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CQC report explained · a residential care home, run by Maple Health

Maple House

1 Amber Court, Berechurch Hall Road, Colchester, CO2 9GE

Goodpublished 10 November 2025, 9 months ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The latest report, explained

What inspectors found, November 2023

Rated Inadequate and placed in special measures; inspectors found serious risks from restraint, safeguarding, staffing, medicines and poor leadership.

Inspectors visited unannounced on 28 September and 4 October 2023. They spoke with a person, relatives and staff, observed care, and checked care plans, risk assessments, medicines, recruitment records, incidents and management checks.

The home was not safe. Inspectors found unsafe and disproportionate physical restraint, weak safeguarding, incomplete risk assessments, fire safety problems, medicines concerns and poor infection control. Staff training and recruitment checks were also not reliable.

Care was not consistently effective, caring or person-centred. Some people had good access to health professionals, food and activities, but inspectors found poor dignity, outdated care records, weak consent arrangements and restrictions that did not support people's rights and independence.

The overall rating was Inadequate. Safe, Effective, Caring and Well-led were rated Inadequate, while Responsive was rated Requires Improvement. The rating had fallen from Good at the previous inspection, published on 2 August 2018.

What inspectors praised
  • Health support

    People were referred to health professionals and had health action plans or health passports to help professionals understand their needs.

    People were referred to health care professionals to support their wellbeing and help them to live healthy lives, such as the specialist epilepsy nurse, the GP, and physiotherapy.from the report
  • Food and nutrition

    People were supported with food and drink, involved in meal choices and encouraged to eat healthily.

    People were involved in choosing their food, shopping, and planning their meals, and staff encouraged healthy eating.from the report
  • Personalised bedrooms

    Inspectors found that bedrooms were clean, decorated and personalised, and that most areas were in good decorative order.

    We saw people's bedrooms were clean, decorated and personalised.from the report
What inspectors were concerned about
  • Unsafe restraint

    serious

    Staff used ad hoc and disproportionate physical restraint without legal authority. Some staff had not had restraint training since 2019, and there was no restraint policy or detailed guidance.

    Multiple incident reports showed staff using ad hoc, disproportionate and 'non-recognised' restraint without legal authority.from the report
  • Safeguarding failures

    serious

    Incidents and safeguarding concerns were not effectively investigated or analysed. Inspectors said people were placed at significant risk of harm.

    This placed people at significant risk of harm.from the report
  • Fire and other safety risks

    serious

    Risk assessments for areas including choking, restraint and fire were poor or missing. Fire doors identified as faulty had not been repaired, and one person at risk of choking had no choking risk assessment.

    The provider's own audits had identified multiple fire doors which were not working correctly since April 2023, but no action had been taken to repair them.from the report
  • Medicines management

    serious

    Medicine instructions were unclear, authorisation for crushing tablets was missing and a distress medicine dose was changed before consulting a prescriber. Records for some remedies could also be confusing or inaccurate.

    There was no GP or pharmacist authorisation held on file.from the report
  • Poor staff support and recruitment

    serious

    Training, supervision and recruitment checks were inconsistent. One staff member started before a full employment history and two references had been obtained.

    Safe recruitment checks were not completed to ensure all staff were suitable for the role.from the report
  • Weak leadership and culture

    serious

    Governance systems did not identify or fix known problems. Staff reportedly felt unable to raise concerns safely, and the home missed required notifications to CQC.

    There were multiple indicators of a closed staff culture, which included leaders, placing people at the ongoing risk of receiving poor care.from the report
Questions to ask them, based on this report
  1. 01What restraint methods are staff allowed to use now, and how do you make sure every staff member is trained and competent?
  2. 02What action has been taken on safeguarding concerns, incidents and allegations about staff conduct?
  3. 03Have the fire doors, choking assessments and personal emergency evacuation plans been corrected and checked?
  4. 04How are medicines that may need crushing or may be used when someone is distressed authorised and reviewed by a prescriber or pharmacist?
  5. 05What evidence can you show that care plans, staff training, audits and consent or DoLS records have been brought up to date?

This was a full, unannounced inspection covering all five key questions, including infection prevention and control; the previous ratings were Good in 2018. This explanation was written from the published report of 11 November 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Maple House

4 rated inspections over 8 years: the service has slipped, from Good to Inadequate.

  1. November 2023Inadequatecurrent rating
    Safe: InadequateEffective: InadequateCaring: InadequateResponsive: Requires improvementWell-led: Inadequate

    Read what inspectors found at Maple House

  2. June 2021Inspected but not rated
    Safe: Inspected but not rated

    We are reading this report · the original is on cqc.org.uk

  3. August 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. May 2017Requires improvementdown from Good
    Safe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. June 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2011

    Registered with the Care Quality Commission on 25 January 2011.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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Same provider

Other services run by Maple Health UK Limited

4 other services on the CQC register. A pattern across a group tells you more than one report.

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