We carried out a review of the data available to us about Mimosa on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Mimosa, you can give feedback on this service.
We found the following examples of good practice.
The registered manager undertook competency checks to ensure staff were complying with PPE guidance correctly.
There was a process in place for visitors to follow upon entry into the home. This included testing for COVID-19, having their temperature taken and answering a set of questions relating to COVID-19.
Protocols where in place for both staff and people should they need to isolate due to COVID-19.
The registered manager followed the most recent government guidance on testing both staff and people.
The service had an infection control lead and an easy read signage board up to support people with their understanding of COVID-19.
Infection prevention and control audits were completed, and infection prevention and control policies were in place.
Mimosa is a residential care home providing personal care to two people with a learning disability and or mental health needs at the time of inspection. The service accommodates up to four people in one adapted building and there were two additional people residing at the home who were not in receipt of personal care.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
People’s experience of using this service and what we found
We have made a recommendation about End of Life care planning.
People felt safe and were protected from the risk of harm by staff who understood their responsibilities to identify and report signs of potential abuse. Concerns were taken seriously and investigated thoroughly to ensure lessons were learnt.
Risks associated with people’s care and support were managed safely and people were given the freedom to take positive risks. People had effective care plans in place which gave staff guidance in how best to support people, detailing their preferences, goals and achievements they had made.
Medicines were managed safely, and people received their prescribed medication when needed. The home worked in partnership with other organisations and professionals to ensure people’s care was holistic. People were consulted with and were given autonomy to express their goals and aspirations.
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.
Staff knew people well and promoted their dignity and independence at all times. There was a kind and caring, inclusive atmosphere. Staff had good relationships with people and encouraged people to be independent and to live fulfilled lives.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
People’s care plans reflected their needs and preferences and were reviewed when things changed. People’s diversity was recognised and promoted by the staff and systems were in place to meet people’s communication needs. There was a strong emphasis on supporting people to take part in activities, including groups within the local community.
The provider used management systems to identify and effectively manage risks to the quality of the service and drive continuous improvement. People knew how to raise any concerns or complaints and felt confident they would be acted on. There were systems in place to capture people’s views on how the service could be improved and these were acted on. Staff felt supported and valued by the management team.
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 07 March 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.
The service is registered to provide accommodation and personal care for up to five people. People who use the service have a learning disability and or a mental health condition. At the time of our inspection five people were using the service. However, one of these people was receiving in-patient care at a local community hospital.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
We found that improvements were needed to ensure that effective systems were in place to ensure people’s care records were accurate and up to date. When care records are not accurate and up to date, people are placed at risk of receiving inconsistent or unsuitable care.
Staff understood how to keep people safe and people were involved in the assessment and management of risks to their health, safety and wellbeing. People’s medicines were managed safely.
People were protected from the risk of abuse because staff knew how to recognise and report potential abuse. Safe staffing levels were maintained to promote people’s safety and to ensure people participated in activities of their choosing.
People’s health and wellbeing needs were monitored and people were supported to access health and social care professionals as required. People could eat meals that met their individual preferences.
Staff supported people to make decisions about their care and when people were unable to make these decisions for themselves, the requirements of the Mental Capacity Act 2005 were followed. At the time of our inspection, no one was being restricted under the Deprivation of Liberty Safeguards (DoLS). However, staff knew how to apply for a DoLS authorisation if this was required.
Staff received regular training that provided them with the knowledge and skills to meet people’s needs.
People were treated with care, kindness and respect and staff promoted people’s independence and right to privacy.
People were involved in the assessment and planning of their care and they were supported and enabled to make choices about their care. The choices people made were respected by the staff.
Staff supported people to access the community and participate in activities that met their individual preferences.
Staff sought and listened to people’s views about the care and action was taken to make improvements to care. People understood how to complain about their care and a suitable complaints procedure was in place.
People and staff told us that the registered manager was supportive and approachable. The registered manager and provider regularly assessed and monitored the quality of care to ensure standards were met and maintained.
The registered manager understood the requirements of their registration with us and they notified us of reportable incidents as required.
We inspected this service on 20 February 2015. This was an unannounced inspection. Our last inspection took place in August 2013 and at that time we found the home was meeting the regulations we looked at.
The service was registered to provide accommodation and personal care for up to five people. People who use the service have a learning disability and/or mental health needs. At the time of our inspection five people were using the service.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
People’s safety was maintained in a manner that promoted their independence. Staff understood how to keep people safe and they helped people to understand risks. People’s medicines were managed safely, which meant people received the medicines they needed when they needed them.
There were sufficient numbers of suitable staff to meet people’s needs and keep people safe. Staff received regular training that provided them with the knowledge and skills to meet people’s needs. The registered manager monitored the staff’s learning and developmental needs.
People could access sufficient amounts of food and drink and specialist diets were catered for. People’s health and wellbeing needs were monitored and people were supported to attend health appointments as required.
People were treated with kindness, compassion and respect and staff promoted people’s independence and right to privacy. Staff supported people to make decisions about their care by helping people to understand the information they needed to make informed decisions.
Staff sought people’s consent before they provided care and support. Staff understood how to ensure decisions were made in people’s best interests if they were unable to make certain decisions about their care. In these circumstances the legal requirements of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS) were being followed.
People were involved in the assessment and review of their care and staff supported and encouraged people to access the community and maintain relationships with their families and friends.
Staff sought and listened to people’s views about their care and action was taken to make improvements to care as a result of people’s views and experiences. People understood how to complain about their care and we saw that complaints were managed in accordance with the provider’s complaints procedure.
There was a positive atmosphere within the home and the registered manager and provider regularly assessed and monitored the quality of care to ensure standards were met and maintained. The registered manager understood the requirements of their registration with us and they and the provider kept up to date with changes in health and social care regulation.
People told us they were involved in the planning of their care and the running of the home. One person told us, 'We think the living room needs decorating, so we talked about how we want it to be decorated at one meeting. We haven't definitely decided yet though. We are still thinking about it'.
We saw that staff were responsive to people's needs and people received support in a caring manner. Staff understood people's needs because people's needs had been effectively assessed, planned and recorded.
We saw that people chose the food they ate, and people told us they had access to food and drink when they required it.
People told us they felt safe living at Mimosa, and staff were aware of the procedures in place to keep people safe.
The service was well led because the registered manager and provider regularly assessed and monitored the quality of the care and support they provided.
We spoke with three people, one member of staff and the manager. People who used the service told us that they liked living in the home.
People we spoke with were positive about living at Mimosa, they were able to have free access to all areas of their home and participate in household tasks if they chose to. We saw that people were supported to make decisions and were involved in the planning of their care. We saw people's capacity to make decisions had been assessed.
We saw that the care records contained all the information that staff needed to enable them to support people in a way that was consistent and ensured their safety.
Medication was appropriately managed, stored and recorded.
We saw that staff had the required knowledge and skills to provide the level of care that people required. Recruitment procedures ensured that new staff were suitable to work with vulnerable people.
People who used the service told us that they knew how to make a complaint if they needed to, but said that they were happy with the support they received.
During our visit we observed how staff and users of the service interacted and talked to people about the things they did and what they liked about the service.
People we spoke with told us, "I like the staff here, they listen and help us. I can go to any of the staff and know they will listen."
People were involved in planning their own care. Care plans identified their individual needs and provided information on how these needs would be met. Risk management plans were in place to try and keep people safe.
The staff encouraged and supported people to be as independent as possible. Everyone was supported to plan their meals, do their own shopping and to make their own meals. People were supported to keep their accommodation clean and tidy.
People receive support from staff but information in records indicated that they can't be sure that staff have received training to meet their needs.