Mimosa Lodge

Updated 28 April 2018

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, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.’

This comprehensive inspection took place on the 8th February 2018 and was unannounced. The inspection team consisted of two inspectors.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and any improvements they plan to make. We checked the information that we had about the service and the service provider. This included previous inspection reports and statutory notifications sent to us by the registered manager. A notification is information about important events which the service is required to send to us by law.

We spoke with three people who used the service and one relative to gain their views of the home. Many people who lived at the home were not able to talk with us about the care they received. We observed care and support being delivered by staff and their interactions with people in communal areas of the home. We spoke with the registered manager and three members of care staff. We looked at a range of records which included the care records for three people, daily records, medicines records and recruitment records for four care workers. We looked at a range of records in relation to the management of the service, such as health and safety, minutes of staff meetings and quality assurance records.

We last inspected the home in January 2016 where no concerns were found. The home was rated as good in all domains.

Updated 28 April 2018

Mimosa Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Mimosa Lodge provides accommodation and personal care for up to eight people who have learning disabilities. There were seven people living in the main house and one person was living in a separate annex which was not connected to the main house at the time of this inspection

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The inspection took place on the 8th February 2018 and was unannounced which meant the staff and provider did not know we would be visiting. When the home was last inspected on 22nd January and 2nd February 2016 the service was rated Good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This report is written in shorter format because our overall rating of the service has not changed since our last inspection.

Why the service is rated good.

There was a registered manager in place. 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.

Staff were aware how to protect people from abuse. Staff received annual training and understood how to identify safeguarding concerns and report these to keep people safe. The provider had a safeguarding policy. Information about safeguarding was displayed in the home in an easy read format informing staff and people what to do if they had any concerns.

Staff received the training they needed to carry out their roles effectively and meet the needs of the people living at the home. Staff were supported through regular supervision and appraisals and had access to training.

There were sufficient numbers of staff to provide people with the support they needed.

People were involved in the running of the home. Their nutritional and health needs were met and people were supported to receive their medicines safely. Staff demonstrated a good understanding of infection control procedures; the home was clean and tidy.

Care plans were detailed and person centred. They detailed what was important to and for the person. People were involved in their care planning and were supported to have maximum choice and control of their lives. Care plans were reviewed every month by their keyworker.

People were safe because there were effective systems in place to protect them. Individual risk assessments identified potential risks and provided information for staff to help them avoid or reduce the risks of harm.

The requirements of the Mental Capacity Act 2005 were being met and staff understood their roles and responsibilities to seek peoples’ consent. Staff supported people in the least restrictive way possible; the policies and systems in the service supported this practice.

People told us that they liked the staff working at the home. Staff treated people with kindness, respect and compassion.

Staff felt valued and respected. The manager was easily accessible. Staff felt supported and were aware of their roles and responsibilities. Regular team meetings were in place to ensure staff were kept up to date with changes to peoples’ needs. Staff told us that the communication was good and they had daily handovers.

There were quality assurance systems in place to monitor and continually improve the quality of the service. The provider had policies and procedures in place which were reviewed regularly.

The home had received one complaint which had been dealt with promptly and investigated in accordance with the provider’s policy.