Maryville Care Home

Updated 3 April 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was conducted by one inspector and an Expert by Experience. An expert by experience is a person who as personal experience of using or caring for someone who uses this type of care service.

Service and service type

Maryville Care Home 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.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. This included the last inspection report and notifications received from the provider. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection.

During the inspection

We spoke with seven people who used the service and four relatives about their experience of the care provided. We spoke with eight members of staff including the registered manager, deputy manager and care staff. We also spoke with a visiting healthcare professional. We observed people’s interactions with staff. We reviewed a range of records. These included people’s care records and medicines records. We looked at staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found.

Updated 3 April 2020

About the service

Maryville Care Home is a residential care home over three floors, providing nursing and personal care to up to 39 people, and was at capacity at the time of the inspection.

People’s experience of using this service and what we found

During the inspection we observed there were not always enough activities or meaningful activities to engage people and interest them. We recommended the provider ensure there are a range of activities that meet the needs of all people using the service.

People and their relatives told us they were satisfied with the service provided.

There were systems in place to identify risks. Safe recruitment procedures were in place and there were enough staff on duty to meet people’s needs. Staff followed appropriate infection control practices to help prevent cross infection.

Staff received supervisions, appraisals, relevant training and competency testing to support them in providing safe and effective care to people. People's needs were assessed to ensure these could be met. People were supported to maintain health and access healthcare services appropriately. People were also supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Families were welcomed to the service. There was a complaints procedure in place and people felt able to raise complaints with the registered manager. People, relatives and staff reported the registered manager was approachable and listened to their concerns.

The provider had systems in place to monitor, manage and improve service delivery and to improve the care and support provided to people.

Rating at last inspection

The last rating for this service was requires improvement (published 28 December 2018). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.