9 November 2022
During an inspection looking at part of 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.