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Maltreath Residential Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 14 December 2018

The inspection was carried out on 12 and 13 November 2018. It was unannounced.

Maltreath is a ‘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. Maltreath provides accommodation and personal care for up to 12 people. It specifically provides a service for people with mental health needs and some who are living with dementia. At the time of inspection, there were 12 people living at Maltreath.

There was a registered manager in place who was unavailable on the 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 this inspection we found the service remains good.

The atmosphere at Maltreath was relaxed and friendly. People and staff interacted with kindness and respect. There was an inclusive, supportive and homely culture that reflected the provider’s visions and values. People living at Maltreath were supported to live full and enriching lives. Staff knew people well and had the appropriate knowledge and training to keep people safe. Positive risk taking was encouraged to ensure people could maintain skills and experience new things.

There were enough staff to support people and staff continued to have the training and support to provide people with high quality care that responded and adapted to people's changing needs. Staff had a good working relationship with associated professionals, so people received care and support from professionals as and when they required it. Relatives told us that they were kept informed of changes in people's physical and emotional health.

Medicines were stored safely. However, there was not guidance for each person's use of 'as needed' (PRN) psychoactive medicine. Although staff knew people well, there was no guidance to tell new staff what triggers and signs to look out for. In addition, when psychoactive PRN's were given a sufficient explanation was not given. This was an area for improvement.

Daily checks ensured that if there were any shortfalls, these were quickly identified and resolved. The clean and well-maintained premises continued to meet the needs of people and staff knew how to protect people against the spread of infection.

Care continued to be developed in line with developments in the latest and best practice. The provider and manager attended a variety of forums and developments were discussed in team meetings and through training sessions. Care plans were person centred and thorough and were written in a way that was meaningful to people. Peoples communication needs were assessed and staff used different methods to enable people to communicate their views and choices in their own way, through discussions, reviews and resident’s meetings.

People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. Staff worked with people and their relatives to ensure that care plans and support reflected their care needs. People discussed what they would like to happen if they were to pass away. However, the registered manager did not discuss with people what they would like to happen at the end of their lives, this was an area for improvement.

The manager sought feedback from people using the service, staff, relatives and health professionals and an accessible complaints procedure was available. Complaints, compliments, accidents and incidents were recorded, and these were collected and analysed by both the manager and the provider to identify patterns and if lessons c

Inspection areas

Safe

Requires improvement

Updated 14 December 2018

The service remains good.

Effective

Good

Updated 14 December 2018

The service remains good.

Caring

Good

Updated 14 December 2018

The service remains good.

Responsive

Good

Updated 14 December 2018

The service remains good.

Well-led

Good

Updated 14 December 2018

The service remains good.