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Inspection Summary

Overall summary & rating


Updated 13 February 2019

This inspection took place on 17 January 2019 and was the first comprehensive inspection of the service since registering under a new provider in May 2017.

Apple House is a small residential care home that provides care and support for up to eight people with learning disabilities. At the time of our inspection, the provider confirmed they were providing care and support for eight people.

People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The home is based in a residential area and is designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities using the service can live as ordinary a life as any citizen.

The registered provider was also the registered manager for the service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The ethos at Apple House was based on providing a family type setting for all adults, whilst supporting their needs through structured education and living.

People received individualised care and support that was responsive to their individual needs. The ethos of the service ensured that all people were fully involved in their care.

Staff had an excellent understanding of all the people using the service. They worked as a close team and were driven in providing person centred support to enable people to achieve as much independence as possible.

The registered manager / provider was very involved in the care of people using the service. The provider and staff were committed to promoting human rights to enable people with learning disabilities to be empowered to live the life they choose.

The staff were extremely dedicated to helping people to achieve their potential. Every opportunity was sought to enhance people's life experience. The service had established strong links with resource centres for people with a learning disability and proactive in building relationships with the local and wider community.

People's support plans were person centred and fully reflected their individuality, people were supported to set goals and targets that were achievable. An equality, diversity and human rights approach to supporting people's privacy and dignity and treating them as individuals was embedded in the staff practice.

Systems were in place to ensure that no discrimination took place, and that people's cultural and life choices were promoted and protected. The support plans gave information on how people wanted their care and support to be delivered, and included information on their hopes and aspirations, their social, cultural and spiritual beliefs and physical and emotional needs.

People received kind and compassionate care and had maximum control over their lives. Staff were very passionate and enthusiastic about ensuring the care they provided was personalised and individualised.

People received care from staff that had the knowledge and skills to provide their care and support. Staff induction training and mentoring was comprehensive and on-going training was provided to ensure staff followed current good practice guidance.

Staff had regular team meetings and individual one to one supervision meetings. These gave staff opportunities to discuss any issues or concerns, their personal development and any further support required. The staff recruitment procedures ensured that appropriate pre-employment checks were carried out to ensure only suitab

Inspection areas



Updated 13 February 2019

The service was safe.

People were protected from abuse and avoidable harm. Risks were fully assessed and appropriately managed.

Systems were in place to ensure people received their medicines safely.

Staff recruitment systems ensured people only received care from staff that were suitable to work at the service.

Accident and incidents were responded to appropriately and analysed to learn from them and reduce the risks of repeat incidents.



Updated 13 February 2019

The service was effective.

People's needs were assessed, and the support plans identified the level of support people needed.

People received support from a staff team that had the necessary training, skills and knowledge. System were in place to provide staff with on-going training and support.

Staff sought people's consent and understood people's rights. Capacity assessments were used to identify the level of support people needed to make decisions.



Updated 13 February 2019

The service was caring

People received kind and compassionate care and had maximum control over their lives.

Staff were very passionate and enthusiastic about ensuring the care they provided was personalised and individualised.

Staff had an excellent understanding of people's needs and worked with them to ensure they were actively involved in all decisions about their care and support. Staff went the extra mile to ensure people were supported to achieve their goals and aspirations.



Updated 13 February 2019

The service was responsive.

People's care and support was based around their specific needs, goals and aspirations. People with behaviours that may challenge, were supported and empowered to manage their behaviours and be part of their community.

People using the service and relatives were supported to raise any concerns or complaints to improve the service. There was a visible complaints system in place that ensured any concerns were dealt with in a timely manner.



Updated 13 February 2019

The service was well led.

The leadership, management and governance of the organisation assured the delivery of high quality, person-centred care. The staff understood the vision and values of the service and they made sure people were at the heart of the service.

Staff were highly motivated, they worked as a team and were dedicated to supporting people to maximise and achieve independence. Staff were proud to work for the organisation and felt valued.