MIG House Residential Care Homes

Updated 16 November 2023

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.

Service and service type

MIG House 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. MIG House 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We also reviewed notifications that the registered provider had sent to us. A notification is information about important events which the service is required to send us by law. We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager. We reviewed a range of records. This included 4 people's care records, 6 staff files, training records, risk assessments and satisfaction surveys. We also looked at audits and a variety of records relating to the management of the service, including policies and procedures.

We spoke with 3 people during our inspection and 3 relatives by telephone to obtain their views of the service. We also spoke with 4 members of staff to ask them questions about their roles and to confirm information we had received about them.

Updated 16 November 2023

About the service

MIG House Residential Care Homes is registered with the Care Quality Commission to provide accommodation and support with personal care to a maximum of 4 adults with learning disabilities. At the time of our inspection 4 people were living in the home.

People’s experience of the service and what we found:

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessment and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support

Staff focused and supported people with their strengths and promoted their independence so people could live a meaningful everyday life. People were supported by staff to pursue their interests and achieve personal goals.

The provider gave people care and support in a safe, clean, well-maintained environment that met their sensory and physical needs. People were supported to personalise their rooms. Staff supported people to access health and social care provisions in the community. People were able to take part in activities and pursue their interests in their home and local community.

Staff supported people to make decisions for themselves and followed the mental capacity and best interest process when required. Staff communicated with people in ways that met their individual needs. People were supported safely with their medicines in a way that promoted their independence. Staff supported people to participate in maintaining their own health and wellbeing.

Right Care

Staff promoted equality and diversity in their support for people. They understood people’s cultural needs and provided culturally appropriate care. We saw people received kind and compassionate care and support and respected people’s privacy and dignity. 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.

People were protected from the risks of abuse and neglect, as staff were trained to identify signs and were clear of their roles and responsibilities to protect people from harm. The provider responded to incidents and accidents appropriately and ensured that lessons were learnt, and appropriate referrals were completed, if required. Staff assessed people’s risks appropriately and supported people to achieve their goals without barriers preventing their outcomes.

Staff were recruited safely and had the right skills to meet people’s needs and keep them safe.

Right Culture

The registered manager and staff were motivated and focused on delivering a good service to the people they supported. People were encouraged to make daily choices on things that was important to them. The provider created a positive environment that helped people to achieve their personal goals. Staff knew and understood people well and were responsive to their needs.

Staff turnover was low, which supported people to receive consistent care from staff who knew them well. The service supported people to access independent advocates services when required. Staff supported people to see their families and friends.

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

The last rating for this service was Good (published 12 September 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow Up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.