Background to this inspection
Updated
8 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.
Inspection team
The inspection was carried out by one inspector and one medicines inspector.
Service and service type
This service is a care home without nursing. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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 before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with two people who used the service about their experience of the care provided. We also spoke with four carers, the registered manager and the area manager.
We reviewed a range of records. This included four people’s care plans, daily records and medication administration records (MAR) We looked at three staff files in relation to recruitment. A variety of records relating to the management of the service, including quality assurance audits policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at quality assurance records and other evidence provided by the manager to support the inspection. We also spoke with three relatives.
Updated
8 October 2021
About the service
The Mews is a residential care home which provides personal care and support to younger adults with learning disabilities, autistic spectrum disorder or physical disabilities. At the time of our inspection eight people were using the service.
People’s experience of using this service and what we found
People were supported by enough suitably trained staff who had been recruited safely.
People were supported to have maximum choice and control of their lives by staff who supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People's care plans and risk assessments reflected their needs and preferences and staff were knowledgeable about the level of support people required.
People were supported to maintain hobbies, try new interests and to access voluntary work.
People were supported to prepare meals and drinks and to follow a healthy diet.
Medicines were stored and administered safely. People were supported to take their medicines where needed. People were supported to access to health and social care professionals when needed.
People, staff and relatives said the registered manager was approachable and felt they would be able to raise any issues.
Quality monitoring systems were in place to check people received high quality care.
We expect health and social care providers to guarantee autistic people and 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.
Based on our review of all of the key questions the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. People were supported in the least restrictive way possible to make choices and received care and support that was person centred and promoted independence and dignity.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 15 March 2019).
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding to test the reliability of our new monitoring approach.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Mews on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.