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Apple Blossom Court Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 1 November 2019

About the service

Apple Blossom Court is a residential care home providing personal care to 11 people at the time of the inspection. The service can support up to 17 people.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 17 people, 11 people were using the service. This is larger than current best practice guidance. However. the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

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

Overall people’s medicines were managed safely, however we identified that the storage of controlled medicines did not follow best practice.

The home was clean, however we identified that areas needed additional refurbishment. Staff had not regularly or appropriately completed documentation that covered tasks such as cleaning responsibilities and checks for health and safety.

We attempted to contact the provider prior to the inspection being carried out for information regarding the recruitment of the new manager and support that was being provided. However, the provider had not contacted the Commission with the requested information at the time of inspection.

Lessons had been learnt following concerns raised by the local authority regarding recruitment however we identified during the inspection that additional improvements were needed.

People living in the home had a comprehensive support plan and risk assessments in place. However we identified that information that had been logged in people’s daily logs had not been incorporated into their support plans. This meant that staff did not have up to date information available.

During the inspection we observed warm and comfortable relationships between staff and people living in the home. However, we identified a confidentiality issue that was not respectful and did not support the dignity of the people living in the home.

People were able to give their opinions on their care service and a range of communication methods were in place to ensure people continued to have this opportunity.

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

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

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 se

Inspection areas

Safe

Requires improvement

Updated 1 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 1 November 2019

The service was not always effective.

Details are in our safe findings below.

Caring

Requires improvement

Updated 1 November 2019

The service was not always caring.

Details are in our safe findings below.

Responsive

Good

Updated 1 November 2019

The service was responsive.

Details are in our safe findings below.

Well-led

Requires improvement

Updated 1 November 2019

The service was not always well-led.

Details are in our safe findings below.