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Apple Blossom Court Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 19 December 2020

Apple Blossom Court is a residential care home providing accommodation and personal care for up to 17 people in one adapted building over three floors. At the time of our inspection 10 people were living at the home.

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

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to their community that most people take for granted. Right support, right care, right culture is the guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

Within the areas looked at during this focused inspection; the service was not able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture.

The design of people’s accommodation, the use of the building and the delivery of people’s support did not promote people’s dignity, people developing or using their skills, maximising choice and being as independent as possible; or promoting them enjoying their home in an ordinary and everyday manner.

Some people’s needs, choices and preferences did not fit in with or clashed with others when using the communal areas of the home. This had led to some people having negative experiences, being isolated from others or choosing to spend their time in their bedroom.

We made a recommendation regarding the application of the principles of right support, right care, right culture.

When we inspected there were not enough staff available to meet people’s identified support needs and complete necessary tasks.

We made a recommendation regarding the deployment of staff.

The registered manager had responded to the COVID-19 pandemic, the home was clean, and steps had been taken to prevent any spread of infection. However, PPE and other clinical waste were not always being stored appropriately.

We made a recommendation regarding the storage of waste at the home.

Staff were kind and respectful in their approach towards people and were knowledgeable about their day to day preferences. People were comfortable with staff members; one person told us, “The staff are nice”.

A series of checks and audits took place to help ensure people received safe care and support. Medication was stored and administered safely, new staff members had been recruited safely and checks took place on the home’s environment and equipment used.

The home now had a manager who was registered with the CQC. There had been a series of improvements at the home under the registered manager. People’s family members, staff and some health and social care professionals praised their approach.

The registered manager undertook a series of audits to ensure safety and manage risk. There had been some improvements and refurbishments made within the home and outdoor areas.

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 31 October 2019). The service remains rated requires improvement. This is the second consecutive inspection were the service has been rated requires improvement.

Why we inspected

We received concerns in relation to the quality and safety of the care and support people received. As a result, we undertook a focused inspection to review the key questions of “Is the service safe?” and “Is the service well-led?”.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service remans requires improvement. This is based on the findings at this inspection. We have found evidence that the p

Inspection areas

Safe

Requires improvement

Updated 19 December 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 19 December 2020

Caring

Requires improvement

Updated 19 December 2020

Responsive

Good

Updated 19 December 2020

Well-led

Requires improvement

Updated 19 December 2020

The service was not always well-led.

Details are in our responsive findings below.