What the CQC found at Maypole Care Home

Medicines were given as prescribed, stored safely and checked through regular audits. Accidents, incidents and near misses were investigated and learning was shared.

“The provider had an embedded process for reporting accidents, incidents and near misses. These were investigated and learning to minimise future incidents shared with the team.” from the report

Care plans included people's wishes and needs. People could choose where to spend time, whether to join activities and how they received information.

“Care records reflected a personalised approach and care plans had detail that reflected peoples wishes as well as their needs.” from the report

Activities had improved with new activities staff. People who were cared for in bed could receive one-to-one sessions based on their interests.

“One to one sessions were provided to people who were cared for in bed and were designed around each person’s interests.” from the report

The new manager had helped create a more settled service. Staff, people and relatives reported improvements and the home had a broad auditing process.

“The new manager in post had already made improvements to staffing levels and the running of the service.” from the report

Inspectors found that some fluid records were incomplete, including records for people with fluid restrictions or specific fluid targets. Water was not always within people's reach, although people told inspectors they had enough to drink and there had been few urinary tract infections.

“We looked at fluid records. These had not always been fully completed. For example, for a person who should have restricted fluids, amounts had not been recorded or totalled, for another person who should have 1 to 2 litres of fluids had no records at all.” from the report

Some required or accurate pre-employment records were missing. The provider was transferring responsibility for these checks from head office to the home and had introduced new forms.

“Recruitment records held a range of required pre-employment checks and we noted some missing or incorrect records.” from the report

There had been several management changes, and the manager had been in post for only two weeks at the inspection. Inspectors said earlier temporary management arrangements had not been effective, although the new manager had already made improvements.

“There had been multiple changes in the management team at Maypole and when we inspected, a manager had been in post for only 2 weeks.” from the report