What the CQC found at Maypole Grove

Risk assessments were in place and updated. The home also checked equipment, fire safety and water safety.

“Risks to people's health and wellbeing were managed safely and effectively.” from the report

Staff had the required training and were assessed as competent. Nurses carried out regular medicines audits and acted on any shortfalls.

“Staff had completed the necessary training and been assessed as competent to administer people's medicines safely.” from the report

Care plans gave staff guidance about people's health needs. The home made referrals and worked with specialist services when needed.

“The service worked in partnership with a number of specialist agencies to ensure people received the support they needed.” from the report

Inspectors found that earlier improvements in governance and care plan audits had become established. The management team had remained consistent.

“At this inspection, we found there had been embedded and sustained improvements, the management team had remained consistent and delivered a consistent approach to working practices.” from the report

Inspectors were only somewhat assured that PPE was being used safely because two staff were not wearing face coverings. The home introduced transparent face coverings after the inspection.

“Two staff were seen not wearing their face coverings.” from the report

Agency staff were being used because of permanent vacancies. The home said it had recruited new staff and expected agency hours to reduce.

“The service had recruited new staff and expected the number of agency hours would reduce.” from the report

Staff said the care files were difficult to manage because they were large and included information that could be archived. The provider had identified this but had not yet replaced the system.

“Nursing and care staff had raised with us the size and complexity of the care files because they found them to be 'large and bulky' and contained information that could be archived.” from the report