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CQC report explained · a residential care home

What the CQC found at Maple Cottage

Outstandingpublished 12 April 2023, 3 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors found that risks were assessed and monitored, medicines were safely managed and support was always available. Infection prevention arrangements were also found to be effective.
Effective?
Good
The person's needs were reviewed with health and social care professionals. The person had suitable food choices, healthcare support, a well-maintained environment and support that followed mental capacity law.
Caring?
Good
The person was treated with dignity and respect and was involved in everyday decisions. Inspectors saw that their wishes, privacy and need for personal space were respected.
Responsive?
Outstanding
Care was highly tailored to the person's needs, communication and preferences. The home supported relationships, interests, confidence and meaningful activities, while also planning for future and end of life needs.
Well-led?
Outstanding
The provider created a strong person-centred culture and worked closely with relatives and professionals. Inspectors found systems for monitoring quality, learning and improving the home.
The latest report, explained

What inspectors found, April 2023

Rated Outstanding overall; inspectors found safe, kind and highly personalised care, with Outstanding ratings for responsiveness and leadership.

Inspectors visited on 19 January 2023. They spoke with the provider, observed care, reviewed records and spoke with a relative and a visiting professional. They looked at care records, medicines, risks, policies and infection control.

The home provides personal care for one person with a learning disability and autism. Inspectors found a safe, clean and comfortable home where the person had choice, privacy, independence and control over daily life. Medicines were given as prescribed and healthcare was arranged when needed.

The care was especially personalised and responsive. The home supported the person to enjoy activities, keep relationships and build confidence while respecting their anxieties. Inspectors also found strong leadership, good professional links and systems to monitor quality.

The overall rating was Outstanding. Safe, Effective and Caring were rated Good. Responsive and Well-led improved from Good at the previous inspection to Outstanding. The previous overall rating was Good, published on 3 March 2017.

What inspectors praised
  • Choice and independence

    The person had control over daily routines, food, activities and personal care. The home used the least restrictive approach and supported the person to make decisions.

    “The model of care and setting maximised the person's choice, control and independence.” from the report
  • Highly personalised care

    The provider understood the person's communication, anxieties and preferences in detail. Support plans were developed with professionals and included pictorial information.

    “The person had highly personalised support plans in place which gave detailed information regarding the person's needs, anxieties, preferences and dislikes.” from the report
  • Meaningful relationships and activities

    The home helped the person maintain family links, develop friendships and enjoy interests. Support also helped the person gain confidence to go out and visit others.

    “The service truly enriched the person's life, as well as making a significant difference to their family members” from the report
  • Strong leadership

    The provider showed long-term commitment to the person's rights and wellbeing. Regular contact with professionals helped provide outside oversight and support.

    “Governance systems were embedded within the service to monitor quality and drive continuous improvement.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would care continue if the provider could not provide support, and who would provide the planned backup?
  2. 02How would you learn and use my relative's communication style, anxieties, preferences and dislikes?
  3. 03How would my relative be supported to choose their daily routines, food, activities and personal care?
  4. 04How often would health and social care professionals visit, and how would family members be involved?
  5. 05How would you support my relative to maintain relationships, enjoy interests and take part in activities outside the home?

This inspection covered all five key questions, the care provided to one person and infection prevention and control; the home does not provide nursing care. This explanation was written from the published report of 12 April 2023 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.

The story over the years

Every inspection of Maple Cottage

2 rated inspections over 6 years: the service has improved, from Good to Outstanding.

  1. April 2023Outstandingcurrent ratingup from Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Maple Cottage →

  2. March 2017Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. May 2021

    Registered with the Care Quality Commission on 13 May 2021.

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.

Next steps

Weigh the report against the rest

Care at home

77 live-in carers within about an hour of Surrey

These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

Most charge £980 to £1,250 a week. 66 can care for a couple. 11 years' experience on average.

“Without his support we wouldn't have been able to navigate bringing and keeping Dad at home.”
Emma P., about Aman A.
“Not only has she looked after him beautifully, she has also been great company for him with lively conversation, kindness and humour.”
Clare M., about Zion S.
See live-in carers near SurreyProfiles, rates and reviews are free to look at.

Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.