We carried out a review of the data available to us about Apley Grange on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Apley Grange, you can give feedback on this service.
Apley Grange is a care home providing personal and nursing care to 38 people aged 65 and over at the time of the inspection. The service can support up to 42 people.
The service is spilt into three areas; Hilda House which provides support for people who live relatively independently, Margaret's House which provides nursing care and Cornelia House which specialises in providing care to people living with dementia, some of whom require nursing care.
People’s experience of using this service and what we found
People were safely supported to meet their needs and improve their quality of life. Staff were safely recruited and enough staff were deployed to support people in a patient and caring way.
Staff understood people's needs, risks and how to provide safe support. Medicines were managed and administered safely. Checks of bed safety rails and window opening restrictors had not been documented, health declarations were not recorded for all staff and there were minor examples where risks assessments would benefit from more detailed information. We made a recommendation about documentation in relation to risks and how these were managed.
The registered manager was very responsive to feedback and clearly committed to continually improve the service. They promoted a very person-centred culture. Staff worked together to effectively meet people’s needs and improve their quality of life. Regular audits helped monitor the quality and safety of the service.
People were treated with dignity and respect and their independence was promoted. Staff encouraged people to engage with their relatives and friends. Activities and events were arranged with people’s hobbies and interests in mind. People were supported to access the wider community.
People were well cared for by staff that were trained and supported to carry out their roles. Staff knew people extremely well and were knowledgeable about when to refer to other health professionals for advice and/or support. Communication care plans were in place to support people’s communication preferences.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People’s choices were respected by staff.
People were given opportunities to express their views and make suggestions, these were listened to and respected. The service was responsive to support people’s needs which had a positive impact on all aspects of their well-being.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 5 August 2016). Since this rating was awarded the provider has altered its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
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.