Maple Dene

Maple Dene 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 accommodated up to 40 older people. At the time of our inspection there were 37 people living in the home.

At our last inspection on 27 April 2016 we rated the service 'good.' At this inspection we found the evidence continued to support the rating of 'good' overall. There was no evidence or information from our inspection and ongoing monitoring which demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People continued to receive a safe service. Medicine administration records were completed by staff safely. Risks associated with people's needs had been assessed and measures were in place to reduce these. There were sufficient staff to meet people's needs and safe recruitment procedures for staff were in place. Accidents and incidents were monitored to identify any trends and measures were put in place to reduce the likelihood of these happening again.

People continued to receive an effective service. Staff received the training and support they required including specialist training to meet people's individual needs. People were supported with their nutritional needs. The staff worked well with external health care professionals, people were supported with their needs and accessed health services when required. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. The principles of the Mental Capacity Act (MCA) were followed.

People received care from staff who were very kind and compassionate. Staff supported people on an individual basis and focused on them as a person. Feedback from people, relatives and healthcare professionals was extremely positive and complimentary. People's rights to privacy were respected by the staff and their dignity was maintained and upheld at all times. People were supported to express their views and be actively involved in making decisions about their care and support needs by a provider who valued their input. People's independence was encouraged and promoted.

People continued to receive a responsive service. Their needs were assessed and their support was planned with them and or their relative where required. Staff knew and understood people's needs well. People received opportunities to pursue their interests and hobbies, and social activities were offered. There was a complaints procedure available if this was needed.

People continued to receive a well-led service. The monitoring of service provision was effective because shortfalls had been identified and resolved. There was an open and transparent and person-centred culture

with adequate leadership. People were asked to share their feedback about the service.

Further information is in the detailed findings below.

The five questions we ask about services and what we found