Background to this inspection
Updated
20 August 2019
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 Care Act 2014.
Inspection team
The inspection was conducted by one inspector and one assistant inspector.
Service and service type
Maple Leaf House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service did not have a manager registered with the CQC. However, a manager had been appointed and was going through our registration process. This means that the provider is legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the 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. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We contacted Healthwatch Leicestershire, Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We also contacted the local authority for feedback. We used all this information to plan our inspection.
During the inspection
We spoke with three people who used the service and two relatives about their experience of the care provided. We spoke with seven members of staff including, the manager, two care workers, the activities coordinator, the chef and the deputy manager.
We reviewed a range of records. This included one person’s care records and multiple medication records. We looked at records in relation to training and staff supervision. A variety of records relating to the environment and the management of the service were reviewed.
Updated
20 August 2019
About the service
Maple Leaf House is a care home service with nursing, it provides personal and nursing care to young adults, older people, people with mental health conditions or dementia. At the time of the inspection there were 28 people using the service. The service can support up to 30 people.
The building is purpose built and set over three floors with lift access to all floors. People have their own rooms with private facilities and there is a courtyard and garden area.
People’s experience of using this service and what we found
We made a recommendation around supporting people with orientation in the home.
People were safe. Risk assessments were in place and reviewed regularly to ensure safe care continued.
Staff had received training and could recognise signs of abuse and knew when and how to report it.
Safe recruitment procedures meant that suitable staff were employed.
Medicines were managed, stored and disposed of safely.
Infection control measures were in place.
People’s choices, lifestyle, religion and culture as well as their personal and health care needs were planned into care delivery.
People were supported to access health care services when needed.
Staff had been trained and had the skills needed to do their job.
People’s needs were met by good planning and coordination of care.
Pre-admission assessments took place to ensure the service could meet people’s needs prior to care starting.
A complaints procedure was in place and complaints were responded to in line with the policy.
The provider, management team and staff had developed an open and honest culture, people and staff found them friendly and supportive.
The manager had good oversight of the service from the quality monitoring processes.
Learning and skill development was actively encouraged, and staff felt confident in their role.
The manager worked in partnership with other professionals to strive for good outcomes for people who used the service.
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.
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 15 December 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.