Background to this inspection
Updated
6 February 2020
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
This inspection was carried out by one inspector
Service and service type
Mosaic House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission [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 CQC. 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
Before the inspection we looked at information we held about the service. This information included any statutory notifications that the provider had sent to the CQC. Statutory notifications include information about important events which the provider is required to send us by law. Other information we reviewed included the previous inspection report. This information helps support our inspections. We used all this information to plan our inspection.
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.
During the inspection-
We spoke with the registered manager, assistant manager, three care staff and five people using the service. We reviewed a variety of records which related to people's individual care and the running of the service. These records included care files of five people using the service, four staff employment records, quality monitoring records and some policies and procedures.
After the inspection
The registered manager informed us about the contact that they had with the London Fire Brigade about fire safety. They also told us about some improvements and developments they had made to the service since our inspection. We received feedback from three healthcare and social care professionals who had regular contact with the home.
Updated
6 February 2020
About the service
Mosaic House is a care home providing personal care to five people who live with mental health needs. At the time of our inspection there were five people using the service. The care home is located close to community amenities and facilities.
People’s experience of using this service and what we found
Staff knew people well and engaged with people in a considerate and friendly way. People spoke in a positive way about the staff who supported them.
People's care and support needs were assessed before they started to use the service. Each person had an up to date personalised support plan. People were fully involved in the planning and review of their care and support.
Staff had the skills and knowledge to provide people with personalised care and support. They received the training and support they needed to enable them to carry out their roles competently.
Staff respected people's privacy and dignity and understood and valued people’s differences.
People were protected from the risks of harm, abuse and discrimination. Staff knew what their responsibilities were in relation to keeping people safe.
Systems were in place to ensure that people received their prescribed medicines safely.
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 services supported this practice.
People had a choice of meals, snacks and drinks. People received the support they needed to stay healthy and to access healthcare services.
Staff encouraged and supported people to participate in activities, pursue their interests and to maintain relationships with people that mattered to them.
The provider had systems in place to manage and resolve complaints.
There was a positive and person-centred culture, promoted by the registered manager. People and staff spoke positively about the registered manager and the running of the service.
Systems were in place to assess and monitor the quality and delivery of care to people. Improvements to the service were made when needed. The registered manager understood their regulatory responsibilities.
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 13 June 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.