CQC report explained · a residential care home
What the CQC found at Maple House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found enough staff, safe recruitment, effective risk planning, safe medicines management and good infection-control practices.
- Effective?
- Good
- People's needs and choices were assessed, and staff had suitable training and competency checks. Nutrition, healthcare, the environment and consent were managed appropriately.
- Caring?
- Good
- People received kind and compassionate care. Staff respected privacy and dignity, understood individual communication needs and involved people and relatives in decisions.
- Responsive?
- Good
- Care was personalised and supported people's physical, emotional and social needs. People were supported with activities, relationships, accessible information and community involvement.
- Well-led?
- Good
- The home had visible and experienced leadership, regular quality checks and an open culture. The provider and manager worked with health and social care services.
What inspectors found, July 2019
Rated Good; inspectors found safe, kind and personalised care, with one incident-reporting shortfall identified and addressed.
This was an unannounced inspection over 7 and 10 June 2019. One inspector spoke with a person using the service, relatives and staff, and reviewed care, medicine, recruitment and management records.
The home supported five people with learning disabilities or autism. Inspectors found enough trained staff, safe medicines practices, a clean environment and effective safeguarding. People were treated with kindness, dignity and respect, and their care was tailored to their choices and needs.
All five CQC areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The report says outcomes were consistently good and feedback confirmed this. The previous inspection in November 2016 was also rated Good.
Staffing and safety
Inspectors found enough staff to meet people's needs. Agency staff used when needed were known to the people living there.
“There were enough staff to support people safely.” from the report
Kind relationships
Staff were patient and responsive. Inspectors saw positive relationships and a calm, friendly atmosphere.
“There was a connection between people and staff.” from the report
Personalised support
Care plans described people's preferences, communication needs and important routines. People and relatives were involved in reviewing their support.
“People were truly at the centre of their support.” from the report
Choice and independence
The home supported people to make choices, develop skills and take part in activities and community life.
“People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.” from the report
Accessible communication
Information was provided in formats people could understand, including large print and pictures.
“We saw continual evidence this was provided.” from the report
One incident was not reported
needs fixingA management audit found that one incident had not been reported. The home introduced a new reporting system and explained it to staff.
“For example, the manager identified during an audit that an incident had not been reported.” from the report
- 01How will you make sure every incident is reported promptly under the new reporting system?
- 02How will you keep my relative's care plan and risk assessments updated when their needs change?
- 03How do you make sure staff supporting my relative understand their communication needs and preferences?
- 04What activities and community opportunities could my relative take part in?
- 05How will you involve me and my relative in care plan reviews and decisions?
This was an unannounced planned inspection covering all five CQC questions, including the care provided and the care home premises. This explanation was written from the published report of 19 July 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, November 2016
Rated Good; inspectors found kind, safe and personalised care, but some records, training and quality checks needed improvement.
This was an unannounced comprehensive inspection on 1 September 2016. Inspectors reviewed care plans, risk assessments, staff records, medicines records and quality checks. They spoke with managers, care workers, a visiting professional and relatives, and observed the support given to all five people living at the home.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines arrangements, suitable training and support, and care that respected people's choices, dignity, communication needs and independence.
There were some shortfalls. Quality checks had not found missed monthly weights or gaps in food temperature records. Some staff still needed safeguarding and other training, and one possible safeguarding incident had not been reported to the CQC. The manager said a more detailed audit system would be introduced.
Kind and respectful care
Inspectors observed caring and compassionate support. People's privacy and dignity were respected.
“People were treated with kindness and compassion from staff. Their privacy and dignity was respected.” from the report
Personalised support
Care plans recorded individual preferences, routines and goals. Staff could explain how each person wanted to be supported.
“Support plans provided detailed information for staff about people's needs, their likes, dislikes and preferences.” from the report
Safe medicines
Medicines were stored, administered and recorded safely. Staff were trained and assessed as competent.
“People received their medicines safely as arrangements were in place for the safe storage, administration and disposal of medicines.” from the report
Choice and independence
People chose food, activities and aspects of their daily support. Staff helped them maintain or develop skills.
“People were supported to remain independent by staff who knew their preferences.” from the report
Quality checks missed issues
needs fixingThe home's checks did not identify all the problems found by inspectors, including missing weights and gaps in food temperature records. The manager said a more detailed audit system would be introduced.
“The provider had checks in place to monitor the quality of the service. This had not always identified all areas for improvement.” from the report
Missed monthly weights
needs fixingPeople had not always been weighed monthly as required by their support plans. The manager said this would be reviewed and that staff were working with physiotherapists about one person's weighing arrangements.
“We found that people had not consistently been weighed monthly even though this was asked for as part of their support plans.” from the report
Some training incomplete
needs fixingSome staff still needed training in important areas, including safeguarding. The manager said staff were working to complete the courses.
“Some staff needed to complete training in key areas such as safeguarding.” from the report
Incident notification
needs fixingOne possible safeguarding incident had been reported to a social worker but not to the CQC. The manager agreed that suspected safeguarding incidents would be notified in future.
“The registered manager had informed us about most incidents that had happened. We saw that there was one incident that had been reported to a social worker as a potential safeguarding concern.” from the report
- 01Has the new, more detailed audit system been introduced, and how does it check care records and food temperature records?
- 02Are all staff now up to date with safeguarding and other training relevant to the people living at the home?
- 03How are monthly weights recorded now, including for people whose mobility makes weighing difficult?
- 04What is the process for reporting suspected safeguarding incidents to the CQC and the local safeguarding team?
- 05How are each person's communication preferences and support plan reviewed with them and their relatives?
This was an unannounced comprehensive inspection covering all five rating areas and the overall quality of the service. This explanation was written from the published report of 1 November 2016 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 Maple House
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- July 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 10 December 2010.
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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Most charge £980 to £1,260 a week. 82 can care for a couple. 12 years' experience on average.
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