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Mapleton Court Care Home Good

The provider of this service changed - see old profile

Reports


Inspection carried out on 4 November 2020

During an inspection looking at part of the service

Mapleton Court is a care home providing accommodation and personal care to older people, some of whom are living with dementia. The service can support up to 60 people in three adapted buildings.

We found the following examples of good practice.

• The premises were clean and well maintained. Four hourly cleaning schedules had been introduced, which included tasks such as sanitising key code panels and light switches.

• All staff had received recent training in infection control and prevention and their competency in this was regularly checked by managers.

• Visits were restricted at the time of this inspection. Relatives and friends were kept informed of any visiting restrictions and the guidelines they were expected to follow.

• Comprehensive, person centred care records were completed with the person on admission to the service. The records included detailed risk assessments with clear guidance for staff. One of the risk assessments was for 'Support following Positive Coronavirus test (not requiring hospital care)'.

• As a result of the Coronavirus pandemic additional actions had been taken to further reduce the risk of the spread of infections. Staff were allocated to work in only one of the two units. New procedures had been implemented to restrict access to internal communal work spaces, such as the kitchen.

We were assured that this service met good infection prevention and control guidelines as a designated care setting.

Further information is in the detailed findings below.

Inspection carried out on 28 October 2020

During an inspection looking at part of the service

About the service

Mapleton Court is a care home providing accommodation and personal care to older people, some of whom are living with dementia. The service can support up to 60 people in three adapted buildings. At the time of this inspection there were 34 people living at Mapleton Court in two of the adapted buildings.

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

Safe recruitment procedures made sure staff were of suitable character and background. There were enough staff deployed to help people keep safe. There were systems in place to recognise and respond to any allegations of abuse. Medicines were stored safely and securely. There were effective systems in place to ensure people received their medicines as prescribed.

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. People enjoyed the food served at Mapleton Court and were supported to eat and drink to maintain a balanced diet. People were supported to maintain good health and have access to health and social care services as required

Staff were provided with an effective induction and relevant training to make sure they had the right skills and knowledge for their role. Staff were supported in their jobs through meetings, supervisions and an annual appraisal.

The service was well-led. The registered manager and area manager were responsive to any issues raised. People, their relatives and staff were asked for their opinion of the quality of the service via regular meetings and annual surveys. There were effective systems in place to monitor and improve the quality of the service provided. The service had policies and procedures which reflected current legislation and good practice guidance.

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

The last rating for this service was requires improvement (published 21 October 2019) and there were two breaches of regulation. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 20 September 2019. Two breaches of legal requirements were found regarding the need for consent and good governance. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

We undertook this focused inspection to check the provider had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.

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.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Mapleton Court 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.

Inspection carried out on 20 September 2019

During a routine inspection

About the service

Mapleton Court is a care home providing accommodation and personal care to older people, some of whom are living with dementia. The service can support up to 60 people in three adapted buildings. At the time of this inspection there were 15 people living at Mapleton Court in one of the adapted buildings.

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

During this inspection we found the provider was in breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014; Regulation 11, Need for consent and; Regulation 17, Good Governance. We have also made recommendations about staffing levels and topical medicines management.

Staff understood the requirements of the Mental Capacity Act 2005. 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; however, the systems in the service did not support this practice. Effective systems to monitor and improve the quality of the service provided had only recently been introduced. Some safety and maintenance checks for the premises and equipment were now in place. A fire drill needed to be undertaken.

The provider had effective recruitment procedures in place to make sure staff had the required skills and were of suitable character and background. Staff understood what it meant to protect people from abuse. They told us they were confident any concerns they raised would be taken seriously by the registered manager.

Staff were provided with relevant training and ongoing support to make sure they had the right skills and knowledge to support people. People told us they enjoyed the food served at Mapleton Court, which we saw considered their dietary needs and preferences.

Positive and supportive relationships had been developed between people, their relatives and staff. People told us they were treated with dignity and respect and we saw this throughout the day of the inspection. There was a range of activities available to people living at Mapleton Court. People were supported to engage in activities that were important to them.

The provider had policies and procedures which reflected current legislation and good practice guidance. People, their relatives and staff told us the registered manager was approachable.

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

The last rating for this service was inadequate (published 21 March 2019). Since this rating was awarded the registered provider of the service has changed. We have used the previous rating and enforcement action taken to inform our planning and decisions about the rating at this inspection.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to good governance and the need for consent at this inspection.

Please see the action we have told the provider to take at the end of this report.

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.