We carried out a review of the data available to us about Maypole Grove on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Maypole Grove, you can give feedback on this service.
Maypole Grove is a care home providing personal and nursing care for up to 30 people. At the time of our inspection, there were 29 people living in the service. 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
This was a targeted inspection that considered falls management. Based on our inspection we found the provider was safely managing people’s risk of falls.
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 good (4 November 2021).
Why we inspected
The inspection was prompted by notification of a specific incident following which a person using the service died. This inspection did not examine the circumstances of the incident, but looked at associated concerns around falls management.
We found no evidence during this inspection that people were at risk of harm from this concern.
We use targeted inspections to follow up on Warning Notices or to check concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question
.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
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.
Maypole Grove is a care home providing personal and nursing care to for up to 30 younger and older people. At the time of the inspection there were 27 people living at the home.
Maypole Grove is an adapted, purpose-built building accommodating people across three separate units, Hollywood, Ladywood and Bearwood. The home cares for people with complex medical needs, people living with dementia and Huntington’s disease. 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
Relatives and professionals we spoke with felt people living at the home were safe and gave us positive feedback. One relative said, "I would never be able to thank the carers enough for what they have done. Some carers have gone the extra mile and beyond." Another relative told us, "Communication is very good. They [staff] treat [person] as a person and started to trust staff from day one. They [staff] not only engage but involve [person] with their care.”
People were supported by staff who were deployed in sufficient numbers to meet their needs. Staff were aware of how to safeguard people from abuse and had good knowledge on how to recognise and respond to concerns. One staff member said, “The managers are quick to respond, hot on safeguarding.”
Risks to people were assessed and people's independence was promoted where practicably possible. Medicines were administered safely by trained and competent staff although some improvement was required to the recording of liquid medication. Infection control procedures were in place. Processes were in place to analyse incidents and learn from when things went wrong.
The home had improved since the last inspection. The management team told us they had worked hard to address the issues from the last inspection. A governance framework was in place which covered all aspects of the service and the care delivered. Numerous quality assurance audits were in place although, there was further room for some improvement and the constant change in managers and the management team meant more time was required to embed the new and improved working practices.
The home worked in partnership with other professionals and the community when able to do so. Relatives we spoke with felt engaged with the home during COVID. We saw no evidence people's needs were not being met.
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 05 September 2020).
Why we inspected
We received concerns in relation to the staff training and the working practices applied to take care of people when they demonstrated behaviours that challenged. As a result, we undertook a focused inspection to review the key questions of Safe and Well-Led only. We have made a recommendation about the input from mental health professionals.
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 have found evidence that the provider needs to make some improvements. Please see the Well-led section of this full report.
The overall rating for the service has not changed.
The provider has continued to implement changes to quality assurance processes to make the required improvements.
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.
Maypole Grove is a residential care home providing personal and nursing care to 27 older and younger people, some of who were living with dementia and Huntington’s disease. This service can support up to 30 people.
People were accommodated in one purpose-built building, separated into three units. The units were named Bearwood, Ladywood and Hollywood, after local areas. Each unit had its own communal areas including a kitchen with its own kitchenette, lounges and quiet areas as well as people’s own rooms.
People’s experience of using this service and what we found
People felt safe from preventable harm. Some family members and staff were concerned about reliance on agency staff, but we found staffing levels were sufficient. Care files were large and staff found them difficult to use effectively but staff were aware of people’s risks. Medicines were managed safely, some nursing staff needed competency checks. The home was clean.
Staff were not always sure who was subject to Deprivation of Liberty (DoLS) in accordance with the Mental Capacity Act (MCA) and what this meant for people. Staff received training to support them in their roles, but some staff raised concerns about their induction and training, Staff had not always been offered regular supervisions and had not had appraisals to gain oversight of what they needed to progress.
Since Maypole Grove opened three years ago there have been a number of different managers. A regional director had stepped in last year and a new manager was now in the process of registering as a manager with CQC. A clinical nurse lead had also recently been recruited. Most relatives and staff spoke highly of the new management team, who told us about a number of improvements that they are continuing to work on.
People were supported by caring staff. Although some relatives were concerned about the use of agency staff, they felt the established staff were very good. One person told us, “Staff are very kind and caring and offer good treatment.” We saw people being offered choices about what they did and ate and being treated with dignity and respect.
Staff were knowledgeable about how to communicate well with people. We saw good examples of this during our visit. Activities were planned for the month and peoples interests and likes had been considered. Some staff felt that more dementia friendly activities and more one to one activity would be beneficial.
Monitoring systems were in place to maintain oversight of safety, but issues had not always been responded to in a timely way. For example, fire doors were known to need repair, but this had not been done in a timely fashion, although the work had been scheduled for completion.
People were supported to have maximum choice and control of their lives and staff did not always support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support this practice.
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 good (7 November 2018)
Why we inspected
The inspection was prompted in part due to concerns received about high numbers of incidents between people living in Maypole Grove, concerns about staff conduct incidents and concerns about damage to fire doors. A decision was made for us to inspect and examine those risks.
We have found evidence that the provider needs to make improvements. Please see the safe, effective, and well led sections of this full report.
Maypole Grove 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.
Maypole Grove accommodates a maximum of 30 people who may have mental health needs, Dementia or physical disabilities in one adapted building. At the time of the inspection, there were 14 people living at the home.
There was a manager registered with us. However we were informed prior to the inspection that the registered manager had left their position and that a new manager had been recruited. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People were supported by staff who knew how to report concerns and manage risks to keep people safe. Recruitment systems reduced the risk of inappropriate staff being employed. Staffing levels had been impacted by staff absences but this was addressed by the provider to ensure there were sufficient numbers of staff to support people. People were given their medication in a safe way.
People had their rights upheld in line with the Mental Capacity Act 2005 although staff knowledge of Deprivation of Liberty Safeguards varied. People had their dietary needs met and were given choices with regards to their meals. People had access to healthcare services where required and there was an emphasis placed on health promotion. People were supported by staff who had received training and supervision. The decoration of the home was not always appropriate to support the needs of people with Dementia.
People were supported by staff who were kind, caring and had developed warm relationships with people. People had their privacy and dignity respected and were supported to maintain their independence where possible. People’s personal history including their culture and communication needs were respected.
People were involved in the planning and review of their care. People’s care records held personalised information about them and people were able to voice their preferences with regards to their care. There were activities for people and people were supported to take part in these where they wished. Complaints were investigated and resolved.
There were concerns about the stability of management due to a high turnover of managers in previous months. Notifications had not always been sent to Care Quality Commission as required. There were systems in place to monitor the quality of the service and people had opportunity to feedback on the quality of the service.