Maple Manor

People received compassionate care. Staff protected privacy and dignity and supported people in a way that respected their choices and independence.

“People received kind and compassionate care. Staff protected and respected people's privacy and dignity.” from the report

Inspectors found enough staff to meet people's needs and support activities both at home and in the community. Relatives also said staffing was reliable.

“The provider ensured there were sufficient numbers of suitable staff available to meet people's needs.” from the report

Medicine records were accurate and staff gave medicines as prescribed. Checks were in place to reduce the risk of inappropriate over-medication.

“Accurate medicine records were maintained, and Medication Administration Records [MAR] demonstrated people received their medicines as they should” from the report

Staff understood how people communicated, including through pictures, symbols, signs and other individual methods. Relatives said communication with the service was good.

“Relatives told us communication with the service was good.” from the report

There were not enough trained fire marshals on every shift. Emergency evacuation plans did not fully explain some people's distress behaviours, medicines and reduced staffing at night. This was a breach of Regulation 12.

“This placed people at potential risk of harm. This was a breach of Regulation 12 [Safe care and treatment]” from the report

Some required training was missing or overdue. This included Oliver McGowan learning disability and autism training, practical physical restraint training and checks of competency for emergency seizure medicines.

“The provider did not always make sure staff had the skills, knowledge, and experience to deliver effective care and support.” from the report

The provider did not identify or deal with problems quickly enough. Actions from provider meetings and external recommendations were not routinely followed up. This was a breach of Regulation 17.

“The provider did not have sufficient oversight of what was happening at the service.” from the report

Where decisions were made in people's best interests, records did not say who had been involved or consulted. The manager said improvements would be made.

“Information relating to who had been involved and consulted in the decision-making process was not recorded.” from the report