Appletrees Care 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 inspection we rated this key question require improvement. At this inspection the rating has remained the same due to our inspection activity only looking at specific quality statements. This meant the effectiveness of people’s care, treatment and support did not always achieve good outcomes or was inconsistent.

This service scored 58 (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 did not always make sure people’s care and treatment were effective because they did not always check and discuss people’s health, care, wellbeing and communication needs with them. The provider had moved to a digital system to record most of their daily care interventions and care plan information. This was documented to have been reviewed regularly. However, we identified a person’s care plan had conflicting information regarding which equipment they needed to mobilise. The overview of the care plan suggested they required a wheelchair to transfer to a different room. However, the mobility section of the care plan did not mention the use of a wheelchair. Incorrect information in care plans may be misleading for staff, particularly when the service is using agency staff. We highlighted with leaders the incorrect information, and they told us they would make the necessary amendments. This was a repeated concern from our last inspection. Staff preparing meals for people lacked knowledge on what foods were required to ensure meals were prepared in line with people’s dietary requirements. We asked this was reviewed whilst we were onsite to ensure people received food which was safe and in line with their assessed needs.

We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.

We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.

The provider did not always routinely monitor people’s care and treatment to continuously improve it. They did not always ensure that outcomes were positive and consistent, or that they met both clinical expectations and the expectations of people themselves. Some people required regular monitoring and staff intervention to support their health needs, we found consistent gaps in their daily recordings. For example, we found some people had more than 14 out of 30 days of missing oral care entries in November 2025, and documentation stated some people were not receiving repositioning every 4 hours as stated in their care plans. We could not be assured people were receiving care as described in their care plans. We shared this with the registered manager, who confirmed there was no documented evidence of daily checks were being carried out of people’s required care interventions. We could also not be assured this was being monitored by other leaders who completed regular checks at the service, as their audits in relation to checking daily documentation in November 2025 had not been completed. This was a repeated concern from our last inspection.

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.