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Inspection Summary


Overall summary & rating

Good

Updated 15 March 2019

This inspection was unannounced and took place on 23 January and 1 February 2019.

Appleby Court is a care home registered for 60 residents. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided and both were looked at during this inspection.

Appleby court is ten minutes away from the town of Kirkby. There are fifty-eight single rooms, two double rooms and twenty one rooms providing en-suite facilities. There is communal space on each floor. At the time of our inspection there were 51 people living at the home.

The home had a registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers they are ‘registered persons’. Registered persons have a legal responsibility for meeting the requirements of the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At the last inspection, the service was rated good.

The registered provider continued to have safe recruitment processes in place. All staff had completed an induction and undertook training relevant for their roles. Regular refresher update training was also undertaken in accordance with good practice guidelines. Staff received regular and consistent support through supervision and team meetings.

Staff had all undertaken safeguarding training and felt confident about what they would need to do if they had any concerns about the people they supported. The registered provider had safeguarding policies and procedures in place that staff understood where to find.

People had their needs assessed prior to moving into the home and this information was used to create person centred care plans and risk assessments. Documents included clear guidance for staff to follow to fully meet people’s individual needs. People’s needs in relation to age, disability, religion or other protected characteristics were considered throughout the assessment and care planning process. All care plans were reviewed and updated regularly.

People told us they had developed positive relationships with the staff who supported them. We observed positive interactions between people and staff throughout our inspection. Staff were kind and caring and respected people’s privacy and dignity. A variety of activities were available for people to participate in.

Medicines were ordered, stored, administered and disposed of in accordance with best practice guidelines. Medicine administration records (MARs) fully completed and regularly audited for accuracy. Staff who administered medicines had all received training and had their competency assessed.

People’s care plans included information about their food and drink needs. Clear guidance was in place for staff to follow when people required specialist diets or assistance.

The Care Quality Commission is required by law to monitor the operation of the Mental Capacity Act (MCA) 2005 and report on what we find. We saw that the registered provider had guidance available for staff in relation to the MCA. Staff had undertaken basic training and demonstrated an understanding of this. The registered provider had made appropriate applications for the Deprivation of Liberty Safeguards (DoLS). Care records reviewed included mental capacity assessments and best interest meetings.

Appleby Court was well maintained and all equipment was regularly serviced. Health and safety checks were regularly and consistently undertaken at the home. Fire safety checks were clearly documented. Improvements were planned at the home to more fully meet the needs of the people living there.

The registered provider undertook regular audits at the home. Areas for development and improvement were identified and addressed. Accidents and incidents were analysed to identify trends and patterns within the home. Fire safety checks, health and safety check

Inspection areas

Safe

Good

Updated 15 March 2019

The service remains good.

Effective

Good

Updated 15 March 2019

The service remains good.

Caring

Good

Updated 15 March 2019

The service remains good.

Responsive

Good

Updated 15 March 2019

The service remains good.

Well-led

Good

Updated 15 March 2019

The service remains good.