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Applecroft Residential Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 14 January 2020

About the service

Applecroft Residential Care Home is a residential care home providing personal care to 19 people at the time of the inspection. Care is provided across three floors, with shared communal areas including a lounge and dining area and separate bedrooms.

People’s experience of using this service and what we found

Systems to checks and improve the standards of care were not consistently undertaken to drive improvements within the home. However, people and families told us the home was good and they felt involved in discussions. The registered manager and staff worked closely with other professionals and were responsive to suggestions for improvement. There was an improvement action plan in place and this work was ongoing.

The home had suitable systems in place when recruiting staff and there were sufficient staff to meet people’s needs. Medicines were being securely stored and safely managed and people received the support they needed to take their medicine. There were appropriate systems to check and ensure equipment was maintained and the home was clean. We noted some improvements to manage the laundry were implemented immediately. Accident and incidents were managed, and action was taken to prevent reoccurrences, but we noted some improvements that could be made to the analysis of this so that learning can be shared.

People had choice, and preferences were respected. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. The policies and systems in the service supported this practice. People were supported to access health care as needed and advice from health care professionals was implemented and care plans updated.

People and relatives told us staff were kind and caring and we observed positive and compassionate interactions between staff and the people living at the home throughout the day. People were encouraged to remain independent and care plans reflected this. People’s privacy and dignity was maintained.

People received personalised care and support. There was a new activity coordinator and people could choose to engage in a variety of activities. People felt able to raise concerns and make complaints and told us these were addressed. Plans were in place for people who required support at end of life and staff were thoughtful and caring when supporting people and their families in this area.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Requires improvement (published 10 September 2018) and there was one breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection not enough improvement had been made and the provider was still in breach of regulations. This service has been rated requires improvement for the last five consecutive inspections.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified one breach in relation to Regulation 17 (Good Governance) as the provider did not have good systems for ensuring that checks of the quality of support and safety of the environment were regularly undertaken.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 14 January 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 14 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 14 January 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 14 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 14 January 2020

The service was not always well-led.

Details are in our well-led findings below.