Appleton Court

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.

This is the first assessment for this newly registered service. This key question has been rated good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (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. People had care plans in place to help direct the staff on how they should provide effective care, however, we found that people’s care plans were not reviewed regularly and did not accurately show when their needs changed so we could not be assured that the records consistently reflected the person and their current needs. Care plans were missing information specific to managing health concerns and equipment, such as catheter care and epilepsy. Staff were trained in these areas and knew the people well which helped to mitigate the risk to people, however the care records did not evidence this understanding and knowledge. Due to the concerns relating to effective record keeping, we have followed this up within the well led domain.

People’s preferred communication methods had been assessed, and consideration had been made for people who needed additional aides to help with their understanding and communication.

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.

Staff got to know the people well and efforts had been made to understand what was important to them. Staff encouraged people to have a goal, working with them to reach this over time.

People’s nutrition and hydrations needs were met. People worked with staff to explore healthy diets, and they had the opportunity to develop their skills within the kitchen. Staff monitored people’s wellbeing and encouraged healthy choices.

The provider worked well across teams and services to support people.

Systems were in place to ensure information about people was shared appropriately with other services when needed. The staff worked well with other services, building relationships with local support teams to help give advice.

Staff worked well together and completed handovers to relay messages from shift to shift. Staff told us they were proud of the team, and they worked well. One staff member said, “We all work together in one hub and support each other.”

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.

The registered manager and staff were passionate about ensuring people had independence, choice and control of their lives. Staff worked with people to get to know them, building a good relationship of support so people felt comfortable discussing their needs, goals and aspirations. Staff monitored people’s wellbeing and contacted external agencies for advice if needed. People were supported to access health services as independently as possible.

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.

Staff worked with people to set achievable goals and monitored these to ensure good outcomes for people. Staff told us they would, ‘think outside the box’ while trying to help someone reach their goals. Families told us how the staff had, had a positive impact on their family members lives. One family member said, “[Relative’s] independence has grown, and [Relative] has gained confidence.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

Consent to care was recorded when joining the service and people had appropriate separate tenancy agreements in place for their homes. Staff were trained in the principles of the MCA and knew their legal obligations if a person needed to be deprived of their liberty. No one was under a community deprivation of liberty safeguard at the time of the inspection.