Appleby Care received a Good rating across all five key questions at its first inspection in January 2023, with people and relatives consistently praising staff as safe, caring and professional. The service demonstrated robust systems for risk management, medicines safety, person-centred care planning and governance, with no areas of concern identified.
Strengths
· People and relatives reported feeling safe and praised staff as caring, punctual and professional, with no missed visits reported.
· Robust risk assessments in place covering mobility, falls, nutrition and environment, regularly reviewed and acted upon.
· Staff received induction linked to the Care Certificate, ongoing training, spot checks and supervision meetings.
· Medicines administered safely with staff competency checks, accurate records and shadow training prior to administration.
· Person-centred care plans developed with people and relatives, regularly reviewed and reflective of individual needs and preferences.
Quality-Statement breakdown (23)
safe: Systems and processes to safeguard people from the risk of abuseGood
safe: Assessing risk, safety monitoring and managementGood
safe: Staffing and recruitmentGood
safe: Using medicines safelyGood
safe: Preventing and controlling infectionGood
safe: Learning lessons when things go wrongGood
effective: Assessing people's needs and choices; delivering care in line with standards, guidance and the lawGood
effective: Staff support: induction, training, skills and experienceGood
effective: Supporting people to eat and drink enough to maintain a balanced dietGood
effective: Staff working with other agencies to provide consistent, effective, timely careGood
effective: Ensuring consent to care and treatment in line with law and guidanceGood
caring: Ensuring people are well treated and supported; respecting equality and diversityGood
caring: Supporting people to express their views and be involved in making decisions about their careGood
caring: Respecting and promoting people's privacy, dignity and independenceGood
responsive: Planning personalised care to ensure people have choice and control and to meet their needs and preferencesGood
responsive: Meeting people's communication needsGood
responsive: Improving care quality in response to complaints or concernsGood
responsive: End-of-life care and supportGood
well-led: Promoting a positive culture that is person-centred, open, inclusive and empoweringGood
well-led: How the provider understands and acts on the duty of candourGood
well-led: Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirementsGood
well-led: Engaging and involving people using the service, the public and staff, fully considering their equality characteristicsGood
well-led: Continuous learning and improving care; Working in partnership with othersGood