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Inspection Summary


Overall summary & rating

Inadequate

Updated 10 March 2021

About the service

Maplin House is a residential care home providing personal care to eight people who have a learning disability, physical disability and/or living with dementia. The care home can accommodate up to 16 people in one adapted building.

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

The leadership, management and governance arrangements did not provide assurance the service was well-led. Quality assurance and governance arrangements were not reliable or effective in identifying shortfalls in the service and to meet regulatory requirements.

Information relating to people's individual risks were not always recorded or mitigated for the safety of people using the service. Risks relating to how Control of Substances Hazardous to Health (COSHH) items were stored, and the service’s fire arrangements, did not provide enough assurance that people were safe. Suitable arrangements were not in place to ensure the safe management of medicines and this placed people at risk of harm.

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 (published 28 November 2018).

Why we inspected

We inspected the service because there had been a recent COVID-19 outbreak at Maplin House.

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 coronavirus and other infection outbreaks effectively.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe. And there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it. And it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.

Follow up

We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Inadequate

Updated 10 March 2021

The service was not safe.

Details are in our safe findings below.

Effective

Good

Updated 10 March 2021

Caring

Good

Updated 10 March 2021

Responsive

Good

Updated 10 March 2021

Well-led

Inadequate

Updated 10 March 2021

The service was not well-led.

Details are in our well-Led findings below.