Maynell House

Updated 17 August 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was undertaken by 1 inspector.

Service and service type

Maynell House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Maynell House is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 6 people who used the service and observed the interactions between staff and people. We spoke with 6 staff including the registered manager, regional area manager, team leader, care staff and activities and catering staff.

We reviewed the care plans and risk assessments of 3 people who used the service and multiple medicines records. We looked at 3 staff files including recruitment, training and supervision. We also reviewed a range of records relating to the governance of the service including audits, monitoring checks and minutes from meetings attended by staff and people using the service.

Following our inspection visit, we received electronic feedback from 5 relatives and 2 staff members. We also spoke with 2 relatives on the telephone.

Updated 17 August 2023

About the service

Maynell House is a residential care home providing accommodation and personal care to up to 25 people in an adapted building. The service provides support to older people. At the time of our inspection there were 21 people using the service, some were living with dementia.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there was a person using the service who had a learning disability.

People were provided with a safe service and systems in place reduced the risks of abuse and avoidable harm. People received their medicines when they needed them.

Staff were available to provide support where required and staff were recruited safely. Staff were caring in their interactions with people. People’s independence, privacy and dignity were promoted and respected.

The home was clean and hygienic. There was a programme of refurbishment being undertaken to ensure the service was well maintained throughout.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People’s views about the service were valued and used to drive improvement.

People had access to activities which reduced the risks of boredom and isolation. People were supported to maintain contact with their friends and family, including visits.

People’s care needs and preferences were assessed prior to moving into the service and the assessments were used to inform their care plan, which were kept under review. Care plans identified the care and support people required and the choices they made in how they wished to live their lives, including end of life decisions and how they wished to receive care and support.

People received support with their dietary and hydration needs. Support to access health professionals was provided, where required. The service worked in partnership with other professionals involved in people’s care to ensure they received consistent care and support.

The registered manager had an oversight of the service, and a programme of monitoring and audits supported them to identify shortfalls and address them.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 23 September 2017).

Why we inspected

This comprehensive inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

The overall rating for the service has remained good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Maynell House on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.