Ash 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 71 (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 did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them. For some people their initial assessment was carried out by the podiatry team at Somerset Partnership NHS Trust. However, since the service was no longer funded by the NHS trust people now completed an application form. This included details about the person, their GP details and information regarding a specific health condition. There was also a section for people to sign to say they understood some medical conditions may put them at higher risk of complications and if they have any concerns about this or the condition of their feet they will consult their GP. We found this was not in place for everyone.

TNCA’s told us they assessed any change in people's needs prior to cutting people's toenails. This included a phone call to check there were no concerns regarding the persons feet that would prevent them from having their nails cut. They told us they also complete observational checks of the person's feet during the visit and if they have any concerns about their foot conditions, they would not undertake a cut and advise the client to seek advice from their GP. Some staff also requested other information verbally from the person before they supported them. However, this was not being consistently completed and recorded across the service. The risk was reduced as people’s toenails were cut by consistent staff who knew people well.

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 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.

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