Ashchurch 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.

Care records contained clear, detailed and person-centred information to support reviews of people’s needs. Appropriate communication changes were noted when people’s health or wellbeing needs changed. Senior nurses and the registered manager had oversight of the care records.

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.

People were told about current good practice which was relevant to their care and were involved in how this is reflected in their care plan. Staff told us they had up to date knowledge on current good practice and standards. One staff member told us, “Care plans are reviewed monthly when people are resident of the day or there is deterioration. Nurses tend to review initially and will ask us about various activities of daily living. Everybody is involved in the care plans.”

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.

When people received care from a range of different staff, teams or services, it was co-ordinated effectively. All relevant staff, teams and services were involved in assessing, planning and delivering people's care and treatment and staff work collaboratively to understand and meet people's needs. Information was effectively shared between teams and services where they worked together to deliver a person’s care. This meant all relevant staff understood people’s needs, how they will be met and by who, for example when clinical tasks are delegated or when people are referred between services.

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 involved in regularly monitoring their health, including health assessments and checks where appropriate and necessary with health and care professionals. Appointments and communication with dentists, opticians and podiatrists were documented and appropriately followed up on.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured outcomes were positive and consistent, and they met both clinical expectations and the expectations of people themselves.

Clinical monitoring tools were in place for known or emerging healthcare needs and recognising distress. Action was taken to address concerns and improve outcomes. For example, 1 person was unable to communicate due to their dementia. The staff ensured they carried out hourly checks on the person and had training to understand non-verbal communication cues for when they may be experiencing pain. Staff told us how they completed training to ensure they understood if the person was in pain, or if they were feeling distressed so they could inform the nurse who could give appropriate medication, as needed.

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

People understood their rights around consent to the care and treatment they were offered. Staff identified when people lacked mental capacity to give consent to decisions relating to their support needs. They took appropriate action to ensure decisions were taken in people’s best interests, involving their relatives, friends, carers or advocates and were made in accordance with legislation.