Miramar

Updated 7 October 2022

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 Health and Social Care Act 2008.

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

Miramar is a 'care home'. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Miramar is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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. At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed the information we held about the service. This included any statutory notifications received. Statutory notifications are specific pieces of information about events, which the provider is required to send to us by law. We sought feedback from health professionals and looked at the recent monitoring approach summary record. We used all of this information to plan our inspection.

During the inspection

We reviewed documentation, inspected the safety of the premises and carried out observations in communal areas. We spoke with six people who used the service and three members of staff including the registered manager, the cook and care support staff. We reviewed the care records for three people, medicine records for four people and the recruitment records for three members of staff. We also received feedback from 10 staff and a health professional via email following the site visit. We looked at a range of records. This included staffing rotas, training records, meeting minutes, policies and procedures, environmental safety and information relating to the governance of the service.

Updated 7 October 2022

About the service

Miramar is a residential care home for people living with mental health issues and provides personal care to up to 14 people. At the time of our inspection there were 13 people using the service.

People's experience of using this service and what we found

People were positive about the support provided by staff. People were happy and felt safe living at the home. One person said, "People were encouraged and supported to live the life they chose.”

People had person-centred care plans which reflected their needs and choices. People and their relatives (if appropriate) were involved in their care planning and during reviews.

People received their medicines safely. Staff were suitably trained and had their competencies assessed regularly. There was enough staff to safely support people.

Risks to people had been fully assessed and mitigated to help keep people safe. People's care plans were individualised and included involvement from other healthcare professionals, goals and plans moving forward.

Staff wore PPE appropriately and followed government guidance in relation to COVID-19. The home was clean and suitably decorated with ongoing improvements in progress.

The registered manager had an effective quality and assurance system in place which allowed them to monitor and improve the quality and safety of the care provided. People, relatives, health professionals and staff were asked for feedback to help improve the care provided. Lessons learned from incidents were also used to improve the service provided. The registered manager engaged with services and businesses in the community to further promote understanding of mental health and encourage people’s independence.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 17 December 2020 and this is the first inspection. The last rating for the service under the previous provider was good, published on 18 March 2019.

Why we inspected

This inspection was prompted by a change of provider name. 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, which will help inform when we next inspect.