Mandale Care Home

Ratings

• Overall

  Good

• Safe

  Good

• Effective

  Good

• Caring

  Good

• Responsive

  Good

• Well-led

  Requires improvement

Our view of the service

Mandale Care Home is a care home providing accommodation and personal care for older adults, younger adults, people living with dementia and people with a learning disability. Mandale Care Home is registered to accommodate up to 57 people. At the time of the assessment, there were 39 people resident. Staff were not supporting anyone whose primary need was associated with a learning disability or autism. Dates of assessment 10 December 2024 to 09 January 2025. At the last inspection in February 2023, we rated this service requires improvement and found 3 breaches of regulation. This assessment was undertaken to follow up on the breaches of regulation. At this assessment we found the service was driving improvement and all breaches of regulation were now met. The service has been rated good in safe and requires improvement in well-led as improvements were needed to provider oversight and quality monitoring systems. Safe recruitment practices were followed, and there were enough staff to meet people’s needs. There was a registered manager in post who was supported by a regional manager who had worked with the staff team to embed effective systems and procedures to assess risks and safeguard people from harm and abuse. Governance systems were in place; however, audits hadn’t always identified shortfalls which we noted during the inspection. For example, in relation to infection prevention and control and medicines records. The leadership team were responsive to feedback and made some immediate improvements. They also offered assurances on the action they would take to embed and sustain improvements.

People's experience of this service

People, and their relatives were positive about the care and support provided. Comments included, “I do feel safe,” and “I do feel they are safe here, definitely much safer than at home. [Person] has been here just over a year.” Relatives felt able to share their views and one said, “I am able to complain, and I am confident that I would be listened to.” Some people could not directly tell us about their experience. We used a structured observation tool to assess whether they received good care. This approach showed people were included and listened to and in the main, staff interacted positively with them. We observed one situation where staff were not consistent in their approach to supporting someone who was distressed. We spoke with the registered manager about the person’s care plan. This was reviewed and updated to include personalised strategies to offer reassurance and distraction leading to a more consistent approach to care and support.