs of people who live in the service. The provider used evidence-based tools within their care planning arrangements, such as the Malnutrition Universal Screening Tool (MUST) and Waterlow tools to assess whether people were at risk of malnutrition and pressure injury. People were involved in a process called the ‘Resident of the Day’, where people’s care and support plans were reviewed monthly, which meant their care was evidence based.

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. There were processes to support effective team working such as team meetings and handovers of information. Staff told us, “We have good teamwork, we work well together.” We received feedback from one healthcare partner, who told us there were some previous concerns about the accuracy of information shared, but felt this had recently improved since new leaders had started working for the service. Leaders explained, “We have come a long way, since being in role we have a lot better oversight, there is a lot more structure, staff have more accountability with their role. The home is a lot more organised, and the atmosphere is more relaxed, staff know their roles.”

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 ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. Although the provider had processes to monitor people’s health and wellbeing, we found this process was not fully effective for one person. However, people’s weights were routinely monitored where they had consented to do so or where this was assessed to be in their best interest. People had information in their care plans where any monitoring was needed.

We did not look at Consent to care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.