CQC report explained · a residential care home
What the CQC found at Apple House
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, February 2019
Rated Good; inspectors found safe, kind and personalised care, with end of life planning still to be improved.
This was an unannounced comprehensive inspection on 17 January 2019. Inspectors observed care, spoke with people, relatives and staff, and reviewed care plans, medicines, recruitment, training and management records.
The home supported eight adults with learning disabilities. Inspectors found people were safe, treated with kindness and involved in decisions about their lives. Staff understood people's needs well and supported independence, activities and community involvement.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home had no current complaints or breaches recorded in this report.
No one was receiving end of life care during the inspection. However, people's wishes about future end of life care had not been discussed in advance, so inspectors recommended that the provider seek guidance on this.
Personalised support
Care plans reflected people's individual needs, preferences, goals and communication methods. People and their relatives were involved in reviewing support.
“People's support plans were very person centred and reflected people's individuality.” from the report
Kind relationships
Inspectors saw staff and people were comfortable together. Staff understood people's needs and supported their dignity, choices and independence.
“People received kind and compassionate care and had maximum control over their lives.” from the report
Safe medicines and staffing
Staff had medicines training and competency checks. Inspectors found enough staff and appropriate recruitment checks.
“Systems were in place to ensure people received their medicines safely.” from the report
Activities and community life
People took part in work, education, hobbies, outings and social activities. The home had links with local community services.
“People using the service were involved in various activities within the service and the local community.” from the report
Improved environment
Since the new provider took over, bedrooms, bathrooms, windows and the garden had been improved. People had personalised their bedrooms.
“Since the new provider had taken over the service work had taken place to improve the quality of the environment for people.” from the report
End of life planning
needs fixingThe home had not discussed people's future end of life wishes with them or their families. Inspectors made a recommendation for the provider to seek guidance on planning for this.
“We recommend the provider seeks guidance on how to support people with learning disabilities with end of life care planning.” from the report
- 01How will you discuss and record my relative's wishes about end of life care before they become ill?
- 02How do you support each person's communication needs, especially during health appointments or changes in care?
- 03How are risks and behaviours that may place someone or others at risk assessed and reviewed?
- 04What activities, education, work and community opportunities would be available for my relative?
- 05How would you respond if my relative's needs changed or they needed extra staffing?
This was the first comprehensive inspection since the new provider registered in May 2017, and it assessed all five CQC questions. This explanation was written from the published report of 13 February 2019 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 Apple House
Each visit the CQC has published, newest first, back to the day the home was registered.
- February 2019Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2017
Registered with the Care Quality Commission on 3 May 2017.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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What to check when you visit
At least 100 live-in carers within about an hour of Leicestershire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 82 can care for a couple. 12 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
“Together Earther and I supported her to die at home with great dignity and compassion and him to continue with life.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.