The inspection took place on 15 February 2018 and was unannounced. This was the first inspection of the service since the provider registered with us in April 2017.

Maypole Grove 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.

Maypole Grove accommodates a maximum of 30 people who may have mental health needs, Dementia or physical disabilities in one adapted building. At the time of the inspection, there were 14 people living at the home.

There was a manager registered with us. However we were informed prior to the inspection that the registered manager had left their position and that a new manager had been recruited. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were supported by staff who knew how to report concerns and manage risks to keep people safe. Recruitment systems reduced the risk of inappropriate staff being employed. Staffing levels had been impacted by staff absences but this was addressed by the provider to ensure there were sufficient numbers of staff to support people. People were given their medication in a safe way.

People had their rights upheld in line with the Mental Capacity Act 2005 although staff knowledge of Deprivation of Liberty Safeguards varied. People had their dietary needs met and were given choices with regards to their meals. People had access to healthcare services where required and there was an emphasis placed on health promotion. People were supported by staff who had received training and supervision. The decoration of the home was not always appropriate to support the needs of people with Dementia.

People were supported by staff who were kind, caring and had developed warm relationships with people. People had their privacy and dignity respected and were supported to maintain their independence where possible. People’s personal history including their culture and communication needs were respected.

People were involved in the planning and review of their care. People’s care records held personalised information about them and people were able to voice their preferences with regards to their care. There were activities for people and people were supported to take part in these where they wished. Complaints were investigated and resolved.

There were concerns about the stability of management due to a high turnover of managers in previous months. Notifications had not always been sent to Care Quality Commission as required. There were systems in place to monitor the quality of the service and people had opportunity to feedback on the quality of the service.