8 November 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
The inspection was completed by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Maycroft Manor is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us CQC regulates both the premises and the care provided, and both were looked at during this inspection.
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. At the time of our inspection there was not a registered manager in post. However, the general manager of the service was in the process of registering with the CQC.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We spoke with people, relatives and staff and gathered information relating to the management of the service. We reviewed a range of records. This included six care plans. We spoke with seven people living at the service and five visiting relatives. We also spoke with 13 members of staff, including two regional managers, the general manager, the clinical lead nurse, a registered nurse, the chef, care staff, activities staff, administration staff and ancillary staff.
8 November 2022
About the service
Maycroft Manor is a residential care home providing nursing care and support for up to 96 people. People were living with a range of needs associated with the frailties of old age and some people were living with dementia or other mental health needs. 87 people were living at the service on the day of our inspection.
People’s experience of using this service and what we found
People were happy with the care they received, felt relaxed with staff and told us they were treated with kindness. They said they felt safe, were well supported and there were enough staff to care for them. One person told us, “The carers and the care are very good. The help they provide to me is very good, that is what keeps me going, and until He up there takes me, I am happy to keep going.” Our own observations supported this, and we saw friendly relationships had developed between people and staff. A relative told us, “I had heard of this home’s reputation. Care homes had always been scary places for me. However, they have gone through the process so thoroughly and they have protected [my relative’s] dignity and independence as much as they could. [My relative] has settled in very quickly, I have been very impressed.”
People told us staff were kind and they had a good relationship with them. People received medicines safely. The service was clean, hygienic and a pleasant environment to spend time in. People’s care plans were up to date and accurately reflected their needs. People were able to receive visits from their relatives and there was a programme of activities to support their well-being.
Staff worked collaboratively with outside agencies such as the local authority and healthcare professionals. Complaints were handled appropriately, and people enjoyed the food and drinks on offer. People were protected from harm and abuse, as staff knew how to safeguard people and what procedures they should follow.
Staff had received relevant training to meet people’s needs. Complaints were responded to appropriately and people’s wishes at the end of their life were respected. People were able to express their views and had their dignity, independence and privacy promoted.
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.
The provider had systems of quality assurance to measure and monitor the standard of the service and drive improvement. These systems also supported people to stay safe by assessing and mitigating risks, ensuring people were cared for in a person-centred way and that the provider learned from any mistakes. Our own observations and the feedback we received supported this.
People received good care that met their needs and improved their wellbeing. The staff team were dedicated and enthusiastic.
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 21 November 2019).
Why we inspected
The inspection was prompted in part due to concerns received about care delivery. A decision was made for us to inspect and examine those risks. We inspected and found no concerns with the care delivery at the service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
The overall rating for the service has remained as Good.
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.