30 May 2019
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The team consisted of two Inspectors and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service which in this case is dementia care.
Service and service type:
Maple Court is a Care Home. People in care homes receive accommodation, nursing or personal care. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
Since our previous inspection the provider had appointed another manager who had registered with us, however they had since left the service. Another manager had been appointed and had applied to register with us. This application had not been completed at the time of our inspection.
Notice of inspection:
The inspection was unannounced.
What we did:
We reviewed the information we received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse or serious injuries. We assessed the information we require providers to send us at least annually to give information about the service, what the service does well and the improvements they plan to make. We also sought feedback from the local authority. We used this information to plan our inspection.
During the inspection we spoke with 11 people and six relatives or visitors to ask their experience of the care provided. We spoke with seven members of care staff and the regional manager.
We reviewed a range of records. This included five care and medicine records. We looked at two recruitment and training records for staff. We reviewed the records relating to the management of the service including checks and audits.
30 May 2019
Maple Tree Court is a residential Care Home which provides accommodation and personal care for up to 64 people. The service provides care and support for older people some living with dementia. At the time of our inspection 55 people were living at the service. At our last inspection in May 2018 we rated the service as 'requires improvement' overall. This was due to concerns about peoples medicines. At this inspection we found the improvements had been made which meant we have now rated them as 'good' overall.
People’s experience of using this service:
People felt safe living at the service. Peoples risks were documented, and staff were knowledgeable about how to mitigate them. Staff knew to how protect people from abuse and what to do should they suspect it. People were cared for by suitable numbers of staff who had been recruited safely. People told us they received their medicines as prescribed.
People were cared for by staff who had the knowledge and skills to ensure they received effective care. Staff sought the advice of healthcare professionals when people’s health deteriorated. People had sufficient food and drink to meet their nutritional needs. Staff had the knowledge to ensure people’s rights were protected through applying the principles on the Mental Capacity Act.
People told us, and we saw staff were kind and compassionate in their approach with people, and caring relationships had developed. Staff understood the importance of protecting people’s privacy and dignity. Staff encouraged people to be independent as possible.
The care people received was responsive to their individual needs. People had the opportunity to partake in activities of their own choice. People and their relatives knew how to complain should they need to. The provider had a system in place which meant that people would be listened to when a complaint was raised.
People were very happy living in the service and would recommend it to other friends and family. Staff told us they were happy working in the service because they felt supported by managers. A positive culture had developed as a result of the good governance. The provider had an effective system which monitored the care people received and when problems were identified action was taken to ensure lessons were learnt.
Rating at last inspection: At the previous inspection we rated the service as Requires Improvement overall. (30.05.2018)
Why we inspected: This was a planned inspection based on the rating at the last inspection. At this inspection we found the service met the characteristics of Good in all areas.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme; if any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk