Archived: Maxey House Residential Home

Updated 14 February 2024

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

This inspection was carried out by 3 inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Maxey House Residential Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Maxey House Residential Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced. We visited the service on 20 December 2023 and 04 January 2024.

What we did before the inspection

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection.

During the inspection

We spoke with 4 people and 9 relatives about their experience of the care provided. We spoke with 10 members of staff including the registered manager, compliance manager, nominated individual and care workers. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records. This included 3 people’s care records and multiple medication records. We looked at 2 staff files in relation to recruitment and staff supervision. We also reviewed a variety of records relating to the management of the service, including policies and procedures and quality assurance audits. We also contacted the local Fire and Rescue service for advice.

Updated 14 February 2024

About the service

Maxey House Residential Home is a residential care home providing personal care to 21 people aged 65 and over at the time of the inspection. The care home can accommodate up to 31 people, in a 30-bedroom building, some of whom live with dementia. Maxey House Residential Home is an old building with extensive grounds.

People’s experience of using this service and what we found

Systems to monitor how well the service was running required further improvements to ensure that oversight and governance is effective and robust. The provider needs to ensure that incidents are reported appropriately.

Lessons learnt were shared with the staff team. Incidents and accidents were reviewed, and reflections considered as to what could be done differently.

The staff team had recently expanded to include permanent senior staff and an activity worker. This was following an extended period of utilising temporary staff. This was a positive improvement for the service, and now required a period of stability to ensure that people living at the service were supported by staff who know them.

People received their medicines and staff knew how these should be given. Medicine records were completed accurately and with enough detail.

Staff followed infection control procedures and used the appropriate personal protective equipment, which included aprons and gloves. The building was clean and free from clutter.

Staff liked working at Maxey House Residential Home and felt supported by the registered manager. The registered manager was passionate about delivering a good service to people. They were open and honest and looked for ways to improve the service.

Staff and the registered manager worked with other professionals to ensure that people received the necessary care and support.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 30 September 2022) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found the provider was in breach of regulation.

Why we inspected

The inspection was prompted in part due to concerns received about infection control and staffing. A decision was made for us to inspect and examine those risks. We found no evidence during this inspection that people were at risk of harm from this concern.

We have, however, found evidence that the provider needs to make improvements. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service remains requires improvement.

You can read the report from our last comprehensive inspection, by selecting the ‘All inspection reports and timeline’ link for Maxey House Residential Home on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified breaches in relation to reporting incidents. We have also made a recommendation in relation to reporting safeguarding concerns.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.