Background to this inspection
Updated
7 July 2022
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 Health and Social Care Act 2008.
This was a targeted inspection to check a concern we had about falls management.
Inspection team
The inspection was carried out by one inspector
Service and service type
Maypole Grove is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed the information the provider sent us in relation to falls management.
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
During the inspection
We spoke with the registered manager and the clinical nurse manager.
Updated
7 July 2022
About the service
Maypole Grove is a care home providing personal and nursing care to 23 people, some of them living with dementia, at the time of our inspection. The service could support up to 30 people.
Maypole Grove is a purpose-built home and accommodates people across three separate units Bearwood, Hollywood and Ladywood. Each unit has separated adapted facilities and provides specialist support for people living with complex mental health and physical care needs. Each unit had its own communal area, a quiet room and a kitchenette. People's rooms had en-suite facilities.
People’s experience of using this service and what we found
People and relatives felt the home was a safe environment for people to live in. Risks to people had been identified and there were enough staff to care and support people in a safe way. People received their medication as prescribed. The home environment was clean and maintained to a satisfactory standard. Incidents and accidents were monitored and measures were taken to mitigate future risk of harm.
People had their care and support needs assessed and were assisted by staff with the appropriate training. People’s nutritional needs were being met. The service worked in partnership with a number of specialist agencies to ensure people received the support they needed.
People were 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.
The management team were experienced and knew the service well, which had a positive impact on improving the service. The registered manager and staff were clear about their responsibilities. People's and relative’s views about the service were sought. The registered manager and provider completed regular checks to ensure appropriate standards of quality and safety were being maintained.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection: The last rating for this service was requires improvement (published 30 October 2020).
Why we inspected
The inspection was prompted, in part, due to concerns received about the support and treatment of people living with a specific health condition. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only to inspect and examine those risks.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We, therefore, did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
We found no evidence during this inspection that people were at risk of harm from this concern.
Please see the safe and well-led sections of this full report.
The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Maypole Grove on our website at www.cqc.org.uk.
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.