25 July 2023
During a routine inspection
Maples Care Home is a care home set over three floors and provides residential, nursing and dementia care and support for up to 75 older people. At the time of our inspection, 61 people were using the service.
People’s experience of using this service and what we found
Risks were not always assessed, identified and/or updated and risk management plans were not always in place to manage risks safely. Records were not always completed and monitored in line with people's individual needs. Medicines were not always safely managed. Staff were not always available when needed. Accidents and incidents were not analysed and learning from this was not disseminated to staff.
People were not always supported to eat and drink when required. Staff training was not up to date, with no training provided for Epilepsy. Supervisions and appraisals were not carried out in line with the provider’s supervision policy. People’s privacy and dignity was not always respected. People were supported to have maximum choice and control of their lives. People's needs were not always met by the design and decoration of the home. We have made a recommendation about sourcing designs and decoration that would be conducive to people who live with dementia.
People and/or their relatives were not always involved in planning their care needs. Complaints were not managed in line with the provider’s complaints policy. People’s communication needs were not always met. People’s end of life wishes, were not always documented. There was a lack of activities on offer to stimulate people. Systems in place were not effective to assess and monitor the quality of the service provided. Feedback was sought from people, their relatives and staff to improve on the quality of the service provided.
Assessments were carried out prior to people joining the service to ensure their needs could be met. People were protected from the risk of infection. The service worked in partnership with key organisations and health and social care professionals when required.
Rating at last inspection and update
The last rating for this service was Good (published 23 December 2020). At this inspection we found the provider was in breach of regulations.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection. The overall rating for the service has changed from Good to Inadequate. This is based on the findings at this inspection.
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Maples Care Home on our website at www.cqc.org.uk.
Enforcement
We have identified breaches in relation to safe care and treatment, staffing, person-centred care, dignity and good governance at this inspection. Please see the action we have told the provider to take at the end of this report.
Follow-up
The overall rating for this service is 'Inadequate' and the service is therefore in 'special measures'. This means we will keep the service under review and, if we do not propose to cancel the provider's registration, we will re-inspect within 6 months to check for significant improvements.
If the provider has not made enough improvement within this timeframe and there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.
For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it, and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.