The Maples Residential Home

The Maples Residential Home is a care home providing personal care for up to 28 people. At the time of the inspection 25 people were living there including people living with dementia. The building is an adapted three storey building.

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

People were cared for by staff in a way that kept them safe and protected them from avoidable harm.

Enough staff were available to respond to people’s needs in a timely manner.

People received their medicines when they needed them, and systems were in place to ensure that medicines were stored and administered safely and that adequate supplies were available.

Accidents and Incidents were investigated, and measures were taken to prevent re-occurrences.

The premises were clean, and staff knew and followed infection control principles.

People gave us positive feedback about the quality of care they received.

The feedback on the leadership of the service and the manager from people and staff was positive.

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 January 2019)

Why we inspected

We undertook this focussed inspection due to concerns we had received about the Maples Residential Home not responding to people’s medical needs in a timely manner. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection.

We have found no evidence that the provider needed to make improvements.

The overall rating for the service has remained the same. This is based on the findings at this inspection.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. 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 coronavirus and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for The Maples Residential Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.

The Maples is a Residential Care Home. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The Maples provides personal care and support for up to 28 people in one adapted building. There were 24 people living in the home at the time of the inspection.

There was a registered manager in post 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.’

At our last inspection, we rated the service Good. At this inspection, we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating has not changed since our last inspection. However, some improvements were needed to the checks in place to ensure people were having good quality care and Well Led was rated as requires Improvement.

People who used the service felt safe. Risk assessments were undertaken and reviewed and staff knew how to manage risk to people effectively. Staffing levels were sufficient to meet people’s needs and staff were recruited safely. Medicine was administered safely.

People’s needs and choices were assessed. Staff were skilled and had the knowledge to deliver effective care. People were supported to maintain a healthy diet. People had access to consistent care and the support of other health professionals when needed. The home had been designed to meet people's different 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 supported this practice.

People were supported by kind and caring staff who displayed empathy and compassion. Staff considered communication needs and supported people to express their views. People were supported to maintain their privacy and dignity.

People and their relatives were involved in people’s care. People were supported to follow their interests and their preferences were understood. People and relatives understood how to make a complaint.

People and relatives told us that they found the management team open and approachable. The registered manager was aware of their legal responsibilities. The provider had systems in place to ensure they looked for continual improvement and worked in partnership with other professionals.

We saw that people were free to make decisions about day to day issues and influence how they spent their time at the home. People were treated with respect and their rights were upheld.

We found that staff had a good knowledge of people's needs and this reflected what was contained in care records. Information was available to enable staff to keep people safe and provide them with appropriate care.

We saw that medicines were stored correctly and people received the correct medication at the correct times. Medication records were completed correctly.

Staff we spoke with told us that they liked working at The Maples. Staff said they were happy with the training and supervision they received.

The service took account of people's views and responded to them, although sometimes the service did not always record this in a way which enabled them to evidence it.