Maun View

Updated 27 March 2024

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 2 inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Maun View is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Maun View is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 12 people who used the service and 2 relatives or friends about their experience of the care provided. We spoke with 2 visiting professionals. We received feedback from 18 members of staff including the registered manager, deputy manager, the activity co-ordinator, care staff, housekeeping, maintenance and kitchen staff. We reviewed a range of records. This included 15 people’s care records. We looked at 3 staff files in relation to recruitment. A variety of records relating to the management of the service, including audits, policies and procedures and training records were reviewed.

Updated 27 March 2024

About the service

Maun View is a residential care home providing accommodation for persons who require nursing or personal care to up to 77 people. The service provides support to people living with dementia. At the time of our inspection 71 people were living at the home. The home is split over two main floors. Each floor is split into two units with communal areas on all units and an outdoor communal space.

People’s experience of using this service and what we found

There were not always sufficient staff deployed to keep people safe and meet their needs.

Risks were not consistently managed. Safety and medicines risks were not always managed safely.

People did not always receive responsive care. Evidence of their involvement in care planning was limited.

Internal quality assurance processes were not always effective in monitoring the service which meant improvements were not always made.

People we spoke with told us they felt safe. The premises was clean, safe and well maintained. People told us that staff were kind and caring.

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. Staff received induction, training, supervision and appraisal.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

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 requires improvement (published 24 October 2019). The service remains rated requires improvement.

This service has been rated requires improvement or inadequate for the last four consecutive inspections.

Why we inspected

This inspection was prompted by a review of the information we held about this service and the inspection was prompted in part due to concerns received about the quality of care, safety, medicines, culture of the home, management and care plans. A decision was made for us to inspect and examine those risks.

The overall rating for the service has remained requires improvement based on the findings of this inspection.

We have found evidence that the provider needs to make improvements. Please see the safe, responsive and well-led sections of this full report.

The provider took actions during and after the inspection visit to mitigate some of the identified risks.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Maun View on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to safe care and treatment, quality monitoring and staffing at this inspection.

Follow up

We will carry out a follow up inspection to check that actions have been taken to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.