Background to this inspection
Updated
14 November 2019
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 Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Mapleford Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service did not have a manager registered with the Care Quality Commission. The manager had been in post since July 2019 and had recently submitted an application to become the registered manager for the home.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service from the provider since the last inspection, such as details of serious injuries and safeguarding concerns. We reviewed information received from the local authority and other agencies involved with the service, during regular Quality and Performance Improvement Planning (QPIP) meetings, which we had attended since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with the manager of the home. We inspected the premises to check if issues from the last inspection had been addressed and to ensure the environment was safe for people to live in. We reviewed a range of records, including staff training and competence records, and records relating to checks of equipment and the home environment, including fire, water and infection control.
After the inspection
We reviewed additional information received from the manager, including management meeting notes, an updated home improvement action plan and an update about fire safety improvements at the home.
Updated
14 November 2019
About the service:
Mapleford (Nursing Home) Limited is a nursing and residential care home which provides nursing and personal care to up to 54 people, including older people, younger adults, people with mental ill health and people living with dementia. At the time of the inspection, 38 people were living at the home.
People’s experience of using this service and what we found
We found the provider had made a number of improvements since the last inspection and the requirements of the warning notices had been met.
Staff had completed the necessary training to be able to provide people with safe care. Staff members’ competence to move people and administer their medicines safely had been assessed. The provider had made improvements to the safety of equipment and the premises, to ensure the home was suitable for people to live in.
Management and oversight at the service had improved. The manager completed a variety of effective audits and submitted regular reports to the provider. The manager and provider met regularly, which ensured the provider remained up-to-date with any improvements needed at the home.
Rating at last inspection and update
The last rating for this service was requires improvement (published 27 June 2019) when there were three breaches of regulation. These related to premises and equipment, staff training and competence, and the monitoring of quality and safety at the home. The provider completed an action plan after the last inspection to show what they would do and by when to improve.
Following our inspection, we served two warning notices on the provider, in relation to Regulation 12 HSCA RA Regulations 2014 Safe care and treatment (staff training and competence) and Regulation 17 HSCA RA Regulations 2014 Good governance (monitoring of quality and safety). We required the provider to be complaint by 17 June 2019.
Why we inspected
We undertook this targeted inspection to follow up on the warning notices and the other identified breach from the last inspection, to ensure the provider was meeting their legal requirements. CQC are trialling targeted inspections to measure their effectiveness in relation to services where we have carried out enforcement activity, such as issuing warning notices.
This report only covers findings in relation to aspects of safe care and treatment and good governance. The overall rating for the service has not changed following this targeted inspection and remains requires improvement. This is because we have not inspected all areas of the safe and well led key questions.
Follow up
We will monitor the progress of the improvements we found, working alongside the provider and local authority. We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.