• Care Home
  • Care home

Maria Residential Home

Overall: Requires improvement read more about inspection ratings

Silver Birches, Kendalls Close, High Wycombe, Buckinghamshire, HP13 7NJ (01494) 530042

Provided and run by:
Maria Residential Home (EMI) Limited

Latest inspection summary

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Our current view of the service

Requires improvement

Updated 14 September 2026

Date of assessment: 22 September 2026.

We visited Maria Residential Home on 22 September 2026. Maria Residential Home 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. Maria Residential Home accommodates up to 8 older people, some of whom may be living with dementia, in one adapted building. At the time of our assessment, 5 people were living there.

The assessment was planned to follow up on our previous inspection in 2019 and to check whether improvements had been made. At the last inspection, we identified a breach of regulation in respect of good governance. At this assessment, we found continued concerns about good governance and found the provider remained in breach of Regulation. In addition, we found the provider was in breach of the legal regulation relating to safe care and treatment.

People were not always protected from avoidable harm. Staffing arrangements did not consistently reflect people’s assessed needs. There were periods when only 1 member of staff was rostered to work at the home, although 2 people required support from 2 trained staff for transfers and repositioning.

Records did not provide assurance people had always received planned support with repositioning, hydration or other care in accordance with their care plans.

Staff training and competency arrangements were not effective. Most staff had not completed moving and positioning training within the provider’s required timescales, practical training had not been completed, and documented competency assessments were unavailable.

Risks relating to medicines, emollient products, infection prevention and control, fire safety and the care environment had not always been adequately assessed or managed.

Care plans were personalised but were not always reviewed within the provider’s expected timescales. Records relating to best-interests decisions were incomplete, and relatives were not always aware of care plans or changes to people’s support. People’s feedback and concerns did not always result in timely action.

Governance and quality assurance systems remained ineffective. Audits had not consistently identified or addressed shortfalls in staffing, training, medicines management, risk assessment, care records and policy implementation. The provider and registered managers had not acted promptly on feedback from external partners, and continued breaches of legal regulations demonstrated learning from the previous inspection had not been embedded or sustained.

The provider was introducing an electronic care-record system, however, this remained under development and had not yet resulted in demonstrable improvements.

Relatives described the home as friendly, with a family atmosphere and a consistent staff team who knew people well. People were supported to make choices, maintain their independence and take part in activities and routines which were meaningful to them. The provider and registered managers worked with healthcare professionals to support people’s health needs and continuity of care.

In instances where CQC has begun a process of regulatory action, we may publish this information on our website after any representations and/or appeals have been concluded, if the action has been taken forward.


 

People's experience of the service

Updated 14 September 2026

We spent time speaking with people while at the service and contacted relatives to seek feedback. People and relatives told us staff were kind and compassionate.

People told us they felt safe living at Maria Residential Home and this was confirmed by what relatives told us.

Relatives gave us positive feedback about how their family member’s health had improved since living at the home. Relatives also told us they were aware which staff had supported their family member and felt there was a good relationship with the home management team.

Positive comments from relatives include, “The transformation for [person] since [they] moved to the home has been remarkable… I have not seen [them] this happy for many years” and “The home is ideal for [person]; it is small, friendly and family run and it has a family feel. There is a consistency of staff and that is very important to [person].”

However, relatives also identified areas for improvement, including staffing levels, activity provision and oversight of adequate hydration. Comments included, “I think they are understaffed, especially in the mornings”, “We used to have a lady come in and lead exercises, but that has stopped now” and “It is odd, some days you see that there are two carers on and the next time, only one.”