Maple View

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 requires improvement. At this assessment the rating has changed to good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 71 (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.

An electronic care planning system was now in place and support plans were reviewed regularly. People’s support plans and risk assessments were detailed and included guidance for staff. People’s past history was considered in their care planning. Staff had a very good understanding of people’s current needs.

People’s views and opinions were captured, respected, listened to and implemented as part of their key worker meetings.

The service 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.

A range of assessment tools were used to make sure people’ needs were reflected and understood. People’s communication needs were assessed and during the assessment we observed staff communicating with people effectively.

People were supported to maintain their nutrition and hydration needs. Menu meetings were held so people could choose what they wanted for the week ahead. Some people were involved in shopping for their food with staff. A relative told us, “[Person] is invited to cook meals and write shopping lists.”

The service 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.

Support plans contained information from other agencies, including health staff and the local authority learning disability team. Staff supported people with any health or social care appointments they had and recorded information and outcomes with care notes.

The service had recently had a new interim manager and were very positive about how this was working. A staff member told us, “Previously we were stressed but now [manager] is always here for us to go to. Their door is always open, and we now know what an open-door policy is.”

The service 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.

During our visit, we observed staff consistently supporting people to maintain their independence and make informed choices about what they wanted to do. People were receiving one-to-one support which meant they could access community services to support their health and wellbeing. Two people regularly went swimming and some had access passes to local Gym’s and spas. Staff were also trying to find an appropriate dance class for 1 person and others liked to go for walks.

Staff supported people to attend regular routine health screening appointments and yearly health reviews were held with their GP practices. A relative told us, “[Family member’s] health is brilliant. If they need to go anywhere (to appointments), they take them and they give me an update.” Another relative had concerns about their family members health which we fed back to the service.

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.

Staff confirmed they knew people well and worked as a team to achieve positive outcomes for them. Staff meetings were held regularly and staff discussed people’s outcomes in detail.

Some people had support to maintain or lose weight and records confirmed staff were monitoring this carefully with updates provided to the dietitian if any concerns were noted. A relative told us, “They monitor [family members] health and their rehab and at the moment they are well.”

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment. However, more work was needed to ensure capacity assessments were in place for all restrictive practices.

Capacity meetings were being held with people in relation to their understanding in specific areas. For example, the staff had broken down these meetings to ensure the person had the time they needed to understand the decision being discussed. A relative told us, “They use objects of reference with [family member], but their understanding is more than you’d think. We’ve tried with speech and language therapy, trying PECS, Makaton and photos, but they’re just not interested. They like the objects of reference. They choose to take you by the hand, and they take staff to whatever they want.” The manager told us more work was needed with each person prior to formal capacity assessments being in place for specific decisions.

Staff had received training in relation to MCA and had a good understanding of MCA and the importance of consent. We observed throughout our visit staff using different forms of communication to gain people’s preferences and choices.

A staff member said, “I assume [people] have capacity, I make best interest decisions on their behalf using least restrictive option, I give the service users choice by asking them what they would like to do for an activity, food, personal care, I’d ask by writing, use pec cards, BSL and verbal communication.”