Ashley Gardens Care Centre

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

People’s needs were assessed before they moved into the service and these assessments were used to formulate the person-centred care plan for each person. The provider used recognised assessment tools for some elements of the assessment. Staff supported people to access other health professionals when required.

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.

People’s needs were assessed prior to them moving into the service to ensure their needs could be met. People’s needs were assessed using recognised assessment tools for example, people who had been assessed as being at high risk of developing skin and tissue damage, had clear guidance in their care plans for staff to follow and reduce the risk of occurrence. People were supported by staff to regularly reposition themselves to reduce the risk of any pressure area developing. Equipment was available and in use for people such as, pressure relieving mattresses which were checked on a regular basis to ensure they were on the correct setting.

People told us they had been involved in the development and review of their care records. People told us that staff knew them well and encouraged them to be as independent as they were able. Comments from people included, “The staff know me very well and I can tell them what I like”, “I will let them (staff) know what I like and what I don’t like” and, “I can do most things for myself, but they (staff) would help me if I asked.”

Staff told us that people’s care plans and risk assessments were comprehensive, up to date and easily accessible. One member of staff said us they felt there was, “A positive culture of being person centred and valuing each person's way of being what they like what they don't like.” A nurse spoke about how any concerns or changes to a persons care needs were discussed and recorded at the daily meeting held with the heads of department.

People told us they had been involved in the development and review of their care records. People told us they saw professionals involved in their health when they needed to.

Staff used recognised assessment tools for assessing some elements such as, malnutrition, skin integrity and dehydration. This enabled staff to compare outcomes each month to monitor for signs of deterioration or improvement. Nurses maintained up to date clinical practice through supervisions and regular training sessions with clinical trainers.

The provider had processes in place to ensure pre-admission assessments were completed before a person moved into the service. Assessments were reviewed regularly and updated where appropriate. The provider used recognised assessment tools when assessing some areas, such as skin integrity and malnutrition.

The local GP surgery told us they were in regular contact with the service and visited weekly to support people’s health needs. A health care professional told us they felt there had been positive improvements made since the new management team started and said the staff team were informative and knew people and their health needs well. One healthcare professional commented they felt there was minimal stimulation for people living with dementia however, they were aware the management team had started to take action to address this.

There were processes in place to ensure teams communicated with each other and with external stakeholders. Regular meetings and supervision sessions were in place to encourage feedback and promote teamwork. The registered manager had implemented a unit leadership role to foster good relationship management.

Staff reported that people’s records are up to date, detailed and easy to access. Staff felt confident reading files and sharing information between units, kitchen and to nurses for the daily meetings. Activity staff were involved in keeping person centred recordings of any activities people participated in.

Nurses and care staff had good knowledge of people’s healthcare needs and knew how to support them to achieve good outcomes. Each person had a baseline set of clinical parameter measures such as blood pressure, temperature, and pulse against which changes could be monitored. There was input from health care professionals such as GPs and tissue viability nurses.

Staff always had access to people’s care plans and could refer to them any time they needed to. Assessments and care plans included peoples’ health care needs and there were details of healthcare professional’s visits in individual’s records. Information was shared with others, such as hospitals, if people needed to access these services. Resident of the day reviews were held and discussed within the daily meetings.

We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.

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.