Background to this inspection
Updated
30 October 2021
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 Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Mawney Road 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.
The home did not have a registered manager, as the previous registered manager had left their position shortly before our inspection. 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'. They and the registered provider have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. A new manager was in post and they had submitted their registration application to us.
Notice of inspection
The inspection was unannounced.
What we did before the inspection
We reviewed the information we already held about the service. This included the last inspection report and notifications. A notification is information about important events, which the provider is required to tell us about by law.
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
We used all of this information to plan our inspection.
During the inspection.
We spoke with the manager, a regional support manager and the registered manager of the provider’s other local care home. We also spoke with two members of staff and one person who lived in the home. We were unable to speak with some people due to their needs. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed documents and records that related to people’s care and the management of the service. We reviewed three care plans. We looked at other documents such as those relating to quality assurance, medicine management, staffing and infection control.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We spoke with one relative for their feedback about the home.
Updated
30 October 2021
About the service
Mawney Road is a care home registered to accommodate and support up to six people with mental health needs, learning disabilities and/or autistic people. At the time of the inspection, five people were living at the home. The home is a semi-detached house with two floors. Each floor has separate adapted facilities.
People’s experience of using this service
We expect health and social care providers to guarantee 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.
The provider was meeting the principles of Right support, Right care, Right culture. People had choice and control of how their care and support was delivered to them. The values and attitudes of staff and managers encouraged people to be as independent as possible and feel empowered in their daily lives.
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.
People and relatives told us the home was safe. Staff were trained in how to identify and safeguard people from abuse. There were systems to ensure risks to people were assessed and mitigated against. Medicines were managed safely.
There was a recruitment process to employ staff who were safe to work with people in the home. There were suitable numbers of staff working in the home. Accidents and incidents in the home were reported and lessons were learned to prevent re-occurrence. There were effective procedures to prevent and control the spread of Infections.
Staff completed training to perform their roles effectively. They felt supported by the provider and managers. People were supported to maintain a balanced diet and had access to healthcare services to help maintain their health.
Staff were caring in their approach towards people and respected their privacy and dignity. People developed positive relationships with staff. They were supported to pursue activities that interested them and avoid feeling isolated.
Care plans were personalised to meet the needs and preferences of people. There was a complaints process for people and their relatives to use. People’s communication needs were understood and met. Feedback was sought from people and visitors to help make continuous improvements to the home.
There was a new manager in place, who felt well supported by the provider. The provider’s quality assurance systems helped to monitor the safety and quality of the service and check people received the right support.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
At the last inspection, the service was rated Good (report published 6 January 2020).
Why we inspected
We undertook this inspection to check the service is applying the principles of Right support, Right care, Right culture for people with learning disabilities and/or autistic people.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service. If we receive any concerning information we may inspect sooner.