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Inspection Summary


Overall summary & rating

Good

Updated 11 June 2021

About the service

Maiden Castle House is a residential care home providing personal care to 56 people aged 65 and over at the time of the inspection. The service can support up to 66 people.

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

Staff were following good infection prevention and control measures to minimise risks to people and enable them to see visitors safely.

People enjoyed the food and there was a relaxed atmosphere at mealtimes. Staff supported most people to eat and drink well during the inspection. The registered manager was robust in their response to a person not receiving food and drink as described in their care plan. Where people were at risk of not eating and drinking enough staff maintained records that were used to ensure they received appropriate support.

People and relatives told us that health needs were well managed, and professionals were generally confident that referrals were made appropriately. A delay was identified in accessing appropriate healthcare; the registered manager ensured appropriate training was provided.

People told us their needs had been assessed before they moved into the home. They were happy with the way their care and support was provided. Staff were confident in their understanding of 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 and in their best interests; the policies and systems in the service supported this practice.

People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the MCA. In care homes this is through MCA application procedures called the Deprivation of Liberty Safeguards (DoLS). There was a robust system in place to ensure the oversight of DoLS and any conditions attached to them.

The environment had been adapted to meet the needs of people. This included adaptations designed to enable people with dementia to retain independence.

The quality assurance and oversight systems had been effective in identifying areas for improvement. A new recording system was being implemented. The registered manager assured us there would be ongoing training and coaching to ensure this system was used accurately and effectively.

People, relatives and staff spoke highly of the registered manager and management team. There was a positive person centred culture at the service and everyone fed back that they felt listened to and supported.

The management team was responsive to the feedback and arranged for additional staff training in relation to record keeping.

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

Rating at last inspection and update

The last rating for this service was requires improvement (published 14 December 2019) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced focused inspection of this service on 1 November 2019 breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve the management of risks, the oversight of DoLS, recording and governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Effective and Well-led which contain those requirements.

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 COV

Inspection areas

Safe

Good

Updated 11 June 2021

At our last comprehensive inspection we rated this key question good. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question related to infection prevention and control.

Effective

Requires improvement

Updated 11 June 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 11 June 2021

Responsive

Good

Updated 11 June 2021

Well-led

Good

Updated 11 June 2021

The service was well-led.

Details are in our well-Led findings below.