We carried out a review of the data available to us about Maple House 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 Maple House, you can give feedback on this service.
Maple House is a residential care home, registered to provide care and support for up to 8 adults with learning disabilities in one adapted building. 8 people were using the service at the time of inspection.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People’s experience of using this service and what we found
Right Support
There was a positive relationship between people and staff who supported them. Throughout our visit we observed staff interact with people who used the service in a kind and courteous way. Risks to people’s individual health and wellbeing were identified and care was planned to minimise the risks. People were cared for and supported by staff who had relevant training and skills. Staff had a good understanding of people’s needs, choices and preferences, and were aware of how to meet people’s individual needs as they changed. People’s dietary needs were taken into account and their nutritional needs were monitored appropriately. We noted not all staff had received a formal supervision meeting recently.
We have made a recommendation about staff supervision.
Right Care
People received care and support that met their needs and took account of their preferences and personal circumstances. One relative told us, “I am very happy with the home.” There were suitable arrangements for the safe storage, management and disposal of medicines. The registered manager worked well with other health and social care professionals to support people using the service. There were enough staff to meet people’s care and support needs. The provider had a system in place to record and monitor accidents and incidents.
Right culture
People and their representatives felt the service was well managed and staff felt supported. They found the registered manager approachable and friendly. People’s safety was promoted by staff who had been trained to recognise and respond effectively to the risks of abuse. People were supported by staff who had received appropriate training and support. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service did support this practice. There were clear lines of responsibility and accountability within the management structure of the service. Effective systems were in place to quality assure the services provided, manage risks and drive improvement.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
At the last inspection the service was rated requires improvement (published 20 February 2020) and there were breaches of Regulations 15 (Premises and equipment), and 17 (Good governance). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last 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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
Maple House is a residential care home, registered to provide care and support for up to eight adults with learning disabilities in one adapted building. Eight people were using the service at the time of inspection.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
There were quality assurance and governance systems in place to drive continuous improvement; however, the systems were not always working effectively because the provider had not identified some health and safety issues. Improvement was also needed with regards to food safety.
The provider had safeguarding policies and procedures in place to protect people from possible harm. Risks associated with people's care and support had been assessed. There was guidance in place to keep them safe. Accidents and incidents were recorded and monitored to identify how the risks of reoccurrence could be minimised. There were sufficient staff working for the service and safe recruitment procedures were followed. People received their medicines as prescribed by the GPs.
People had an assessment carried out before they started using the service. Staff received appropriate training which gave them the skills to carry out their roles. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People were supported to eat and drink sufficient amounts to meet their needs.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
Staff had developed good relationships with people and knew them well. They were aware of people’s needs and preferences and respected their privacy and dignity. People were supported to express their views and were involved in making decisions about their care and support. People were encouraged to be independent and staff respected their wishes. The importance of confidentiality was understood and respected by staff.
People were provided care and support in line with their assessed needs. There were detailed care plans in place to enable staff to provide personalised care. Care plans were reviewed regularly. People were supported to access activities which were tailored to their individual needs. There was a complaints policy and procedure in place which people and their relatives had access to.
There was an open and inclusive culture in the service, with staff, people, relatives and other external professionals encouraged to help improve the service. The provider had a system in place to monitor the quality of the care being provided through satisfaction surveys. The registered manager had good links with a number of health and social care professionals and this helped to ensure people's needs were fully met.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
At the last inspection the service was rated good (published 28 October 2017). Since this rating was awarded the registered provider of the service has altered its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected:
This was a planned inspection based on the registration date of the service. You can see what action we have asked the provider to take at the end of this full report.
Enforcement:
We have identified breaches in relation to safety of the premises and quality assurance at this inspection.
Follow up:
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. 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.