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

Mapperley Lodge

24 Ebers Road, Mapperley Park, Nottingham, NG3 5DZ

Goodpublished 10 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 had individual risk assessments, suitable staffing and safe medicines systems. Inspectors identified a fire safety risk because two people smoked in their bedrooms, and the provider sought advice from the fire and rescue service after the inspection.
Effective?
Good
Care plans were regularly reviewed and people were supported with choices, food, independence and healthcare. Staff had completed the training the provider considered necessary.
Caring?
Good
This key question was not inspected separately in this visit, so no separate rating is given in this report.
Responsive?
Good
This key question was not inspected separately in this visit, so no separate rating is given in this report.
Well-led?
Good
Inspectors found clear management arrangements, regular audits and an open culture. People, relatives and staff were involved in giving views about the service.
The latest report, explained

What inspectors found, January 2024

Mapperley Lodge is rated Good; inspectors found safe, kind and well-managed care, with fire safety around bedroom smoking needing attention.

The unannounced inspection took place on 15 November 2023, with follow-up calls to relatives until 22 November. One inspector and one Expert by Experience visited. They spoke with five people, five staff members and two relatives, and checked care, medicines, recruitment and management records.

The home supported six people and could support up to seven. Inspectors rated Safe, Effective and Well-led as Good. They found individual care plans, suitable staffing, safe medicines management, trained staff and prompt access to health services. People were supported to make choices, stay independent and keep in touch with family and friends.

Two people were smoking in their bedrooms despite this being an identified fire risk. After the inspection, the provider worked with the fire and rescue service for advice on stronger fire safety risk management. The overall rating remained Good. The previous provider was also rated Good in January 2018, but the home now has a new provider.

What inspectors praised

  • Choice and independence

    Staff supported people to make everyday choices and do as much as possible for themselves. Their communication needs and personal preferences were included in care planning.

    “Staff supported people to have the maximum possible choices, control and independence over their own lives.” from the report

  • Kind, personalised support

    People received care from staff who understood their individual needs, communication styles, privacy and dignity. The home had a comfortable, homely atmosphere.

    “People received support from kind staff who understood and responded to their individual needs.” from the report

  • Medicines managed safely

    Medicines were stored securely, given at the right times and recorded accurately. Staff had regular training and checks of their competence.

    “All the MAR we viewed were up to date and accurately completed.” from the report

  • Good oversight

    The registered manager and operations manager used audits and staff meetings to monitor quality and act when shortfalls were found. Each person also had a named keyworker.

    “The registered manager had a range of measures to quality monitor all areas of the service and make continual improvements.” from the report
What inspectors were concerned about

  • Fire risk from smoking in bedrooms

    serious

    Two people smoked in their bedrooms even though this had been identified as a risk. The provider sought advice from the fire and rescue service after the inspection, so families should ask what has changed and how the risk is now controlled.

    “We identified 2 people who had made unwise choices to smoke tobacco products in their personal bedroom spaces despite this being an identified risk.” from the report
Questions to ask them, based on this report
  1. 01What changes have been made to manage the fire risk from smoking in bedrooms?
  2. 02What advice did the fire and rescue service give after the inspection, and has all of it been acted on?
  3. 03How will you assess and support my relative's communication needs and preferred ways of making choices?
  4. 04How will you keep my relative's care plan and health information up to date?
  5. 05How can families raise concerns, and how will the home show what action was taken?

This was an unannounced inspection of Safe, Effective and Well-led; Caring and Responsive were not separately inspected and the overall rating used the current findings alongside the previous rating. This explanation was written from the published report of 10 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 Mapperley Lodge

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. January 2024Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Mapperley Lodge →

  2. January 2018Goodstayed Good
    Safe: GoodEffective: GoodWell-led: Good

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

  3. December 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. October 2014Inspected but not rated
    Safe: Inspected but not ratedEffective: Inspected but not ratedCaring: Inspected but not ratedResponsive: Inspected but not ratedWell-led: Inspected but not rated

    Read this report on cqc.org.uk

  5. September 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. September 2013

    Registered with the Care Quality Commission on 18 September 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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