Background to this inspection
Updated
3 February 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 7 January 2022 and was announced. We gave the service 24 hours’ notice of the inspection.
Updated
3 February 2022
About the service:
15 Mossmead is a residential care home that is registered to provide personal care for up to four people with learning disabilities. At the time of the inspection there were three people living at the home.
People’s experience of using this service:
People’s medicines were managed safely. The home had been supported by a project linked to the local Clinical Commissioning Group to review their medicines management.
People were supported to attend social activities, such as activity centres and dance exercise classes. Staff knew people and their interests well. They spent time supporting people to maintain their hobbies in the home, as well as in the community.
People chose the colour of their bedrooms, as well as how their rooms were laid out. The bedrooms were personalised, with photographs and pictures that people wanted to have displayed.
The home was well maintained. It was clean and free from odours throughout.
There were plans to personalise the communal spaces, adding more sensory based furnishings based on people’s needs and preferences.
People’s care and support plans reflected their usual routines and choices. There were ‘working support plans’ in place which documented people’s communication needs. This was so that agency staff and visitors could see at a glance how they could communicate with a person.
The principles of the Mental Capacity Act 2005 (MCA) were applied to the care planning, with consideration for consent and capacity throughout. There were mental capacity assessments in place for specific decisions, such as having the flu vaccination; to assess people’s capacity to consent to these.
People were supported to be involved in choosing menu options. There were pictorial menu suggestions and people sat with staff once a week to set out the menu plan. There were variations of the main meal offered as an alternative. If people wanted something different, they could choose what they wanted on the day.
People’s health care needs were met with timely referrals to health care professionals. People were supported to attend health appointments such as the dentist and opticians. People were supported to attend age and gender related health appointments.
Risk assessments were in place, to protect people from the likelihood of risks to their health or safety occurring.
The supervisor and registered manager spoke with enthusiasm about wanting to continue to develop the home to be even more person centred. The values of the management and staff team put people at the forefront of everything that happened in the home.
There were quality assurance processes in place. These were to audit the service and identify where there were any areas for improvement.
Rating at last inspection:
In the last inspect in October 2017, we rated the home as Requires Improvement.
Why we inspected:
This was a planned, comprehensive inspection, based on the rating at the last inspection.
Follow up:
We will monitor all intelligence received about the service, to inform when the next inspection should take place.