We carried out a review of the data available to us about Mapleton Court Care Home 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 Mapleton Court Care Home, you can give feedback on this service.
We found the following examples of good practice.
The service had a dedicated unit to be used as a designated setting for people with a positive COVID-19 result. The designated unit has its own entrance and exit and access to the unit is only permitted to designated staff.
The service had effective systems in place to ensure all staff and visitors were doubly vaccinated unless they are exempt.
Staff had received training and understood their responsibilities in relation to infection prevention and control.
The premises were clean and well-maintained. Cleaning schedules were in place to ensure all areas of the home were regularly cleaned, including high touch areas such as door handles and light switches.
Hand sanitisers and PPE stations were situated throughout the building.
The service had effective processes in place, so laundry was managed safely.
The service had robust infection control auditing systems.
The management team were on call out of hours to support staff. They understood their responsibilities to monitor the quality and safety of the service to ensure people who used the service and staff were safe during the pandemic.
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.
We found the following examples of good practice.
The service had a dedicated unit to be used as a designated setting for people with a positive COVID-19 result. Staff were designated to the unit and would not move between units to reduce the risk of transmission.
Thought and care had been put into the zoning of the unit. This included separate storage, equipment and facilities. The way this was managed helped to reduce footfall in and out of the unit, while providing choice to people, as well as being helpful and reassuring for staff.
Processes were in place to prevent visitors from catching and spreading infections. This included the provision of personal protective equipment (PPE), such as masks, gloves, aprons, face visors, hand washing facilities and hand gel. Temperature tests were done in a secure entrance area, and a COVID-19 questionnaire was completed before accessing the main unit. Visits to people in the designated area were supported either by window visits, telephone calls or calls on a tablet.
There was adequate access and take up of testing for staff and people using services and robust admission and discharge processes were in place. Staff had received training and understood their responsibilities in relation to infection prevention and control.
Shielding and social distancing rules were complied with. There was clear signage throughout the home on social distancing rules and robust cleaning arrangements were in place. Staff wore a full range of PPE appropriately and consistently.
The management team were on call 24 hours a day to support staff. They understood their responsibilities to monitor the quality and safety of the service to ensure people who used the service and staff were safe during the pandemic.
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.
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.
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.
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.