Background to this inspection
Updated
17 August 2022
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) 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 Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by one inspector.
Service and service type:
Maple House is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection:
We phoned the service the evening before the inspection to ensure staff and people living at the service would be in.
What we did before the inspection:
We reviewed information we had received about the service since the last inspection. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. However, we used our own intelligence gathered over the last 18 months to inform the inspection visit.
During the inspection:
We spoke with three people who lived there, although two out of three people were not fully able to engage with us.
On the day of the inspection we spoke with one care staff, and the registered manager.
We reviewed a range of records. This included two people’s care records and their medicine administration records (MAR). We looked at two staff recruitment files, staff meeting minutes, audits and accident and incident documentation across the team.
After the inspection:
We sought clarification from the management team in other areas including training, provider compliance audit and ‘as needed’ PRN protocols.
We also received feedback from one family member and two health and social care professionals.
Updated
17 August 2022
About the service:
Maple House is a residential care home providing personal care and accommodation for up to three people with a learning disability. At the time of the inspection there were three people living at the service. The home is on a residential street in a community setting and designed to promote people's inclusion and independence.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
People’s experience of using this service:
People told us they liked living at the service and they felt safe there. We saw staff were kind and caring and people, families and health and social care professionals confirmed this.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right support: The service provides care that is personalised and maximised people’s choices. People are involved in a range of community activities of their choice. The staff understood the needs of the individual people living at the house and supported them to be as independent as possible.
Right care: Care documentation was person-centred and promoted people’s dignity, privacy and human rights. Staff understood how to support people. They understood their needs, preferences and routines. Appropriate documentation was in place where people’s liberty was restricted.
Right culture: The registered manager supported staff to provide good quality care, through supervision, training and effective team communication. People told us they were happy living at the service, and family members confirmed the leadership were responsive, inclusive and enabled their relatives to live empowered lives.
Safe recruitment took place at the service, and people were safeguarded against the risks of abuse and harm by the systems and by the staff. Risks to people were assessed and mitigated. Staff understood people’s needs and preferences and were able to work safely with the range of risks presented. There were enough staff to meet people’s needs and provide flexible, responsive care.
Medicines were managed safely, and there were infection control processes in place.
The registered manager had effective systems in place to monitor the quality of the service, and the provider carried out additional quality checks as well as providing support and information to the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.
Rating at last inspection:
The last rating for the service was good (published 26 November 2019).
Why we inspected:
We carried out a focused inspection of this service on 20 July 2022.
This was a planned inspection based on the previous rating. This report only covers our findings in relation to the Key Questions Safe, Effective and Well Led.
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.