Ashton Court 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 requires improvement. At this assessment the rating has changed to 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's needs were assessed and care delivered in line with them. People and families were involved in their care planning and reviewing of their care and support. Initial assessments were completed on all areas of personal care and support. People we spoke with told us they were involved in reviews about their care and treatment.

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 observed staff serving lunch and found this was organised and a pleasant experience for people. Staff understood people’s likes and dislikes, offered choices by showing people examples of meals available and assisted people appropriately. The weekly menu was available in the dining room. We saw people were offered drinks and snacks in-between meals and had access to a hydration station, where they could help themselves to drinks. People told us meals were nice and commented they had plenty to eat and drink.

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. Systems were in place to support staff to share and pass on information about people’s care to enable them to offer consistent care. The management team and staff completed daily handover records and worked well as a team.

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 had access to healthcare professionals and staff ensured their advice was followed. A referrals file was in place and showed appropriate referrals had been made to professionals regarding things such as, falls, mobility, seating and continence. For example, 1 person was referred to the falls team following a fall from bed. The falls team recommended the use of a sensor mat, and a wedge to be put in place to ensure rolling out of bed was kept to a minimum. This was actioned by the management team and staff and changes clearly documented in the person’s care plan.

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’s outcomes were documented in care plans and showed actions taken to ensure these were met. For example, people who were prone to tissue damage, had appropriate repositioning plans in place to ensure their skin remained as healthy as possible.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff involved people in their care and presented people with choices. Staff respected people’s decisions. Where people lacked capacity to consent, decisions were made in their best interests. One staff member said, “I always assume someone has capacity to make their own choices unless proven otherwise. If they can't make a decision for themselves then decisions should be made in the best interest for that individual.”