CQC report explained · a residential care home, run by Maple Tree Care
Maple Tree Care Limited
3 Epsom Gardens, Dereham, NR19 1TY
Rated Good: inspectors found the service performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found people were protected from abuse and avoidable harm. Risk assessments, staffing, recruitment, medicines, infection control and emergency arrangements were managed safely.
- Effective?
- Good
- Care was based on people's needs and choices, and staff had training and support. Inspectors noted that long-term aspirations were not always fully explored.
- Caring?
- Good
- Staff were caring, positive and respectful. People were supported to express their views, maintain relationships and develop independence.
- Responsive?
- Good
- Care was personalised and communication was adapted to people's needs. Inspectors found that systems for recording people's goals and aspirations were not yet being used effectively.
- Well-led?
- Good
- Inspectors found a positive and open culture, clear management responsibilities and systems to monitor care quality. People, relatives and staff were involved and their feedback was used.
What inspectors found, January 2024
Rated Good in all five areas; inspectors found kind, safe care but people's longer-term goals were not always clearly recorded.
This was the home's first inspection since it registered in October 2022. It was an unannounced, comprehensive inspection on 29 November 2023. One inspector spoke with a person using the service, a relative, staff, the registered manager and a supporting professional. Records, medicines, care plans, staff files and quality checks were also reviewed.
The home supported three people with learning disabilities and autistic people, with space for up to four. Inspectors found people were safe, treated with kindness and supported by staff who knew them well. Medicines, staffing, infection control, risk management and safeguarding arrangements were found to be safe.
People were supported to make choices, take part in activities, keep relationships and use health services. The home was clean and adapted to people's needs. Inspectors found an open culture and clear management systems, but said longer-term goals were not always fully explored or clearly evidenced. End-of-life care plans were not yet in place, although no one was receiving end-of-life care at the time.
Safe staffing and medicines
There were enough staff, recruitment checks were completed and staff were trained to manage medicines safely.
“The provider ensured there were sufficient numbers of suitable staff.” from the report
Kind, respectful care
Staff knew people well and treated them with kindness, dignity and respect. People were supported to make choices and remain independent.
“Staff were caring, positive and respectful towards people, we observed staff laughing with people and enjoying each other company.” from the report
Personalised activities
People were supported to follow their interests, take part in meaningful activities and access the community.
“People were supported to access the community and experience meaningful activities in line with their need and wishes.” from the report
Open leadership
Inspectors found a positive culture, clear oversight and involvement from people, relatives and staff.
“There was a positive and open culture at the service.” from the report
Long-term goals
needs fixingCare plans reflected current needs, but inspectors said longer-term aspirations were not always fully explored. The registered manager said the goal-planning process was being reviewed.
“long term aspirations were not always fully explored.” from the report
Clear evidence of goals
needs fixingThe home had systems for goal planning, but inspectors could not find clear evidence of people's goals and aspirations in the records.
“we were unable to find clear evidence of people's goals and aspirations.” from the report
End-of-life planning
needs fixingEnd-of-life care plans were not in place during the inspection. No one was receiving end-of-life care at the time, and the registered manager said they were working with people and families to prepare these plans.
“End of life care plans were not in place during the inspection” from the report
- 01How are my relative's longer-term goals and aspirations now recorded and reviewed?
- 02What changes have been made to the goal-planning process since the inspection?
- 03How would you record and review my relative's end-of-life wishes if their needs changed?
- 04How would my relative be supported to take part in activities and access the community?
- 05How do you involve relatives in care reviews and in responding to suggestions or concerns?
This was an unannounced comprehensive inspection covering all five rating areas and was the home's first inspection. This explanation was written from the published report of 20 January 2024 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.
Every inspection of Maple Tree Care Limited
Each visit the CQC has published, newest first, back to the day the service was registered.
- January 2024Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2022
Registered with the Care Quality Commission on 28 October 2022.
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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Other services run by Maple Tree Care Limited
1 other service on the CQC register. A pattern across a group tells you more than one report.