Astbury View

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. People had their needs assessed and care plans were developed to meet their individual needs and preferences. Relatives were aware of peoples care plans and told us staff kept them informed of any changes. Staff told us the assessments and care plans were easy to access using an electronic system. We saw assessments and care plans were in place and regularly reviewed and updated.

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 provider had an electronic system in place which included evidence based assessment tools to assess specific needs and consider risks to people’s safety including their skin, dietary needs and use of equipment. There were health screening plans in place to ensure peoples health was monitored and to guide staff in supporting people. Staff understood how to use these tools to provide effective care and support.

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. The registered manager told us they had a system in place to share information with staff at the start and end of each shift to keep staff up to date on any changes and how people had been during the day. Health professionals were involved in planning peoples care, and there was guidance on meeting people’s specific needs in the care plans. Staff could describe how they supported people following these plans.

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 were supported to maintain their health and wellbeing. Relatives told us staff supported people to manage their health needs. A relative said, “[Person’s name] gets their toenails cut with a chiropodist, and an optician visits them at home.” Staff could describe the support people had with their health needs and the support they needed. Care plans included guidance from health professionals to support people to maintain their health.

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 had regular reviews of their care and support needs. Relatives told us they were involved in peoples care plan reviews and staff kept them up to date on any changes. The registered manager told us people’s individual outcomes were documented in care plans following monthly meetings, which enabled discussions about what people wanted to do along with annual person-centred review meetings which discussed what people wanted to achieve and how they planned to achieve these goals. Records supported what we were told.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. People were observed being asked for their consent when staff offered them support. Staff understood the principles of consent and could describe how they sought this from people. A staff member said, “Not everyone can communicate, so we involve them in choices, and we read their body language.” The registered manager described how individual assessments of people’s capacity were documented in the electronic records system along with decisions made in people’s best interests. Records showed where people were unable to make decisions, staff did this in their best interests with input from relevant others.