Maypole Care Home

Updated 19 January 2023

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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 2 inspectors, a specialist advisor who was a registered nurse and 2 Expert’s 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. One Expert by Experience attended the on-site inspection, the other made telephone calls to people’s relatives after the inspection to get feedback.

Service and service type

Maypole Care Home is a ‘care home’. People in care homes receive accommodation, nursing and personal care as a single package under one contractual agreement dependent on their registration with us. Maypole Care Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. A new manager had commenced 2 weeks before we inspected and would commence registration shortly.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We looked at 7 care records and multiple medicines records. We spoke with 5 care staff, 4 registered nurses, the manager, a quality manager, the regional director and the chef. We reviewed documents relating to the premises and running the service.

Following the inspection, we spoke with 4 relatives of people using Maypole Care Home.

Updated 19 January 2023

About the service

Maypole Care Home is a residential care home providing personal and nursing care to up to 68 people. The service provides support to adults who have a physical disability or health condition. At the time of our inspection there were 45 people using the service.

Maypole is a purpose-built care home delivering care on two floors. One floor specialises mainly in providing nursing care to older people and the other accommodates younger people who have physical disabilities or health conditions.

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

People using the service were safe. Safeguarding procedures and staff awareness protected them from potential abuse. Risks were assessed to mitigate the possibility of harm from the environment, or aspects of people’s health and needs. Medicines were safely managed and people received their medicines as and when prescribed. The premises were clean and current government guidelines on infection prevention and control and visiting care homes were followed.

Staff were safely recruited and improvement were being made as the responsibility for Schedule 3 checks was being transferred to the service from the provider’s head office.

Staff completed a comprehensive induction on commencing in post and shadowed experienced staff for a period of time dependent on their experience.

We were concerned about fluid intake and record keeping at Maypole. The provider agreed to make improvements and we noted there had been very few urinary tract infections so there had been minimal impact on people, who also told us they had sufficient to drink.

The premises were purpose built providing spacious communal and private areas for people. There was a refurbishment underway and changes had been planned to enable the two floors to operate more independently of each other.

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’s care and care plans were person centred and they accessed activities as and when they wanted. Additional room-based activities were available to those cared for in bed. New activities staff had been well received and had improved activity provision. Information was provided in different formats to aid people’s understanding.

There was no one receiving end of life care when we inspected however, plans were in place in some people’s care records.

There had been multiple changes in the management team at Maypole and when we inspected, a manager had been in post for only 2 weeks. They had worked at the service in other roles and had been covering the manager’s position for a while also. Positive changes to the service had already been reported by staff members and relatives.

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 this service was good (published 19 August 2021).

Why we inspected

We received concerns in relation to the management of the service and people’s care quality. As a result, we undertook a focused inspection to review the key questions of safe, effective, responsive and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

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.

We found no evidence during this inspection that people were at risk of harm from these concerns.

The overall rating for the service has remained the same based on the findings of this inspection.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.