Mapperley Lodge

Mapperley Lodge is a residential care home providing personal care to 6 people at the time of the inspection. The service can support up to 7 people.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support: Model of Care and setting that maximises people’s choice, control and independence. Staff supported people to have the maximum possible choices, control and independence over their own lives. Staff understood people's strengths and promoted what they could do, so people experienced fulfilling everyday lives. People were provided with a safe, clean, well equipped environment that met their sensory and physical needs. People were involved in personalising their rooms in the service. Staff supported people with their medicines in a safe way that promoted their independence and achieved the best possible health outcomes. Staff ensured people had full access to health and social care to maintain their health and wellbeing.

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.

Right Care: Care is person-centred and promotes people’s dignity, privacy and human rights.

People received support from kind staff who understood and responded to their individual needs. Staff were respectful of people's privacy and dignity and ensured this was upheld. Staff understood how to protect people from potential abuse. The service worked well with other agencies to do so. Staff were trained in how to recognise and report abuse and understood their responsibility to do so. The service had a consistent skilled staff team, who met people's needs and kept them safe. Staff understood people’s individual communication needs, so people received consistent care.

Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.

People led inclusive lives because of the organisational values and staff qualities. People received quality care and support because sufficient numbers of skilled staff understood their specific needs. People were supported by a staff team who understood the needs a person living with mental health, learning disability and/or autistic person may have. Staff knew and understood people’s cultural preferences and were responsive to their needs. Staff ensured people received support and encouragement to be as independent as possible and fulfil their aspirations.

People told us or communicated to us they were happy living at the service. Relatives gave feedback their family members were safe living at Mapperley Lodge. The service has created a homely atmosphere, where people and staff are happy and comfortable in the company of each other.

The registered manager and operations manager had implemented effective checks and audits on the quality and safety of the service. When shortfalls were identified, action was taken to address these.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The service has a new provider. The last rating for this service under the previous provider was Good (published 23 January 2018).

Why we inspected

We inspected this service due to the length of time since the previous inspection.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has remained Good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Mapperley Lodge on our website at www.cqc.org.uk.

Heathcotes (Mapperley Lodge) is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Heathcotes (Mapperley Lodge) accommodates seven people living with mental health needs and or learning disabilities and an autistic spectrum disorder. On the day of our inspection seven people were living at the service.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

At our last inspection in November 2015, the service was rated 'Good'. At this inspection we found the service remained 'Good’.

The service had a registered manager in place at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons.' Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People remained safe because they were supported by staff who knew how to recognise abuse and understood their role and responsibility in protecting them from avoidable harm. Risks in relation to people's needs including the environment were assessed, planned and monitored. There were sufficient staff employed to support people. People received their prescribed medicines safely. People lived in a clean, hygienic service. Staff supported people effectively during periods of anxiety that affected their mood and behaviour. Accidents and incidents were reported, monitored and reviewed to consider the action required to reduce further reoccurrence.

People continued to receive an effective service because their needs were assessed and understood by staff. Staff received an appropriate induction, ongoing training and supervision that supported them to meet people’s needs effectively. People’s dietary needs had been assessed and planned for and they received a choice of meals and drinks. Some improvements were required to ensure there was sufficient food stocks at all times. Systems were in place to share relevant information with other organisations to ensure people’s needs were known and understood. People were supported to access healthcare services and their health needs had been assessed and were monitored. The premise met people’s needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. Applications had been made when required to the Deprivation of Liberty Safeguards supervisory body.

People continued to receive good care. Staff were kind, caring and showed empathy and respect. Independence was promoted and staff had a good understanding of people’s diverse needs, preferences, routines and personal histories. People were supported to access independent advocacy service when required.

People continued to receive a responsive service. People who used the service were involved as fully as possible in their care and support. People’s received opportunities to be supported with activities, interests and hobbies of their choice. Support plans focussed on their individual needs. People’s communication needs had been assessed and planned for. People had access to the registered provider’s complaints procedure. People’s end of life wishes had been discussed with them.

The service continued to be well-led. There was an open and transparent culture in the service where people were listened to and staff were valued. People who used the service, relatives, staff and external professionals spoke positively about the registered manager. There were systems in place to monitor the quality of the service and make improvements when needed.