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Maplehurst Nursing Home Outstanding

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Outstanding

Updated 25 January 2018

The inspection took place on the 7 November 2017 and was unannounced.

Maplehurst Nursing Home is a nursing home. People in nursing homes receive accommodation for nursing and personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Maplehurst Nursing Home is registered to accommodate up to 38 people in one adapted building. The service currently operates from 29 rooms. On the day of our inspection there were 26 people using the service with a range of support and nursing needs including older people and older people living with dementia. The home is a large detached property spread over three floors.

The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. People were safe because a safety culture was embedded at the service.

Staff had exceptional skills in managing and reducing risk and keeping people safe whilst promoting people to lead fulfilling lives and minimise restrictions on their freedom. People’s comments included “I feel much safer since coming to live at the home, particularly at night, the amount of staff on duty is unbelievable”.

People received their medicines safely and on time from staff who were trained and assessed to manage medicines safely. Staff were trained to be aware of signs of abuse and were encouraged to report concerns, which were investigated. A robust recruitment process was in place to make sure people were cared for by suitable staff. People knew how to raise concerns and were confident any concerns would be listened and responded to. The service had a written complaints process. Any concerns or complaints were investigated with actions identified to make improvements.

The service was inspirational in the approach to ensure that staff put their learning into practice to deliver care that meets people’s individual needs. This was around consistent mind-sets and behaviours. On an annual basis each staff member was asked to provide quantitative feedback on each of their peers on five criteria's. These five criteria's were aligned to the CQC’s five key questions. Is the service safe, effective, caring, responsive and well led?

People received exceptionally effective care, based on best practice by staff with an in-depth knowledge of their care and treatment needs, who were skilled and confident in their practice. Staff worked with people, other professionals and continually developed their skills. The service used innovative and creative ways to train and develop staff to put their learning into practice to provide outstanding care that met people's individual needs.

People mattered and the care was exceptionally personalised. Staff paid attention to detail and demonstrated pride, passion and enthusiasm for the people they supported. Each person had a trusted member of staff, known as a keyworker, who took a lead role in each person's care and wellbeing. They continuously looked for ways to ensure people had positive experiences and led fulfilling lives. Staff knew about people's lives, their interests and talents and encouraged them to share them with others.

Staff sought people's consent for their care and treatment and ensured they were supported to make as many decisions as possible. Staff confidently used the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards (DoLS). Where people lacked capacity, capacity relatives, friends and relevant professionals were involved in best interest decision making.

There was a strong emphasis on the importance of eating and drinking well for people living with dementia. The provider was creative in looking at ways

Inspection areas

Safe

Outstanding

Updated 25 January 2018

The service was very safe.

People were safe because a safety culture was embedded at the Service. Staff had exceptional skills in managing and reducing risk whilst promoting people to lead fulfilling lives and minimise restrictions on their freedom.

Equipment and technology was used continuously to improve safety for people. People were supported to take their medicines on time and in a

safe way.

People's safety and wellbeing was promoted because staff understood the importance of promoting people's physical and mental wellbeing and of people keeping active and maintaining their independence. The staffing levels meant there were enough staff to meet all their needs.

Effective

Outstanding

Updated 25 January 2018

The service was very effective.

Staff had the specialist knowledge and skills required to meet

people�s needs. There was an innovative approach to ensure that staff put their learning into practice to deliver care that meets people�s individual needs.

The provider was meeting the requirements of the Deprivation of Liberty Safeguards (DoLS). Staff had a good understanding of and acted in line with the principles of the Mental Capacity Act 2005. This ensured that people�s rights were protected in relation to making decisions about their care and treatment.

The provider was creative in looking at ways people were supported to eat and drink, sufficient to their needs. People had access to relevant health care professionals and received appropriate assessments and interventions in order to maintain good health.

Caring

Outstanding

Updated 25 January 2018

The service was very caring.

People had a quality of life which enhanced their well-being and

physical health.

The service was inclusive of all individuals and provided

personalised care. Including people's family,

wider circles of support and the community.

People received empathetic care and their dignity and

independence was upheld. Lives were valued and people were supported in continuing their lives in a meaningful way.

Responsive

Outstanding

Updated 25 January 2018

The service was very responsive.

People received exceptionally person centred care from staff who knew each person, about their life and what mattered to them. The level of care experienced promoted their health and wellbeing and enhanced their quality of life.

People's views were actively sought, listened to and acted on. People and relatives knew how to raise any concerns and actions were taken in response to improve.

People were encouraged to socialise, pursue their hobbies and interests and try new things in a variety of inspiring and innovative ways including technology.

Well-led

Outstanding

Updated 25 January 2018

The service was well led to a very high standard

People received a consistently high standard of care because management led by example and set high expectations about the care people received.

The provider had robust and embedded quality monitoring arrangements through which they continually reviewed, evaluated and improved people's care. These showed the service was consistently high performing.

In pursuit of excellence, the management team kept up to date with best practice. They read other services 'outstanding' rated CQC inspection reports as a way to benchmark their quality of care and for ideas and innovations for continuous improvement.