Archived: Maybank House

Updated 25 September 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, 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 undertaken by one adult social care inspector and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Maybank House is a ‘care home’, providing care and support for up to 25 people, some living with a diagnosis of dementia or other health conditions. 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. At the time of the inspection there was a registered manager in post. A registered manager is a person who is registered with the Care Quality Commission. The registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

The first day of inspection was unannounced. The second day was by agreement. The inspection was carried out on the 6 and 7 August 2019.

What we did

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and another health professional involved with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

During the inspection we spoke with 14 people who used the service, two relatives and a visiting health professional to ask about their experiences of the care provided. We spoke with the registered manager, the deputy manager and five other members of staff. We reviewed a range of records. This included four people’s care records, four staff files, staff training and supervisions and records around the management and monitoring of the service. We looked at a variety of records about medicines and checked medicines for four people.

Updated 25 September 2019

About the service:

Maybank House is a residential care home that is registered to provide personal care and support for up to 25 people over the age of 65, including those living with a diagnosis of dementia. On the days of the inspection there were 16 people living at the home.

Maybank House is a large detached house situated in the Brooklands area of Manchester, accommodating people in one adapted building, with a large garden to the rear of the home.

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

Staff were aware of risks specific to individuals and risks posed by the environment and were guided with information and instruction on how to reduce these to keep people safe. Systems and processes relating to legionella checks had improved. Temperatures at which medicines were being stored at were now being monitored and accurately recorded. The home had robust ways of working that ensured people were kept safe when receiving medicines.

The meal time experience was a good one for people. People’s specific dietary needs were communicated to all staff. Staff employed in the kitchen were aware of any recommendations made by health professionals. The supervision of staff had been a priority for the new management team and staff felt supported and valued.

People spoken with said they were well cared for. People were supported to have maximum choice and control of their lives and staff did this in the least restrictive way possible; the policies and systems in the service supported this practice. People received a healthy diet in line with their assessed needs. People had access to health care as required.

Care plans and assessments were in place which identified the areas of support people wanted and needed. People’s views and opinions were sought on the service via surveys and meetings. Relatives were also consulted. Themed meetings had been introduced to encourage people to attend and participate. The service had a complaints policy and people we spoke with knew how to make a complaint. Suitable arrangements were in place to respond to any complaints and concerns.

Systems and procedures were in place to monitor the quality and effectiveness of the service. At this inspection the registered manager had introduced a variety of audits to identity areas of good practice and areas for improvement. We saw that audits of the service had been completed, were documented and demonstrated that the registered manager had oversight of the service.

At this inspection we found improvements had been made in all areas of the service. We will continue to monitor information and intelligence about this service to ensure these are sustained.

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 inspection of Maybank House took place on 16 and 17 May 2018. The last rating for this service was requires improvement (published 24 July 2018). There were three breaches of regulation in relation to safe care and treatment, consent and good governance.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider is no longer in breach of regulations. The service has improved to good.

Why we inspected:

An unannounced comprehensive inspection was undertaken on 6 and 7 August 2019. This was a planned inspection based on the previous rating.