CQC report explained · a residential care home, run by Appledown Care Home
Appledown
15 Heather Lane, Canonstown, Hayle, TR27 6NG
Rated Good: inspectors found the service performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. There were enough staff, risks were assessed, medicines were given as prescribed and infection control arrangements were satisfactory, although medicine storage temperatures were not routinely monitored.
- Effective?
- Requires improvement
- The kitchen was worn, damaged and difficult to clean in places, and other repairs were needed. Inspectors recommended stronger systems to make sure the environment supports people's wellbeing.
- Caring?
- Good
- This question was not inspected during this focused visit.
- Responsive?
- Good
- This question was not inspected during this focused visit.
- Well-led?
- Good
- Managers provided effective leadership and support. They carried out audits, involved people and relatives, and worked with health professionals.
What inspectors found, December 2023
Appledown was rated Good overall; inspectors found safe, caring support, but the service was not always effective and needs improvement to its environment.
This was an unannounced, focused inspection on 3 October 2023. Inspectors looked at Safe, Effective and Well-led. They spoke with people, staff, managers and relatives, and checked care, medicines, training, staffing and other records.
The home was rated Good for Safe and Well-led. People felt safe, there were enough trained staff, medicines were given as prescribed, and managers understood people's needs. Staff supported people to make choices, stay independent and access health care.
Effective was rated Requires Improvement, down from Good at the previous inspection. Inspectors found the kitchen was worn and difficult to clean in places. The temperature where medicines were stored was also not routinely monitored. Some repairs were made after the inspection, with a kitchen replacement planned for summer 2024.
The overall Good rating includes ratings carried over for areas not inspected during this visit. The report says the home will continue to be monitored.
People felt safe
People and relatives said they felt safe and well cared for. Staff understood their safeguarding responsibilities and investigated concerns with the local authority.
“People were protected from all forms of abuse and discrimination by the dedicated staff team.” from the report
Enough trained staff
Staffing levels were planned around people's needs and community activities. Recruitment checks were completed and staff training was kept up to date.
“Staff were recruited safely. All necessary pre-employment checks had been completed to ensure prospective staff were suitable for employment in the care sector.” from the report
Support for independence
Staff supported people to make choices, take part in activities and voluntary work, and live as independently as possible.
“Staff valued and promoted people's independence and individuality.” from the report
Caring culture
Inspectors found staff knew people well, understood their communication needs and responded positively when people asked for help.
“The culture of the service was caring and compassionate and the staff team were focused on supporting people to live their own lives.” from the report
Kitchen and other repairs
needs fixingThe kitchen worktops and flooring were damaged, and some areas were difficult to clean. A rusty radiator and a broken lockable cupboard also needed attention. Inspectors recommended stronger systems for managing the environment.
“The service's kitchen was tired and in need of replacement.” from the report
Medicine storage temperatures
needs fixingPeople received their medicines correctly, but the temperature of the storage area was not routinely checked. Inspectors recommended getting guidance on how to monitor this.
“However, the temperature of the area in which medicines were stored was not routinely monitored.” from the report
- 01Has the planned kitchen replacement for summer 2024 been completed, and what temporary improvements were made?
- 02How are medicine storage temperatures checked now, and where are those checks recorded?
- 03Have the rusty bathroom radiator and broken lockable cupboard been replaced or repaired?
- 04How will you make sure the home environment supports people's wellbeing and helps them develop new skills?
- 05What recent feedback have people and relatives given about the care and support?
This was a focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not inspected, and ratings for areas not inspected were carried over from the previous inspection. This explanation was written from the published report of 7 December 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Appledown
4 rated inspections over 8 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- December 2018Goodup from Requires improvementSafe: GoodEffective: GoodWell-led: Good
- November 2017Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- November 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- September 2011
Registered with the Care Quality Commission on 30 September 2011.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
Or stay at home with a private carer
Many people who look at care homes end up staying at home with a carer who comes in for a few hours a day, or lives in. PrimeCarers introduces you to self-employed carers you choose yourself: interviewed, ID and DBS checked, from about £20 an hour or £1,120 a week live-in.