Maple House

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.At our last assessment we rated this key question good. At this assessment the rating has remained good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them. People’s needs had been consistently assessed, changes in people’s needs had been identified quickly. Support plans were reviewed when needs had changed. All areas of people’s lives had been assessed including their emotional and cultural needs.

Relatives told us they had seen their family members support plans and had made suggestions when appropriate. They had also been kept informed of any changes to people’s needs and how staff planned to meet these needs.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards. People’s support had been assessed using recognised tools to decide how to support people to stay as healthy as possible. For example, the Dementia Screening Questionnaire Individuals with Intellectual Disabilities (DSQIID), had been used to provide information for health professionals. The staff team followed the principles of Stopping the over medication of people with a learning disability or autism (STOMP). Staff worked with health professionals to make sure people’s medicines were reviewed and reduced where possible.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services. Relatives told us they worked with the staff team to make sure people’s information was shared with health professionals. Staff supported people to attend appointments to make sure health professionals had up to date information.

When assessments of people’s needs involved several professionals, the management made sure they attended meetings to provide all relevant information. The registered manager told us they had a good working relationship with the nurse from the primary care network. The nurse worked with staff to make sure people received their appointments for investigations in a timely manner.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support. People were supported to take part in physical activity, on the day of our onsite inspection, people went out for walks and went bowling.

Staff supported people to make healthy food choices especially if they were living with a condition which affected the digestive system. Staff told us they suggested healthy additions to people’s meal choices. People are supported to attend health, eye and dental reviews, these are arranged by staff to make sure people’s needs are catered for.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves. Relatives told us staff were proactive in making sure people had the best outcomes. Staff supported people when they were unwell and made sure they received the care they needed. The management team told us about occasions when they had requested a second opinion when they felt medical staff had not listened to them when explaining people’s specific needs. This included how people communicated non-verbally or if they thought people had been discriminated against.

The management team explained how they were supporting a person to access a wheelchair, when their mobility had declined. We observed them making choices about the type of wheelchair they wanted.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. Staff worked within the Mental Capacity Act 2005 (MCA) and followed the best practice guidance. People were supported to make as many day to day choices as possible. We observed people being asked what they wanted to eat or drink and how they wanted to spend their time.

People’s records showed how decisions had been made in their best interests and who had been involved including their family and professionals. Relatives told us when meetings had been held by video call, their family member had attended, to make sure they were involved as much as possible.