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CQC report explained · a residential care home

What the CQC found at Maple House

Goodpublished 10 November 2021, 4 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People's risks were assessed and staff had guidance on how to support them safely. Medicines were administered safely, although two missing signatures were found on medicine records and corrected during handover audits.
Effective?
Good
Staff received training and supervision and supported people with food, healthy living and healthcare appointments. Inspectors found that parts of the building were worn, unfinished or unmaintained.
Caring?
Good
Staff treated people with kindness, dignity and respect. People were involved in decisions, supported to be independent and given access to advocacy.
Responsive?
Good
Care plans reflected people's needs, preferences and communication methods. Staff supported people with activities, community access, relationships and complaints.
Well-led?
Good
The home had an open culture, regular quality checks and links with health and social care professionals. Staff said they felt supported and able to raise concerns.
The latest report, explained

What inspectors found, November 2021

Maple House rated Good; inspectors found safe, kind and personalised care, with some minor record and maintenance issues.

This was the first inspection since the service registered. It was unannounced and took place on 14 October 2021. One inspector spoke with one resident and four staff, checked care and medicine records, reviewed staff files and examined management records.

All five areas were rated Good: safe, effective, caring, responsive and well-led. Inspectors found that people were protected from avoidable harm, received medicines safely, had suitable care plans and were supported by trained staff.

People were treated kindly and supported to make choices, stay healthy, join activities and use the community. The home had systems for handling complaints and checking the quality of care.

Inspectors noted that parts of the building were unmaintained, one employment history gap had not been followed up and two medicine records lacked staff signatures. These issues were raised during the inspection and the medicine records were corrected.

What inspectors praised
  • Personalised risk support

    Risks linked to mental health, smoking, behaviour, community access and emergencies were assessed and reviewed. Staff had clear guidance on how to support people safely and in the least restrictive way.

    “People's risk assessments were tailored to their needs and provided clear guidance to staff on how to support them safely and in the least restrictive ways.” from the report
  • Choice and communication

    People were involved in their care and could choose food, activities and how to spend their time. Information was adapted for a person whose first language was not English.

    “Care plans contained specific information on people's communication needs. This meant staff were able to communicate with people effectively and in their preferred ways.” from the report
  • Quality checks and openness

    The home used audits, meetings and surveys to gather views and improve care. Staff and people were able to share concerns and feedback.

    “The service had robust quality assurance systems in place. The registered manager carried out regular audits around health and safety, infection control, medicines and people's finances.” from the report
What inspectors were concerned about
  • Missing medicine signatures

    needs fixing

    Two medicine administration records did not have staff signatures. Staff identified and corrected the gaps during handover audits.

    “We found two gaps on the MAR where staff signatures were missing which staff quickly identified and rectified during the handover audits.” from the report
  • Worn and unfinished areas

    minor

    The living room was poorly decorated, its furniture was worn and the laundry room was unfinished. The home had an improvement plan involving residents.

    “Although the home was bright and spacious, it lacked a homely feel and parts of it were unmaintained.” from the report
Questions to ask them, based on this report
  1. 01What improvements have been made to the worn living room furniture and unfinished laundry room since the inspection?
  2. 02How are employment gaps now checked and recorded before staff start work?
  3. 03What checks are used to make sure every medicine administration is signed correctly?
  4. 04How will residents continue to choose and review home improvement work?
  5. 05How are staffing levels increased when residents are unsettled or have appointments?

This was an unannounced first inspection of the care home, covering all five quality areas and infection prevention and control; the registered domiciliary care agency service was not being provided at the time. This explanation was written from the published report of 10 November 2021 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 House

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. November 2021Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Maple House →

  2. April 2020

    Registered with the Care Quality Commission on 15 April 2020.

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

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At least 100 live-in carers within about an hour of Barnet

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