Mapperley Lodge

Updated 10 January 2024

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 1 inspector and 1 Expert by Experience on site. 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

Mapperley Lodge is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Mapperley Lodge is a care home without 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 a registered manager in post.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 15 November and ended on 22 November when we made calls to relatives. We visited the service on 15 November 2023.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 communicated with 5 people who lived at Mapperley Lodge about their experience of the care provided. Some people who used the service who were unable to talk with us used different ways of communicating including the use of pictures, signs, and their body language.

We spoke with 5 members of staff, including the registered manager, team leaders, 2 care support staff and the operations manager. We reviewed a range of records. This included 2 people's care records and various medication records. We reviewed 3 staff files in relation to recruitment and supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We spoke with 2 people's relatives to seek their views on the quality and safety of the service their family members received. We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.

Updated 10 January 2024

About the service

Mapperley Lodge is a residential care home providing personal care to 6 people at the time of the inspection. The service can support up to 7 people.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support: Model of Care and setting that maximises people’s choice, control and independence. Staff supported people to have the maximum possible choices, control and independence over their own lives. Staff understood people's strengths and promoted what they could do, so people experienced fulfilling everyday lives. People were provided with a safe, clean, well equipped environment that met their sensory and physical needs. People were involved in personalising their rooms in the service. Staff supported people with their medicines in a safe way that promoted their independence and achieved the best possible health outcomes. Staff ensured people had full access to health and social care to maintain their health and wellbeing.

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.

Right Care: Care is person-centred and promotes people’s dignity, privacy and human rights.

People received support from kind staff who understood and responded to their individual needs. Staff were respectful of people's privacy and dignity and ensured this was upheld. Staff understood how to protect people from potential abuse. The service worked well with other agencies to do so. Staff were trained in how to recognise and report abuse and understood their responsibility to do so. The service had a consistent skilled staff team, who met people's needs and kept them safe. Staff understood people’s individual communication needs, so people received consistent care.

Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.

People led inclusive lives because of the organisational values and staff qualities. People received quality care and support because sufficient numbers of skilled staff understood their specific needs. People were supported by a staff team who understood the needs a person living with mental health, learning disability and/or autistic person may have. Staff knew and understood people’s cultural preferences and were responsive to their needs. Staff ensured people received support and encouragement to be as independent as possible and fulfil their aspirations.

People told us or communicated to us they were happy living at the service. Relatives gave feedback their family members were safe living at Mapperley Lodge. The service has created a homely atmosphere, where people and staff are happy and comfortable in the company of each other.

The registered manager and operations manager had implemented effective checks and audits on the quality and safety of the service. When shortfalls were identified, action was taken to address these.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The service has a new provider. The last rating for this service under the previous provider was Good (published 23 January 2018).

Why we inspected

We inspected this service due to the length of time since the previous inspection.

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

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

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Mapperley Lodge on our website at www.cqc.org.uk.