Background to this inspection
Updated
28 August 2015
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check 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.
This inspection took place on 1 and 3 June 2015 and was unannounced. The aim of the inspection was to carry out a full comprehensive review of the service.
One inspector and an expert by experience with expertise in dementia carried out the inspection. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.
There were 37 people living at Maidment Court at the time of the inspection and we talked with 14 people to learn about their experience of living at the home. We also spoke with eight relatives, the acting manager, 13 other members of staff and three health and social care professionals.
We looked at two people’s care and support records in full, and sampled 20 other care and support records where we looked at specific aspects of people’s care or support. We also looked at documents relating to the overall management of the home which included staffing rotas and four recruitment records, audits, meeting minutes, maintenance records and quality assurance records.
Before our inspection, we reviewed the information we held about the service. This included the information about incidents the provider had notified us of, and information sent to us by the local authority.
Updated
28 August 2015
Maidment Court is registered to accommodate and provide personal care for up to 45 people. The home aims to meet the needs of older people, including those living with dementia. At the time of this inspection there were 37 people living at the home.
There was a registered manager at the home at the time of the inspection but they had been away for several months and there was an acting manager in post. 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 and associated Regulations about how the service is run.
This was an unannounced inspection carried out over two days on 1 and 3 June 2015.
We received consistently good feedback about the service from people and their family members. One person told us, “The staff are always very patient, always smiling, always very helpful and I am always clean, well dressed and well fed”. Another individual said, “I feel safe and secure. Kind well trained staff and great compassion. A good place to live”.
People or their representatives felt that the home provided a safe service. Staff had received training in safeguarding people and understood how to raise a concern. The provider ensured people’s rights were protected when planning and delivering care and support.
People told us staff were skilled and responsive. We saw a thorough induction process supported new staff to understand their role, along with ongoing training, supervision and support for all staff to make sure they understood how to safely and effectively care or support people.
People or their representatives had been included in planning how care and treatment was provided. People told us that they made decisions about their lives, and we saw examples throughout the inspection that evidenced staff asked people how they wanted to be supported and then followed their directions.
The home ensured staff understood and acted in accordance with the Mental Capacity Act 2005 including the deprivation of liberty safeguards. This ensured people were asked for their consent before staff provided care or support, and where people did not have mental capacity to consent to care or treatment the staff acted in their best interests.
People and relatives told us the key strength of the home was in the caring attitude of staff. One person said, “Lovely people, if they can help you at all they do, we are very lucky, I don’t know what we would do without them. I am very happy”. Another person told us the staff were, “very kind, they do everything you ask them to do”.
Staff knew the people they were supporting well and supported individuals to maintain their independence as much as possible. People told us they enjoyed activities and said there was enough to do. The manager confirmed people were involved in planning activities. They checked people were satisfied on a regular basis through activity audits and residents meetings.
The service was well led. Staff told us the management team listened to any suggestions or concerns and were available for advice and guidance. There were robust systems in place to ensure they knew they were offering a safe, effective, caring and responsive service.