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The Maples

Overall: Requires improvement read more about inspection ratings

The Maples, Ashfield Crescent, Liverpool, L33 0YN (0151) 966 8184

Provided and run by:
Cera Homecare Limited

Important: The provider of this service changed. See old profile

All Inspections

During an assessment under our new approach

The Maples provides care to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is rented and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. At our last inspection, this service was rated good. We initiated an assessment of the service on 27 February 2024. The assessment was prompted by a review of information we held about this service. Following this assessment the service is rated as requires improvement. We identified good practice in relation to people's feedback about staff being caring, which ensured people were treated with kindness. Local Authority feedback was obtained with no concerns about the service reported. We identified concerns however with some aspects of service management that resulted in a breach of Regulation 12 and 17 of the Health and Social Care Act 2008 (Regulated Activities). Service improvements were needed with regard to ensuring people's care plans were up to date and accurately reflected their needs and support requirements. The systems in place in place to ensure visits were completed as agreed and on time were not effective and the management of medicines was not safe. In addition we found the provider's governance systems were not always effective at driving up improvements to the service in respect of quality and safety. You can find more details of our concerns in the evidence category findings below.

21 April 2023

During a routine inspection

About the service

The Maples provides care to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is rented and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care service. The service provided personal care to 26 people at the time of the inspection.

People’s experience of using this service

Risks to people were assessed, monitored, and managed. Staff followed guidance to minimise the risk of harm to people. There were systems in place to ensure people were protected from the risk of abuse. People told us they felt safe with staff and that staff treated them well.

People received their visits on time by the right amount of staff who were safely recruited, skilled and experienced. All applicants underwent a series of employment checks to make sure they were fit and suitable for the role. New staff completed induction training and all staff received ongoing training for their role.

Safe infection prevention and control (IPC) measures were followed to minimise the risk of the spread of infection, including those related to COVID-19.

Medicines were managed safely. People who required support with their medicines told us they received them at the right time. Medicines were managed by staff who were suitably trained and deemed competent.

People were involved in the completion of their assessments and care plans. Care plans reflected people’s needs and choices and were kept under review to make sure they were current and up to date.

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

People were treated with kindness and their privacy, dignity and independence was respected and promoted. People were involved in decisions about their care and staff respected their decisions and lifestyle choices.

People’s communication needs were assessed and understood and they were provided with information in a way they could understand.

Complaints were listened to and used to improve the quality of the service. People knew how to complain, and they told us they would complain if they were unhappy about something.

The service was well managed by a person who understood their role and responsibilities and regulatory requirements. The providers systems and processes for assessing, monitoring, and improving the service were used effectively. There was good oversight of the service on behalf of the provider and good partnership working with others to make sure people received all-round care and support.

Rating at last inspection

This service was registered with us on 23 September 2021, and this is the first inspection.

Why we inspected

This was a planned inspection.

Follow up

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner