CQC report explained · a nursing home
What the CQC found at Maids Moreton Hall
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- People told inspectors they felt safe. Risks were assessed and reviewed, staffing was sufficient, recruitment checks were completed and medicines were managed well.
- Effective?
- Good
- People’s needs were assessed in a holistic way and staff worked with health professionals. Inspectors found good support with nutrition, communication, activities, staff training and consent.
- Caring?
- Outstanding
- People were treated exceptionally well and were routinely shown dignity and respect. Staff supported people to make choices, maintain relationships and take part in meaningful activities.
- Responsive?
- Good
- Care plans reflected people’s likes, dislikes and needs. People were supported with activities, faith, communication, relationships, complaints and end-of-life wishes.
- Well-led?
- Outstanding
- Inspectors found strong leadership, an open and inclusive culture and a clear focus on improving people’s lives. The home used projects, feedback and partnerships to improve care.
What inspectors found, November 2019
Rated Outstanding; inspectors found exceptionally caring and well-led care, with safe, effective and responsive care rated Good.
Inspectors visited the home without notice on 10 and 11 September 2019. They spoke with 20 people, eight relatives and staff. They observed care and medicines, and checked care plans, medicine records, staff files and management records.
People were safe and received effective care. Risks were assessed, medicines were managed well, staffing was sufficient and staff were safely recruited. People’s health, nutrition, communication needs and personal choices were well supported.
Caring and leadership were judged Outstanding. Inspectors found people were treated with exceptional kindness, dignity and respect, and were involved in decisions about their care. The home also worked closely with local groups and other professionals.
The overall Outstanding rating means the service performed exceptionally well overall. Safe, Effective and Responsive were rated Good. All five ratings were unchanged from the previous inspection, published on 7 March 2017.
Kind and respectful care
Inspectors found that people were consistently treated with dignity and respect. Staff made efforts to understand people as individuals and support their wishes.
“Without exception people were routinely treated with dignity and respect.” from the report
Personalised support
Staff used people’s histories, interests and abilities to shape care and activities. This included support to reduce distress and encourage meaningful daily tasks.
“There was a clear focus from staff to get to know each person.” from the report
Safety and medicines
Risks were reviewed, call bells were answered promptly and medicines were given calmly and in line with guidance.
“Medicines were managed well within the service.” from the report
Health and wellbeing
People were supported to improve or maintain their health. The report says a falls project led to a significant reduction in falls.
“Figures showed a drop from 22 in March 2018 to 10 in August 2019.” from the report
Strong leadership
Managers promoted learning, staff development and improvements based on feedback. Staff deployment was adjusted to meet changing needs.
“There was a clear commitment to invest in staff.” from the report
Staff retention
minorThe provider had identified staff retention as something that needed improvement. The report says retention increased after a new induction programme, but families may wish to ask about the current position.
“The provider had identified a need to improve staff retention.” from the report
- 01What is the current staff retention rate, and has the improved induction programme continued?
- 02How do you adjust staffing each day when a person’s care needs change?
- 03How are falls monitored now, and has the reduction reported by inspectors been maintained?
- 04How will you use my relative’s life history, interests, faith and communication needs when creating their care plan?
- 05What activities and community links are currently available for people who may be socially isolated?
This was an unannounced comprehensive inspection covering all five CQC questions, the premises and the care provided. This explanation was written from the published report of 22 November 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, March 2017
Maids Moreton Hall was rated Outstanding; inspectors found exceptionally caring and well-led support, with some problems in meal-time organisation.
This was an unannounced inspection on 9 and 10 January 2017. Inspectors spoke with people living in the home, relatives, staff, a GP and other professionals. They reviewed care plans, recruitment and training records, watched care and medicines being given, and checked the home's records and audits.
The overall rating was Outstanding. Caring and well-led were Outstanding. Safe, effective and responsive were Good. Inspectors found people were protected from abuse and avoidable harm, medicines were managed safely, and staff were recruited and trained properly.
People were treated with kindness, dignity and respect. The home supported people to keep important relationships, take part in activities and continue interests in the local community. Inspectors noted that meal service was poorly organised on the first day, but it was much better on the second day after this was raised with the management.
Kind and respectful staff
Inspectors saw staff consistently showing kindness, compassion and respect. Staff knew people well and adapted their approach to each person.
“The staff always engage positively with residents and are sensitive to their moods and needs.” from the report
Safe care
Risks were assessed and managed without unnecessarily limiting people's independence. Medicines, recruitment, safeguarding and accident reporting were also found to be safe.
“Potential risks to people had been assessed and appropriate action put in place to help prevent harm to people.” from the report
Strong leadership
Inspectors found experienced management, approachable leaders and staff who understood the home's values. The home used audits and meetings to keep track of quality and improve care.
“There was a clear commitment from all staff to provide an exceptional service.” from the report
Meaningful activities
People helped decide which activities were offered. The home provided activities inside the home and supported links with schools, local groups, the church and other community activities.
“Residents meeting notes clearly evidenced that people living in the service were involved in every stage of the planning of activities at the service.” from the report
Meal-time organisation
needs fixingOn the first inspection day, some people waited at the dining table for over an hour and inspectors said the service lacked organisation. The service was much improved on the second day after inspectors raised this with the manager.
“On day one of the inspection the meal times observed appeared to lack organisation and some people were seated at the dining table from 12.25 to 13.45.” from the report
Mixed views about food
minorSome people liked the food and choice, but others were unhappy with particular meals and said plates were not always hot. Families should ask how food preferences and complaints are followed up now.
“I am not very keen on the food. Sausage rolls and beans are not good at present.” from the report
- 01How do you make sure people are not left waiting during meal times?
- 02How do you record and respond when someone dislikes a meal or says their food is not hot enough?
- 03How are people's food preferences, nutritional needs and choices recorded and shared with staff?
- 04How will you support my relative to continue important family events, hobbies or links with the local community?
- 05How will you involve my relative and our family in care planning and reviews?
This was an unannounced inspection of the overall service and all five key questions, and it was the first inspection since the change in registered provider. This explanation was written from the published report of 7 March 2017 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Maids Moreton Hall
2 rated inspections over 3 years: the service has held its Outstanding rating throughout.
- November 2019Outstandingcurrent ratingstayed OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Outstanding
- March 2017OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Outstanding
- June 2015
Registered with the Care Quality Commission on 11 June 2015.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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