Maple Lodge

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

We assessed 6 quality statements under the effective key question, identifying both areas of good practice. The overall rating for this key question is good. People’s care needs were assessed prior to moving to Maple Lodge. People and their relatives confirmed they participated in the development of care plans, this included regular reviews. Care plans identified aspects of people’s care which required evidence-based care and treatment to be followed. Staff worked effectively as a team and this was evident in feedback we received from relatives.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

Relatives confirmed an assessment was undertaken before people moved to Maple Lodge. One family member told us, “The manager came out to visit us before [Name] moved in and advised us through the process.”

The registered manager confirmed feedback was sought from people and families during assessments.

People’s needs were assessed before they moved to Maple Lodge. Initial assessments and care plans focused on the immediate care needs of people and demonstrated staff sought information about people's personal histories. This information was shared with the wider staff team and the activity staff, to ensure an holistic approach to the person’s care was planned.

Relatives told us people received care based upon their preferences. We were told, “[Staff] have got to know [Person] very well.”

The registered manager ensured staff were following professional guidance through handovers, care plan instructions and training. Staff demonstrated their knowledge in this area.

Staff had access to guidance from other health professionals and this was accurately reflected in people’s care records. For example, one person required a thickening agent to be added to all drinks. This was due to a risk of aspiration and was recorded. Another person was prescribed a medicine which required a regular review by external professionals. Records confirmed the professional advice was being followed.

People and relatives spoke approvingly of staff and the support they received. This included staff support with external professionals and feedback following any reviews. Comments included, “I think they're incredible”; “They keep me up to date” and “Staff at Maple Lodge have gone over and above to keep him involved.”

Staff told us they worked together as a team. This included examples on how good practice was shared. Staff were able to demonstrate how they worked effectively with other relevant professionals to support people. The registered manager confirmed external services were regularly consulted to ensure people’s needs were met.

Partners discussed inconsistencies and challenges with changes in managers at Maple Lodge. New processes had been introduced since the current manager has been in post and improvements had been made.

Care records demonstrated staff worked with other agencies to ensure people's needs were met. For example, records showed when referrals had been made following a concern about a person's physical health and following incidents when people had fallen.

Relatives confirmed how people were supported with access to healthcare professionals when required, or for routine check-ups.

Staff told us how people were supported to access relevant healthcare professionals when required. This included how guidance was available to ensure people were cared for effectively.

People were encouraged to manage their health and wellbeing. Regular medical appointments were arranged including opticians and podiatry.

Relatives confirmed they were activity involved in any reviews of people’s care. We were told, “We are always invited to contribute to [Person’s] care plan.”

Staff told us they worked collaboratively to provide effective person-centred care to people.

Care plans were reviewed on a regular basis. People, and their family members were involved. Staff recorded and monitored care through care records to ensure care outcomes improved. For example, when a person experienced a pressure wound or skin damage, their care plan recorded the actions taken, external advice received and demonstrated the stages of the healing process.

Relatives confirmed where people required additional support for decision making, they were activity supported by Maple Lodge to be involved and support the person in these areas.

Staff we spoke with were able to demonstrate a good understanding of the Mental Capacity Act 2005 (MCA). They told us, if someone doesn’t consent to care after they had explained what they intend to do, they would respect their wishes and ask them later, as the person may prefer for the task to be done at a different time or by someone else. One member of staff said “I let the person know what care I am going to be giving and ask them if this would be okay for them.”

People’s consent was sought when they initially moved to Maple Lodge. This was continuously monitored to ensure the person continued to consent to the care they received. Important information such as when a family member held the legal authority to make decisions on a person's behalf was clearly documented. Original copies of any authorisations were maintained.