Maple View

Inspectors found that people were protected from infection and that staff used protective equipment safely.

“People were protected from the risk of infection as staff were following safe infection prevention and control practices.” from the report

The provider completed the recruitment checks inspectors reviewed before new staff started.

“The provider operated safe recruitment processes. Appropriate checks were completed before a new member of staff started working at the service.” from the report

People could access health professionals when needed, and hospital passports were in place.

“People had access to health professionals when required.” from the report

People's rooms were individually decorated with personal belongings and equipment important to them.

“Peoples' rooms were personalised and individually decorated with things important to them, for example TV's, gaming equipment, pictures, and photographs.” from the report

An incident of physical restraint was not supported by suitable care plans, current training, follow-up or learning. Other safeguarding concerns had not been referred to the relevant authorities.

“People were not protected from avoidable harm or abuse.” from the report

Inspectors found unsecured chemicals, incomplete risk assessments, an open front door despite an absconding risk, unsafe fire arrangements and weak monitoring of water safety.

“The providers arrangements to identify and mitigate risk were not effective.” from the report

Some as-required medicines lacked proper instructions, topical creams were not signed for, and audits failed to identify these problems.

“Systems and processes to administer medicines safely were not always clearly in place or followed.” from the report

The home was not following the Mental Capacity Act. An authorisation had expired, and inspectors found no mental capacity assessments for some restrictions and supervision.

“We found the service was not working within the principles of the MCA.” from the report

One person's care records showed a large weight increase and frequent unhealthy snacks, without effective support or management of the related risks.

“People were not always supported to eat a healthy and balanced diet.” from the report

The provider's checks did not identify serious problems, and actions from meetings and feedback were not reliably followed up.

“The providers quality and assurance and governance arrangements at Maple View were not reliable or effective in identifying the shortfalls in the service.” from the report