Background to this inspection
Updated
3 March 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 26st January 2022 and was announced. We gave the service 24 hours notice of the inspection.
Updated
3 March 2022
About the service
Apperley House is a residential care home providing personal care for seventeen people. Apperley House accommodates ten people and a separate house next door and known as Malvern Crossing accommodates seven people. People who live at the home have learning and physical disabilities. At the time of the inspection, there were sixteen people living at Apperley House.
What life is like for people using this service
The home met the characteristics that underpin the 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 was appropriate and inclusive for them.
Some of the people living in Apperley House had a profound learning and physical disability and therefore did not communicate verbally.
Staff were extremely caring, compassionate and attentive to people. People and staff were clearly comfortable in each other's company.
People received safe care. Staff understood their roles and responsibilities for safeguarding people form harm and avoidable abuse. Risk assessments were in place and risk management plans were balanced and realistic. Staff recruitment procedures ensured that appropriate pre-employment checks were carried out.
Safe systems were in place to ensure that people received their medicines when they were needed.
Staff received sufficient induction, supervision and training to make sure they were effective in their roles.
People were offered choices and supported to make decisions about their day to day care and routines. Staff knew people really well and were responsive to changes in body language, gestures and nonverbal communication.
People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests. This was supported by the provider’s policies, vision and organisational values.
The provider had quality assurance systems in place to monitor the running of the home and the quality of the care being delivered.
There was an open and transparent culture within the service. Complaints, accidents and incidents were analysed, action was taken to reduce the risk of them happening again.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
Good (report published June 2017)
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.