19 April 2023
During an inspection looking at part of the service
Maple Court Scarborough is a residential care home providing the regulated activity of personal care for up to 64 people. The service provides support to older people and people with dementia. At the time of our inspection there were 48 people using the service.
People’s experience of using this service and what we found
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; the policies and systems in the service supported this practice.
Risks to people's health, safety and wellbeing had been assessed and recorded. Staff understood what actions were required to help keep people safe. People told us they felt safe at the home and with the staff who supported them. Staff had received training in safeguarding and felt confident in the processes in place to report any concerns.
The service was a modern build with a safe, homely environment. Risk assessments were used to keep staff and visitors safe and promoted good access to internal and external communal areas.
Where people required support to take their medicines these were managed and administered safely, with regular checks completed. We were assured by the measures taken to help ensure the prevention and control of infection. Where areas of the home required maintenance, actions were swiftly implemented to maintain standards. For example, to maintain a clean and pleasant environment.
Staff responded promptly and were attentive to people’s needs. The registered manager monitored staff deployment and ensured enough staff were always on duty. Ongoing recruitment meant there was a reduction on the reliance of agency staff which improved people’s experiences. Processes in place ensured only suitable staff were safely recruited into their roles.
People were supported by caring, friendly staff who knew their needs well. Staff received required training and checks to ensure they followed best practice guidance. People told us staff were skilled in their roles and supported them to maintain their independence wherever possible.
People received an initial assessment of their needs. Care records included up to date information which was being further improved to evidence people’s involvement with their care, support, and regular reviews. Care provided was personalised and supported people’s preferences and wishes. Information was provided in an accessible format which helped people to communicate and understand their support.
People’s health needs were being met. The service worked closely with other health professionals and external agencies to support them with their health and wellbeing. A health professional told us the service was a flag ship in the development of integrated care in responding to people’s ever-changing needs.
People and staff spoke positively about the management of the service and their openness to
feedback. The management team was proactively supported by resources at provider level and was approachable, maintained regular communication, and listened to the views of others.
A range of audits and checks were completed to maintain and where required, implement any required improvements.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 9 December 2022).
At our last inspection we recommended that Why we inspected The inspection was prompted in part due to a notification to the CQC of an incident associated with an allegation of abuse. The incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of risks to keep people safe from avoidable harm and abuse. This inspection examined those risks. We undertook a focused inspection to review the key questions of safe, responsive, and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. We found no evidence during this inspection that people were at risk of harm from this concern. The provider had taken action to mitigate the risks, and this had been effective. The overall rating for the service has remained good based on the findings of this inspection. You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Maple Court Scarborough on our website at www.cqc.org.uk. Follow up We will continue to monitor information we receive about the service, which will help inform when we next inspect.