Appleton Manor

This report details an inspection of Appleton Manor, a care home providing personal and nursing care. The inspection aimed to assess the quality of care and services offered to residents across several key areas, including safety, effectiveness of care, staff's approach, responsiveness to resident needs, and overall management. The findings highlight the home's commitment to providing a supportive environment while also identifying specific areas for continued development to further enhance the resident experience.

Regarding safety, the home demonstrated robust safeguarding practices, and residents generally felt secure. Medication management was handled safely, and the environment was consistently clean. However, there is an ongoing need to ensure staffing levels accurately reflect residents' assessed needs, and some improvements are still required in the secure storage of specific items and the consistent supervision of communal areas.

The effectiveness of care at Appleton Manor is characterised by thorough initial assessments and regular reviews of residents' needs. Staff receive appropriate training and support, contributing to positive health outcomes. While the food is generally good and dietary needs are met, some relatives suggested improvements to the presentation and taste of pureed diets. The service also needs to ensure more consistent documentation and monitoring of residents' oral healthcare.

In terms of caring interactions, staff were frequently described as kind and supportive, treating residents with dignity and respect. Independence was actively promoted, and residents were encouraged in their choices, particularly regarding meals. However, ensuring residents consistently understand and have choice in all aspects of their daily lives remains an area for development, along with clearer documentation of resident involvement in care planning.

The service demonstrated responsiveness to resident needs by maintaining up-to-date care plans and adapting communication methods effectively. Residents and their families reported feeling able to raise concerns, and complaints were addressed. The home also excels in providing compassionate end-of-life care, with families expressing gratitude for the support received during difficult times.

Finally, concerning leadership, the management team actively sought feedback and worked collaboratively with external organisations to improve care. Efforts were underway to foster a positive staff culture and team working. While systems for monitoring quality and involving stakeholders in service development are in place, further work is needed to consistently embed person-centred approaches within care plans.