The Care Quality Commission
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  • Care home

Archived: Maids Moreton Hall

Overall: Good read more about inspection ratings

Church Street, Maids Moreton, Buckingham, Buckinghamshire, MK18 1QF (01280) 818710

Provided and run by:
Lawrence Care (Maids Moreton) Limited

Important: The provider of this service changed. See new profile

All Inspections

29 July 2014

During a routine inspection

Overall summary We carried out this inspection under section 60 of the Health and Social care Act 2008 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 Health and Social care Act 2008 and to pilot a new inspection process being introduced by the Care Quality Commission (CQC) which looks at the overall quality of the service.

This was an unannounced inspection which meant the staff and provider did not know when we would be visiting.

Maids Moreton Hall provides accommodation and care, including nursing and respite care, for up to 60 older people, some of whom may live with dementia. At the time of our inspection there were 39 people living in the service.

There was a registered manager in post. A registered manager is a person who has registered with CQC to manage the service and has the legal responsibility for meeting the requirements of the law, as does the provider.

People received responsive care from well-supported nursing and care staff. People and/or their relatives, were involved in reviews of their care and were asked for their view of the service through meetings and surveys.

Staff knew what people’s care needs were and how they wanted them to be met. Staff had the necessary training to provide them with the skills they needed to provide appropriate and effective care. The process for the recruitment of staff was thorough and robust and protected people from the employment of unsuitable people to support them. People told us there were enough staff available to meet their needs promptly.

Staff knew what to do if they saw or suspected abuse was taking place and understood the requirements of the Mental Capacity Act 2005(MCA) and the associated Deprivation of Liberty Safeguards (DoLS). Mental capacity assessments and best interest meetings had taken place as required under that legislation. The service was meeting the requirements of the DoLS.

Throughout our inspection we observed very respectful and relaxed interactions between people and the staff supporting them.

We received very positive assessments of the care provided by the service from GPs and other community health professionals.

The environment was clean and well-maintained. The first floor accommodation for people living with dementia had been improved by creating a dementia friendly dining and lounge area. This meant the facilities they needed were now easy for them to reach.

The registered manager and provider regularly assessed and monitored the quality of care. This included audits of medication and care plans to ensure they were accurate and up to date.

26 November 2013

During an inspection in response to concerns

During this inspection we found that safe and effective systems were in place to protect people against the risks associated with the management of medicines and that special requirements were taken into consideration. Policies were in place to allow residents to self medicate and there was monitoring for those residents who wished to drink alcohol.

1 August 2013

During an inspection in response to concerns

People who lived in the home or their relatives told us they felt the standard of care they experienced and saw was good. They said they felt the number of staff was adequate. Staff we spoke with also said they thought current staffing levels were adequate. We looked at staffing rotas and found they agreed with the staffing levels we had been told were in operation.

We looked at staff recruitment files and found the required checks were being carried out before people started employment. We were told there had been significant staff turnover over recent months. New staff had been and still were being recruited to address this.

We looked at the pre-admission assessment process and care plans, including for respite residents. We found they were adequate and contained the required information. We found the home's risk assessment and care planning process took account of the potential risks associated with the inappropriate consumption of alcohol.

We found liaison between the home and community health services had improved. Nursing staff had the appropriate training and support. Changes to the layout of the dementia care unit were planned to improve the care experience of people with dementia. We found some concerns remained about the suitability of the environment for people with more severe dementia.

4 April 2013

During a routine inspection

People said they had all the information they needed about the home to make an informed decision before choosing to live there. We looked at care plans for three people. These included assessments carried out before people had been admitted. They established what people's needs were and how they would be met from the outset. We found care plans included a range of risk assessments, for example in respect of falls and potential weight loss. Risk assessments included details as to how these risks were to be eliminated or managed.

People told us they felt safe and well looked after. They indicated they would raise any concerns or issues they had with care staff, the manager or provider. People told us they thought staffing was probably adequate. They did say staff were very busy at key points of the day however no one we spoke with complained about excessive delays in response times when they requested help. This indicated there were enough qualified, skilled and experienced staff to meet people's needs.

We looked at two recruitment records for recently employed care staff. We found there was a robust process in place which showed appropriate checks were undertaken before staff began work.

We saw detailed records and analysis of an internal audit carried out on the 31 January 2013. This identified any areas of concern and set out actions taken to address them. This showed learning from incidents took place and appropriate changes were implemented.

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