Casa Mia Care Home

Updated 9 April 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: One inspector, an assistant inspector and an expert by experience carried out this inspection. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. Their area of expertise was in mental health care.

Service and service type: Casa Mia is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection: This inspection was unannounced.

What we did:

Prior to the inspection, we reviewed information we had received about the service since the last inspection. This included details about incidents the provider must notify us about, such as abuse and serious injuries. We sought feedback from the local authority, clinical commissioning group and professionals who work with the service. We assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection, we spoke with nine people and two relatives to ask about their experience of the care provided. We spoke with four members of staff, the deputy manager, the registered manager and the providers. We also spoke with one health and social care professional who regularly visits Casa Mia.

We reviewed a range of records. This included two people's care records and a number of medication records. Records were reviewed, in relation to training and supervision of staff, the management of the home and a variety of policies and procedures developed and implemented by the provider.

Updated 9 April 2019

About the service: Casa Ma is a residential care home that was providing personal care to 36 people at the time of the inspection.

People’s experience of using this service:

¿ People were at the heart of the service. The provider's philosophy, vision and values were understood and shared across the staff team. People were supported to maintain their purpose and pleasure in life.

¿ People received care which was highly responsive to their individual needs. Staff had an excellent understanding of people and ensured this was used to provide exceptional individual care which took account of people’s life histories

¿ The provider and staff team were passionate about providing high quality care tailored to people's individual needs and preferences. Staff invested time to understand the experiences of people who lived at the home.

¿ People told us they had formed excellent relationships with the provider, staff team and other people who lived at the home, built on trust and respect. People contributed to the running of the home and were listened to.

¿ People were supported to maintain relationships with people important to them. Visitors were welcomed at the home and were encouraged to be actively involved in people's lives.

¿ People, relatives and staff agreed the service was extremely well managed and Casa Mia was an exceptionally caring home. Everyone consistently praised the skills of the management team and emphasised they were motivated to provide an exceptional service.

¿ The provider ensured care was based upon good practice guidance. Exceptionally good governance was embedded into the provider and registered manager’s processes. This ensured people received people received a highly effective service which put them at the heart of their care.

¿ The home had a vibrant and welcoming atmosphere where visitors were welcomed and encouraged. There were processes to monitor the quality and safety of the service provided and actions were taken to drive continuous improvement for the benefit of the people who lived there.

¿ The staff provided a flexible care approach and people were empowered to decide how and when their care was provided. People, relatives and health professionals told us the care provided was effective and people experienced positive outcomes. People and relatives told us staff were empathetic and gave compassionate care.

¿ Staff understood their responsibility to safeguard people from harm and had a good understanding reporting concerns both within and outside the home. Where risks associated with people's health and wellbeing had been identified, there were plans to manage those risks.

¿ Risk assessments ensured people could continue to enjoy activities as safely as possible and maintain their independence. Staff had a good knowledge of how to support people at these times.

¿ 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.

¿ Staff with a range of skills were available at the times people wanted to receive support, in all aspects of their lives. Staff had received training so people's specific care and support needs were met, and we saw training was put into practice.

¿ Staff told us the provider proactively ensured they had many opportunities to further develop their skills and knowledge. Staff felt supported and valued by the provider and they prided themselves on providing high quality care.

¿ People received a nutritious diet, had a choice of food, and were encouraged to have enough to drink. The provider and staff team worked closely with external healthcare professionals to ensure people's health and wellbeing was promoted and maintained.

¿ Wherever possible staff supported people to retain responsibility for their own health. Medicines were managed so that people received their medicines as prescribed.

Rating at last inspection: Good. Report published September 2016

Why we inspected: This was a planned inspection based on previous rating.

Follow up: Ongoing monitoring