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CQC report explained · a residential care home

Max Potential

6 Meltham Place, Back Willows Lane, Bolton, BL3 4AD

Goodpublished 29 December 2023, 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, and staffing levels matched people's needs. Inspectors identified gaps in medicines temperature monitoring, electrical testing and employment history checks, but the provider addressed these issues during or after the inspection.
Effective?
Good
People had detailed assessments and personalised support plans. Staff were trained and checked as competent, and people were supported with food, health care and decisions about their care.
Caring?
Good
Staff treated people with kindness, respect and humanity. People were supported to communicate, make decisions, develop skills and have privacy and independence.
Responsive?
Good
Support was personalised and adapted to people's communication needs, interests and choices. End-of-life wishes were not always recorded effectively, and CQC recommended improvements to this process.
Well-led?
Good
Managers were visible and approachable, and staff understood their roles. Quality systems were generally effective, although the inspection found areas needing further development, including medicines management and end-of-life records.
The latest report, explained

What inspectors found, December 2023

Max Potential was rated Good; inspectors found kind, safe and personalised care, but some records and safety checks needed improvement.

Inspectors visited on 6 and 7 December 2023, with inspection activity running from 6 to 8 December. They spoke with people, relatives, managers and staff. They observed care and communication, and checked support records, medicines records, staff files and quality checks.

The home supports four people with learning disabilities and autistic people. Inspectors found that people were safe, treated with kindness and supported to make choices. Staff understood people's communication needs, supported activities and helped people maintain their health and independence.

There were some shortfalls. Medicines storage temperatures were not being monitored, some electrical equipment had not been tested, and some employment history gaps had not been fully checked. The provider acted on these issues during or after the inspection. Records of people's end-of-life wishes were not always complete, so CQC made a recommendation.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection, published in January 2018.

What inspectors praised
  • Kind and respectful care

    Staff understood people as individuals and respected their preferences, privacy and dignity. Relatives said people were involved in decisions about their lives.

    Staff treated people with real kindness, respect, and humanity.from the report
  • Personalised communication

    People had individual communication plans, and staff knew how to use each person's preferred way of communicating. This helped people express their views and needs.

    Staff had good awareness, skills and understanding of individual communication needs, they knew how to facilitate communication and when people were trying to tell them something.from the report
  • Choice and independence

    Staff focused on what people could do and supported them to make choices, try new experiences and develop skills. People could personalise their rooms and take part in activities they wanted.

    Staff focused on people's strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life.from the report
  • Staffing and safeguarding

    There were enough staff with the right skills to meet people's needs. Staff understood safeguarding and knew people well enough to recognise distress and provide support.

    The numbers and skills of staff matched the needs of people using the service.from the report
What inspectors were concerned about
  • End-of-life records

    needs fixing

    People's end-of-life wishes were not always recorded effectively. The provider updated arrangements after the inspection, and CQC recommended reviewing the recording process.

    However, these decisions were not always effectively recorded.from the report
  • Medicines storage temperatures

    needs fixing

    The temperature of medicine storage areas was not being monitored, so inspectors could not be sure medicines were always stored safely. The provider sent evidence after the inspection that this had been corrected.

    The temperature medicines were stored at were not always monitored.from the report
  • Electrical safety checks

    needs fixing

    Not all actions from the fire risk assessment had been completed. Electrical equipment had not all been tested, but arrangements were put in place during the inspection.

    For example, electrical items had not been PAT tested.from the report
  • Recruitment records

    minor

    Some gaps in staff employment history had not been fully reviewed. The manager provided evidence that this was corrected after the inspection.

    However, gaps employment history had not always been reviewed in full.from the report
Questions to ask them, based on this report
  1. 01How are medicine storage temperatures checked and recorded now?
  2. 02When was all electrical equipment last tested, and how are future tests tracked?
  3. 03How do you now record and review each person's end-of-life wishes?
  4. 04How do you check and record gaps in a new staff member's employment history?
  5. 05How are people and their relatives involved in reviewing support plans and daily choices?

This inspection looked at the home and care provided across all five CQC questions, with visits on 6 and 7 December and other inspection activity from 6 to 8 December 2023. This explanation was written from the published report of 29 December 2023 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 Max Potential

3 rated inspections over 9 years: the service has held its Good rating throughout.

  1. December 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Max Potential

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

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

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

    Read this report on cqc.org.uk

  4. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. June 2013

    Registered with the Care Quality Commission on 21 June 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 Max Potential UK Ltd

3 other services on the CQC register. A pattern across a group tells you more than one report.

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