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Inspection report

Date of Inspection: 10 April 2014
Date of Publication: 9 May 2014

Overview

Inspection carried out on 10 April 2014

During a routine inspection

We considered our inspection findings to answer questions we always ask; Is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led?

Below is a summary of what we found. The summary is based on our observations during the inspection, speaking with people using the service, their relatives, the staff supporting them and from looking at records.

If you want to see the evidence supporting our summary please read the full report.

Is the service safe?

Only one of the people using the service was able to share with us their views and experiences. They told us they felt safe living at Maple House. A representative of another person using the service said they regularly observed the way staff interacted with people which gave them assurance their relative was safe in the home.

Senior staff regularly assessed potential risks to people’s safety, health and welfare both within the home and in the community. There was appropriate guidance for staff on how to manage these risks and keep people safe from harm when providing care and support.

People were cared for in an environment that was kept clean and hygienic. Staff had been trained in infection control and knew why it was important to maintain good standards of cleanliness and personal hygiene to reduce the risk of cross infection. The home was free from clutter and obstacles which meant people were able to move freely around the home.

There were enough staff on duty to meet the needs of the people living at the home. Staff on each shift were trained to deal with emergencies. A member of the management team was also available on call in case of emergencies.

Care Quality Commission (CQC) monitors the operation of the Deprivation of Liberty Safeguards which applies to care homes. While no applications have needed to be submitted relevant staff understood when an application should be made, and how to submit one.

Is the service effective?

People we spoke with were satisfied with the care and support received from staff. A representative of one of the people using the service told us they felt staff had a good understanding of their relative's needs which they regularly tested by speaking with staff who cared for them.

People using the service and their relatives were involved in planning and developing their care and support. Their views and experiences were used to develop their plan of care. Their specific needs were taken into account and staff demonstrated a good understanding and awareness of these.

Staff encouraged and supported people to keep healthy and well through regular monitoring of people’s general health and ensuring people attended scheduled medical and healthcare appointments. People were encouraged to eat a well-balanced, healthy and nutritious diet.

Is the service caring?

People were supported by kind and attentive staff. We saw staff showed patience and gave encouragement when supporting people. These interactions were warm, kind and friendly.

One of the people using the service said they liked their keyworker as they were “very nice.” A representative of one of the people using the service told us they felt staff were caring as their relative was very comfortable with them.

Is the service responsive?

People using the service met with their keyworker on a regular basis to discuss the care and support they received. People’s preferences and choices for how they were cared for and supported were documented in their care plans and staff were given appropriate guidance on how to meet these needs.

A representative of one of the people using the service told us they felt comfortable raising any issues and concerns they might have and were confident these would be dealt with by senior staff quickly.

Is the service well-led?

The provider carried out regular checks to assess and monitor the quality of service provided. The views of people using the service and the staff that cared for them were taken on board by managers. The provider had listened to feedback and made changes that improved the overall quality of service provided to people.

Senior staff investigated events such as accidents and incidents and used the learning from these to reduce risks to people using the service.