What the CQC found at Appletree Grange

Inspectors found systems to protect people from abuse and avoidable harm. Staff understood people's needs and how to report concerns.

“People received safe care. There were systems in place to safeguard people from harm and abuse.” from the report

Medicines were administered as prescribed. Staff had medicines training and regular checks of their competence.

“Medicines administration records showed people received their medicines as prescribed.” from the report

Recruitment checks were completed and there were enough staff to meet people's care needs. Staff knew the people they supported.

“There were enough staff to meet people's care needs and there were systems in place to allocate and deploy staff safely.” from the report

The home had quality checks, investigated incidents and worked with health and care organisations to improve support.

“Management had clear oversight of the service.” from the report

The visiting policy did not initially match government guidance. The home changed its policy during the inspection, but earlier decisions and the risks they created were not always clearly recorded.

“The home's policy on visiting was not aligned to government guidance.” from the report

The home did not have effective measures to check that the legal vaccination requirement for care home workers and visiting professionals was being met.

“We found the service did not have effective measures in place to make sure this requirement was being met.” from the report

Records did not always explain visiting decisions in enough detail or reflect people's preferences. Some staff were unsure how their feedback led to improvements.

“Assessment and planning documentation around visiting was not always robust or person centred and would have benefitted from more detail.” from the report