Mapleford Nursing home

Updated 9 December 2024

Mapleford Nursing Home is a residential care home which provides personal care and nursing care for up to 54 older people, younger adults, people with a physical disability, sensory impairment or mental health support needs and people living with a dementia. We assessed all quality statements under the five key questions of Safe, Effective, Caring, Responsive and Well Led. We undertook onsite visits on 14 and 15 January 2025. At our last assessment we identified a breach in safe care and treatment, need for consent and good governance. At this assessment we found the service was no longer in breach of need for consent. However, we identified breaches of regulations in relation to person-centred care, safe care and treatment, premises and equipment and fit and proper persons employed. We also identified a breach in relation to good governance of this service. We have asked the provider for an action plan in response to the concerns found at this assessment. This service has been in Special Measures since 23 March 2023. The provider demonstrated some improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures. However, concerns were still found at this assessment. There was not always a good learning culture as accidents and incidents were not always managed safely. Risks to people were not always managed well and infection prevention and control practices needed improving. Medicines were not always being managed safely and recruitment practices were not always robust. Concerns were raised about staffing levels and monitoring tools were not always accurate. Governance processes were not robust, and some of the concerns we identified were found at the last assessment. Staff felt they were treated well and praised the registered manager for supporting the staff team. Staff knew thew how to act on safeguarding concerns.

Updated 9 December 2024

People and their relatives felt safe using this service and were involved in the care planning process. However, people’s dignity was not always maintained as we found concerns around people’s personal care provision. People’s oral care needs and nail care needs were not always maintained. Staff raised concerns about staffing levels and felt care was at times rushed including mealtimes. Therefore, we could not be assured people were receiving person-centred care. Consent forms were in place and people and their relatives were invited to regular meetings. Relatives felt people were treated with kindness. One relative said, “The carers are loving, warm and welcoming.” We saw evidence of activities taking place and staff spoke of the importance of avoiding social isolation. Relatives felt their loved ones had thrived whilst being at this service. One relative said, “It took a while but [person using the service] has grown in confidence and that’s down to them knowing they’re safe.” Relatives spoke highly of the staff team and how they treated people as individuals. One relative said, “Every member of staff knows everyone’s name and they always find time to stop and chat with residents and with relatives.” People's needs were assessed prior to their admission to the service and care plans were person-centred, containing information on people's communication and religious needs.