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CQC report explained · a residential care home, run by Accomplish Group

Maple Leaf Lodge

Icknield Street, Forhill, Birmingham, B38 9EG

Goodpublished 19 May 2025, 15 months ago

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

The latest report, explained

What inspectors found, November 2023

Rated Requires Improvement; inspectors found kind, personalised care, but medicines, records and management checks were not always reliable.

This was an unannounced inspection on 26 September 2023. The inspector and an Expert by Experience reviewed care plans, medicines, staff recruitment and management records. They also spoke with people, staff and relatives.

People were treated with kindness and respect. Staff supported independence, choice, communication, activities and access to health professionals. Inspectors rated Effective, Caring and Responsive as Good.

There were important safety and management problems. One person's medicines were not always given as prescribed, some health and safety records had gaps, and some care information needed updating. Safe and Well-led were rated Requires Improvement. The overall rating changed from Good at the previous inspection to Requires Improvement.

What inspectors praised
  • Kind and respectful care

    Inspectors saw staff providing compassionate care and using language people understood. People's privacy, dignity and equality were respected.

    We observed that people received kind and compassionate care from staff who used positive, respectful language which people understood and responded well to.from the report
  • Choice and independence

    Staff focused on people's strengths and supported them to make choices about their care, rooms, activities and everyday lives.

    Staff focused on people's strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life.from the report
  • Personalised support

    Care plans reflected people's needs, communication preferences, health and longer-term goals. Staff adapted support as people's needs changed.

    People had care and support plans that were personalised, holistic, strengths-based and reflected their needs and aspirations, including physical and mental health needs.from the report
  • Activities and community access

    People were supported to take part in activities they chose, including outings, social interests and religious activities.

    We saw that activities offered included trips out, going to the cinema, an escape room, a theme park and going bowling.from the report
What inspectors were concerned about
  • Medicines were not always given as prescribed

    serious

    One person's medicines were not always administered as prescribed. There were no records showing what action had been taken when the person refused medicines.

    We found that one person's medicines were not always administered as prescribed.from the report
  • Important care and safety records

    needs fixing

    A health passport did not contain important information that could potentially put other people at risk. Some health and safety checks were also missing when inspectors arrived.

    We found some gaps in health and safety records.from the report
  • Management checks were not reliable enough

    needs fixing

    The home's governance systems did not always identify or prevent problems with records and medicines. There was also no registered manager in post at the inspection.

    Governance processes were not always effective.from the report
  • Communication with relatives

    needs fixing

    Some relatives said communication with the home needed improvement, including delays in receiving replies and not being told about a diagnosis.

    Some people's relatives told us that communication with the service required improvement.from the report
Questions to ask them, based on this report
  1. 01What has changed in the system for recording and checking medicine administration since the inspection?
  2. 02How do you make sure health passports and risk assessments contain all information needed to keep people safe?
  3. 03How often are health and safety checks completed, and how are missed checks followed up?
  4. 04How will you keep relatives informed about changes in a person's health and respond to calls promptly?
  5. 05Has the manager now registered with the CQC, and who is responsible for checking the home's improvement plan?

This was an unannounced inspection covering all five CQC questions, including the home, care, medicines, staffing and management records. This explanation was written from the published report of 23 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 Leaf Lodge

4 rated inspections over 9 years: the service has slipped, from Good to Requires improvement.

  1. November 2023Requires improvementcurrent rating
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Maple Leaf Lodge

  2. February 2022Inspected but not rated
    Safe: Inspected but not rated

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

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

    Read this report on cqc.org.uk

  4. October 2016Requires improvementdown from Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. December 2014Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. September 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. January 2011

    Registered with the Care Quality Commission on 13 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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