Maison Moti Care Home

We found the following examples of good practice.

¿ Information and guidance was provided to all visitors when visiting the home which specified the processes in place to facilitate safe visits. All visitors were screened for symptoms of COVID-19 and were provided with full Personal Protective Equipment (PPE). This enabled the service to protect people, staff and visitors.

¿ The service had an open garden area with separate access to allow safe visiting. This also included a specially built shelter where visitors could be screened and tested for COVID-19 before the visit could take place. At the time of the inspection, non-essential visiting to the home was restricted due to cases of infection recently reported within the home.

¿ The service had facilities where visiting space could be created within the home which could further facilitate safe visiting. Plans were being considered to make this facility available in the near future.

¿ The service ensured all staff received appropriate training, support and guidance throughout the pandemic period. Observation and reflective practices were used to assess staff competency and enhance their learning and development.

¿ Staff were observed to be wearing full PPE in line with government guidance and the providers policy.

¿ The service monitored and screened people living at the home and staff daily for any signs or symptoms of possible infection. This enabled the service to take immediate action if anyone was identified with symptoms of COVID-19 to prevent and minimise the risk of transmission.

¿ People and staff had access to regular COVID-19 testing as per government and Public Health England guidance.

¿ The home was clean and the layout of the home supported social distancing measures that had been put in place. As the home was not fully occupied, the availability of vacant bedrooms meant that the service was able to use some of these as isolation bedrooms with en-suite facilities, if and when a person tested positive with COVID-19. This enabled the service to minimise the risk of transmission of infection within the home.

¿ Robust cleaning processes in place followed the providers Infection Prevention and Control policy and procedures. Whilst overall cleaning responsibilities were allocated to housekeeping staff, the entire staff team took responsibility to ensure good infection control and prevention measures were followed at all times.

¿ The provider worked pro-actively to ensure that they worked in line with the most current guidance and directives. All information was shared with all staff through regular meetings, handovers and hand-outs.

Further information is in the detailed findings below.

This inspection took place on 3 August 2017 and was unannounced.

At the last inspection on 5 May 2015 the service was rated ‘Good’.

At this inspection we found the service remained ‘Good’.

Statutory notifications to the Care Quality Commission (CQC) had not been made in respect of two incidents reported to the police.

People told us they felt safe at the service and staff demonstrated an understanding of types of abuse to look out for and how to raise safeguarding concerns.

Detailed current risk assessments were in place for people using the service. Risk assessments in place were reviewed and updated regularly. Staff were knowledgeable around the risks associated with people’s mental health conditions.

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.

There were systems in place to ensure medicines were handled and stored securely and administered to people safely and appropriately.

The home maintained sufficient staffing levels to support people in a responsive and person centred way.

We saw friendly, caring and supportive interactions between staff and people and staff knew the needs and preferences of the people using the service. Care plans were person centred.

We saw evidence of a comprehensive staff induction and on-going training programme. Staff had regular supervisions and annual appraisals. Staff were safely recruited with necessary pre-employment checks carried out.

People were supported to engage in regular activities and develop and maintain independence.

Quality assurance processes were in place to monitor the quality of care delivered.

Further information is in the detailed findings below.

Below is a summary of what we found. The summary describes what people using the service, their relatives and the staff told us, what we observed and the records we looked at. We spoke with five people who used the service and two family members. We spoke with the registered manager and two care workers. We also spoke to a care coordinator from the local Clinical Commissioning Group and one social worker. We looked at five care records and four staff records.

If you want to see the evidence that supports our summary please read the full report.

Is the service safe?

People had been cared for in an environment that was safe, clean and hygienic. There were enough staff on duty to meet the needs of the people living at the home and a member of the management team was available on call in case of emergencies. A person who used the service told us that 'I feel safe here. There are staff on duty 24 hours a day; there are locks on the doors and alarms around the building.' One care worker told us that 'safeguarding is a constant consideration of my job.' We saw evidence that all staff had received safeguarding training and those with whom we spoke demonstrated a good understanding of the signs of abuse and were familiar with the safeguarding policy of the home.

CQC monitors the operation of the Deprivation of Liberty Safeguards (DoLs) which applies to care homes. While no applications have needed to be submitted, proper policies and procedures were in place. Relevant staff have been trained to understand when an application should be made, and how to submit one.

Is the service effective?

People we spoke with told us that they were happy with the care they received and felt their needs were being met. It was clear from what we saw and from speaking with staff that they understood people's care and support needs and had a good relationship with them. One person who used the service told us, 'this is the first time in years that I can say I am mentally well, and it is all to do with living here.' Another told us how the support they received had 'stabilised' them. We saw that staff had received training to meet the needs of the people living at the home.

Is the service caring?

People were supported by responsive and attentive staff. We saw that care workers gave encouragement when supporting people and spoke to them in a respectful manner. A family member told us that they could visit the service at any time and that staff made them feel welcomed. This family member told us that the home had 'removed all the worry I had about my relative.' A person who used the service told us that, 'staff are thoughtful and polite, they look after you.'

Is the service responsive?

People's needs had been assessed before they moved into the home. People told us they met with their key workers once a month to discuss what was important to them. Records confirmed that people's preferences, interests, aspirations and diverse needs had been recorded and care and support had been provided that met their wishes. People had access to activities that were important to them and had been supported to maintain relationships with their friends and relatives if they wished. We saw that care plans were amended in line with the persons changing needs, in consultation with the care coordinator. A person who used the service told us that when he needed support to attend medical appointments, 'I ask for help to go there and I always get it.' The registered manager told us, 'it is important that we are all working towards the same goal of recovery.'

Is the service well-led?

Staff had a good understanding of the ethos of the home and they told us they were clear about their roles and responsibilities. Quality assurance processes were in place and people were encouraged to complete a service user survey. Family members told us they were frequently asked for their views on the quality of the service provided. A care worker told us how their work was closely supervised and said, 'the manager is very knowledgeable and approachable.' The registered manager told us, 'we are all fully committed to getting it right.' We spoke with a care coordinator from the local Clinical Commissioning Group. They said, 'it is clear from the style of management that staff feel valued and want to do their best.

We observed a calm and relaxed atmosphere throughout the inspection and staff did not appear to be rushed and were able to spend time with people they were supporting. Both staff and people using the service that we spoke with said there were enough staff on duty to meet people's needs.

People were positive about the care and treatment they received at the home. They confirmed that staff assisted them when they needed support and that staff were very helpful and knew their needs. One person commented that the staff, 'know me well.'

People using the service told us that they were satisfied with the food provided by the home and that they had enough to eat and drink. People described the food as "good' and 'OK.' One person commented 'they give you nice food.'

People told us they had no complaints about the service but knew how to make a complaint if they needed to. We saw that people who use the service were encouraged to express their views and raise any concerns during monthly one to one meetings with their key worker.

They told us that they had meetings to talk about their care and could comment on how the service was run as well as make suggestions for improvements. One person commented, 'the key worker sessions are good. It gives me the time to reflect on things.'

People were positive about the care and treatment they received from staff at the home. They confirmed that staff assisted them when they needed support and staff were very helpful. They told us they had good access to health care professionals such as doctors, district nurses, dentists and chiropodists and were happy with the way the service managed their medication.

People told us that they felt safe with the staff who supported them. They said they had no concerns or complaints about their care but would speak with their relatives, the manager or their key worker if they needed to.

We saw evidence that recruitment procedures for staff were being appropriately followed so that people who use the service were protected from unsuitable staff being employed at the home.

We saw that the manager carried out regular checks at the home including health and safety audits to make sure people were being supported in a safe environment.