01/05/2014
During a routine inspection
MI CASA provides accommodation, personal care and support for up to three people with learning disabilities and associated challenging needs, including autistic spectrum disorder. When we visited, three people were living in the home. The home is run by Precious Homes Ltd.
People told us they felt well cared for and safe living at the home. Their comments included “I like my house it’s good” and “I like all my staff they are nice.” We found staff recruitment practices were safe and that relevant checks had been completed before staff worked at the home. Staff had the training and knowledge they needed to make sure people living in the home were cared for safely. The care records we looked at demonstrated that people had access to external health care professionals’ support as required. We found the arrangements for the management of medicines were safe.
We saw all communal parts of the home and some people’s bedrooms (with their permission) and found the premises and equipment were safe and well maintained. The provider took account of complaints and comments to improve the service.
The service had a registered manager. She provided strong leadership and people using the service, their parents, care staff, health and social care professionals told us the manager promoted good standards of care. However, one parent told us whenever they tried to talk in relation to the care of their relative with the senior member of staff they found them uncooperative.
All the people we spoke with told us staff always asked them what they wanted to do before they received support with their care or treatment. We found the location to be meeting the requirements of the Deprivation of Liberty Safeguards (DoLS). However, the majority of people who needed an assessment of their mental capacity had not received one in line with the Mental Capacity Act (2005) (MCA) Code of Practice, to assess their capacity to make specific decisions about their care and treatment. The problem we found breached one health and social care regulations (Regulation 18). You can see what action we told the provider to take at the back of the full version of the report.