Maple Tree Care Limited
Dereham, NR19
Residential
Rated 2 years agoReport explained
CQC report explained · a residential care home, run by Maple Tree Care
Maple Tree Care Ltd
2 Epsom Gardens, Dereham, NR19 1TY
Goodpublished 9 January 2024, 2 years ago
Rated Good: inspectors found the service performing well and meeting their expectations.
The five questions inspectors ask
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found safe staffing, recruitment, medicines, infection control and risk management.
- Effective?
- Good
- This question was not inspected during this focused visit. Its earlier rating was used in calculating the overall rating.
- Caring?
- Good
- This question was not inspected during this focused visit. Its earlier rating was used in calculating the overall rating.
- Responsive?
- Good
- People received individual support, meaningful activities and help to maintain relationships. However, future goals were not always identified and end-of-life care plans were not in place.
- Well-led?
- Good
- The home had an open culture, approachable leadership and effective checks on care quality. Families and staff were involved and concerns were acted on.
The latest report, explained
What inspectors found, January 2024
Maple Tree Care Ltd was rated Good; inspectors found safe, kind and personalised care, with some care planning still to improve.
This was an unannounced focused inspection on 28 November 2023. One inspector spoke with a resident, relatives, staff and the manager. They observed care and checked care plans, medicine records, staff files, audits and other records.
The home was rated Good for Safe, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, a clean environment and good safeguarding arrangements. People were supported to make choices, take part in activities and keep in touch with family.
Some people's future goals and hopes had not been recorded. End-of-life care plans were also not in place, although nobody was receiving end-of-life care during the inspection. The manager said these areas would be addressed.
The inspection did not assess Effective or Caring. The report says the overall Good rating used earlier ratings for questions that were not inspected. The last rating was also Good, published on 9 December 2017.
What inspectors praised
Safe staffing
There were enough suitable staff, and the staff team knew the residents well. Recruitment checks were completed.
“The provider ensured there were sufficient numbers of suitable staff.” from the report
Safe medicines
Medicines were stored safely and staff had regular training and competency checks.
“Staff received medicines training and assessments of competency in managing people's medicines which was assessed every 3 months.” from the report
Choice and community life
Residents were supported to make daily choices, follow their routines, access the community and take part in activities they enjoyed.
“People were supported to access the wider community and participate in activities.” from the report
Open leadership
Families and staff described the manager as approachable. The home used feedback and audits to identify and act on improvements.
“There was a positive and open culture at the service.” from the report
What inspectors were concerned about
Future goals not always recorded
needs fixingSystems existed to identify people's goals and outcomes, but inspectors found this was not always done. The manager said they would work with residents and staff to improve this.
“However in some cases we found that goals were not always being identified, therefore people had not always been supported to identify their future hopes and aspirations.” from the report
End-of-life plans
needs fixingNo one was receiving end-of-life care at the inspection, but end-of-life care plans were not in place. The manager said they were working with residents and families to start these plans.
“End of life care plans were not in place during the inspection” from the report
Questions to ask them, based on this report
- 01How will you make sure my relative's future hopes, goals and aspirations are recorded and reviewed?
- 02How will you develop an end-of-life care plan with my relative and our family if it becomes needed?
- 03What were the earlier ratings for Effective and Caring, which were not assessed in this inspection?
- 04How often are medicines competencies checked for staff caring for my relative?
- 05How do you use feedback from residents, families and staff to make improvements?
This was a focused inspection of Safe, Responsive and Well-led; Effective and Caring were not inspected and earlier ratings were used to calculate the overall rating. This explanation was written from the published report of 9 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.
The story over the years
Every inspection of Maple Tree Care Ltd
3 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- January 2024Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2017Goodup from Requires improvementSafe: GoodResponsive: GoodWell-led: Good
- September 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- April 2013
Registered with the Care Quality Commission on 3 April 2013.
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 Tree Care Limited
1 other service on the CQC register. A pattern across a group tells you more than one report.
Good
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