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CQC report explained · a residential care home, run by Appledown Care Home

Appledown

15 Heather Lane, Canonstown, Hayle, TR27 6NG

Goodpublished 7 December 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
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.
The latest report, explained

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.

What inspectors praised
  • 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
What inspectors were concerned about
  • Kitchen and other repairs

    needs fixing

    The 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 fixing

    People 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
Questions to ask them, based on this report
  1. 01Has the planned kitchen replacement for summer 2024 been completed, and what temporary improvements were made?
  2. 02How are medicine storage temperatures checked now, and where are those checks recorded?
  3. 03Have the rusty bathroom radiator and broken lockable cupboard been replaced or repaired?
  4. 04How will you make sure the home environment supports people's wellbeing and helps them develop new skills?
  5. 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.

The story over the years

Every inspection of Appledown

4 rated inspections over 8 years: the service has held its Good rating throughout.

  1. December 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Appledown

  2. December 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. November 2017Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. November 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. 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.

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