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The Maltings Care Home Inadequate

We are carrying out a review of quality at The Maltings Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.
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Inspection report

Date of Inspection: 6 August 2014
Date of Publication: 20 September 2014
Inspection Report published 20 September 2014 PDF

Overview

Inspection carried out on 6 August 2014

During a routine inspection

This inspection was carried out by a single inspector. Forty three people were using the service at the date of our inspection. As part of our inspection we spoke with four people who were receiving support, three relatives, the manager, the regional manager and six staff working at the service. We also observed people receiving support and looked at the support plans for six people. We used the evidence collected during our inspection to answer five questions.

Below is a summary of what we found.

Is the service safe?

People who we spoke with told us they felt safe and the staff were very helpful and met their needs. One person said, �We are well looked after. It is spotless here.� Assessments of any potential risks to people had been carried out and measures put in place to reduce the risks. This meant that people were protected from the risk of harm.

People were also protected from the risk of abuse as staff had received training and were clear about their responsibilities to recognise and report any concerns.

People we spoke with said they were confident to raise any concerns they had with the manager.

People were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.

The provider had a system in place to demonstrate they had given consideration to whether each person using the service had the capacity to make decisions about their day to day care in accordance with the Mental Capacity Act (2005). The provider was in the process of improving this system. The provider had contacted the local authority and was taking action to ensure that people who used the service were only deprived of their liberty when this had been authorised by the Court of Protection, or by a Supervisory Body under the Deprivation of Liberty Safeguards.

The Mental Capacity Act is a law which requires an assessment to be made to determine whether a person can make a specific decision at the time it needs to be made. It also requires that any decision made on someone�s behalf is recorded, including the reasons why it has been made, how the person�s wishes have affected the decision and how they were involved in the decision making process. The Deprivation of Liberty Safeguards are part of the Mental Capacity Act (2005) and give people protection who cannot make a decision for themselves and may be deprived of their liberty

Is the service effective?

People we spoke with told us, and our observations confirmed, that people were happy with the service they received. Staff spoke positively about working at The Maltings Care Home. It was clear from our observations, and from our conversations with staff and the manager, that staff knew people�s needs well. Staff followed the guidance contained within people�s care plans.

Staff worked closely with professional health staff to ensure that people�s needs were met by staff with the most appropriate, knowledge, skills and experience.

Staff were well trained. They received appropriate professional development.

Is the service caring?

One of the staff we spoke with said, �I enjoy working here.� We observed that people were listened to and staff spoke to people and responded to them in a respectful and kind way. Staff told us how they supported people and they spoke in a thoughtful and sensitive way about each person�s needs.

We spoke with four people who used the service. Each person spoke positively about the staff and said that the staff were kind and caring. One person said, �The staff look after us well here.� One person�s relative said, "I am very satisfied with the care my family member receives.�

Is the service responsive?

People�s needs and care plans were regularly reviewed by the staff and management at the home. Referrals were made to health professionals to ensure that people received appropriate support by people with the most appropriate knowledge and skills.

Support plans included information on people�s likes and dislikes and their preferences, to ensure care and support was delivered taking into account their personal preferences. The staff we spoke with told us they were trained to do their job and knew how to meet the needs of people using the service.

People participated in a range of activities of their choice and were encouraged to participate in activities within the local community.

One member of staff said, "We are a team. We support each other and the atmosphere is really good.�

Is the service well led?

Staff told us they received regular supervision and appraisals. They told us they received good support from the management team.

The relatives we spoke with told us they felt the service was well-managed. They said they were confident to raise any concerns or complaints they had with the manager. One relative said, "The manager is very approachable. They listen to our concerns.� There was an effective complaints system available. Comments and complaints people made were responded to appropriately.

The provider had effective quality assurance and audit systems in place to monitor all aspects of the service and ensure improvements were made where necessary.

People who used the service and staff working at the service, all said that they felt the manager listened to them and made improvements to the service based on their feedback.