Inspection on 01/08/05 for Maple Lodge
Also see our care home review for Maple Lodge for more information
This inspection was carried out on 1st August 2005.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.
Other inspections for this house
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
The home has a competent and experienced manager who was providing good leadership. The home was well supported by the regional manager of the home who visited regularly. The home had a friendly, relaxed atmosphere and was described by staff as `home from home`. Residents spoken to (who were able to comment) appeared very happy with the quality of the service feeling that the staff were friendly and caring and went out of their way to improve their quality of life. The home had undertaken assessments of all prospective residents and the home was able to meet the current residents` assessed needs. External health professionals visiting residents provided a seamless service. The home responded appropriately to the health care needs of the residents.Residents were provided with choice over how and where they spent their time and whether they joined in with activities. The home provided a weekly schedule of activities. The home provided the number of staff needed to meet the identified needs of the residents. Staff received the training required to undertake their duties and appeared well motivated and were promoting residents` choice, privacy and individuality.
What has improved since the last inspection?
Since the dementia category has been increased to 40 the home have actively increased the amount of staff training in regard to dementia and challenging behaviour. This is ongoing in the home and enables staff to become more familiar with dementia and its management. The care plans were being regularly reviewed and evaluated ensuring that the care needs of the residents were kept up to date. A new care planning system is to be put into place when the care managers have received company training on completing these. The inspector viewed the proposed documentation, which will allow more detail of individual needs and associated care requirements. Laundry services have improved and the staff report a better routine of collecting and returning soiled linen.
What the care home could do better:
The home provided an 8 weekly menu which was examined on the day of the inspection and it was determined that this was not always followed. Although the catering staff provided choices at all meals the Cumberland pie served on the day of the visit was runny, unappetising with no shape or form. The vegetables served were swede, carrots and peas, it could not be determined if any of these were fresh. Almost all of the 38 residents could eat well with a knife and fork; but the Cumberland pie was more suitable for residents requiring a very soft diet. Staff stated that there had been some improvements in the food recently, particularly with gravy but felt that meals could still be improved upon. However, they felt that mince was served too frequently and that the residents were fully able to enjoy a more solid meal. The home must provide meals that are presented in a manner which is attractive in terms of texture, flavour and appearance. A requirement has been made to this effect. The home was clean and tidy and procedures were in place for the control of infections. Even though the downstairs lounge appeared clean and was seen to be tidy, it was quite malodorous with a strong smell of urine. This was discussed with the care manager who had identified this problem and had ordered some specialised cleaning agents to deep clean the carpet. Thesecleaning products were seen in her office during the visit. The carpet had been deep cleaned daily but the member of staff undertaking this duty had just commenced annual leave and the carpet had not been cleaned the day before. This was high on the agenda for addressing. All areas of the home must be kept free from offensive odours. A requirement has been made to this effect.