Apple Tree House Residential Care Home Limited

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People’s needs were comprehensively assessed and included consideration of their physical, mental, sensory, social and communication needs. People, and their relatives, where appropriate were involved in the care planning process. Plans were focused on what was important to people. Regular reviews of people’s care plans took place.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

People’s care plans were person-centred and were written in consideration with best practice guidance. Staff supported people to make choices to support their dietary requirements. Where people were at risk staff were knowledgeable and supported people appropriately to mitigate those risks.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

Professionals were involved in the assessment of people’s health, care, wellbeing and communication needs. Professionals were engaged in reviews to ensure relevant information was incorporated into people’s care plans. Staff told us they worked as part of a team. Comments included, “We all work together as a team”, “All the information [about people] is shared at the start of each shift”, and “We all get on pretty well as a team.”

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

Staff were vigilant about monitoring people’s health needs. People were supported to access medical support when needed and to attend health appointments. Referrals to specialist support were made in a timely manner, when required.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Staff delivered consistent support to people, specific to their needs and expectations. People’s skills, life experience and strengths were discussed with them and those involved in their care, to consider how people’s goals, ambitions and outcomes were planned and achieved. People were actively supported and empowered to develop new skills and achieve their goals.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People made their own choices and decisions on a day-to-day basis about what they did, what they ate and how they filled their time. Staff respected people’s choices and promoted their decision-making. People had consented to aspects of their care, where they were able to do so. Appropriate decision-making had been recorded where people were unable to consent to some aspects of their care. Staff were knowledgeable about people’s capacity and ability to consent. Staff respected people’s individual choices.