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Apple Tree House Residential Care Home Limited Good

Inspection Summary

Overall summary & rating


Updated 28 June 2019

About the service: The service is a care home for up to 14 people some of whom have a learning disability and/or autism. When we inspected 14 people lived at the service and two additional people were receiving support in the community. The size of service meets the best practice model of support for people with a learning disability and/or autism and was designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance.

People’s experience of using this service: We received very positive views from people about the support provided to them. People said they felt safe and staff were kind and respectful. People were supported with their communication needs. Staff demonstrated effective skills in British sign language. People told us they felt they were able to communicate their needs to staff.

One event had not been notified to CQC in a timely manner. This is being looked at outside of the inspection process. The registered manager had not ensured all staff had an appraisal a recorded competency check or that 'when required' medications had a protocol for administration in place. Action was taken during the inspection to address these gaps.

People received their medicines safely and on time and their health was well managed. Staff had positive links with health care professionals which promoted people’s wellbeing.

Care and support was tailored to each person's needs and preferences. People and their relatives were fully involved in developing and updating their planned care. People had been supported to develop and maintain positive relationships with friends and family.

Recruitment checks were carried out to ensure staff were suitable to work in the service. Staff had received appropriate training and support to enable them to carry out their role. They worked with people to overcome challenges and promote their independence. Staff encouraged positive risk taking so people could experience new things and develop. This had led to people feeling fulfilled and living an active life.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

People and staff told us the registered manager and senior team were approachable and listened to them when they had any concerns. All feedback was used to make continuous improvements to the service.

Rating at last inspection: Good (Published 13 March 2017)

Why we inspected: This inspection was a scheduled inspection based on the previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at

Inspection areas



Updated 28 June 2019

The service was safe.

Details are in our Safe findings below.



Updated 28 June 2019

The service was effective.

Details are in our Effective findings below.



Updated 28 June 2019

The service was caring.

Details are in our Caring findings below.



Updated 28 June 2019

The service was responsive.

Details are in our Responsive findings below.


Requires improvement

Updated 28 June 2019

The service was not always well-led.

Details are in our Well-Led findings below.