Background to this inspection
Updated
16 February 2024
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.
Inspection team
The inspection team consisted of 2 inspectors, 1 regulatory coordinator and 1 Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Mundania 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. Mundania 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
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed information we had received about the service since the last inspection. We sought feedback from professionals who work with the service. We used all this information to plan our inspection.
During the inspection
We reviewed a range of records including care and support plans for 4 people. We looked at records of recruitment, training, and supervision records for 4 care workers. We reviewed records relating to the management of the service, including quality assurance audits. We spoke to the registered manager, the nominated individual, care workers, people, and their relatives.
Updated
16 February 2024
About the service
Mundania is a residential care home providing accommodation and personal care for up to 6 people in 1 adapted building. The service provides support to younger adults, adults with learning disabilities and autistic adults. At the time of our inspection there were 5 people using the service.
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 assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
People’s experience of using this service and what we found
Right Support: 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 supported in a safe, clean and well-furnished environment.
Right Care: People’s equality and diversity was promoted. Care workers understood people’s needs and provided culturally appropriate care. People received kind and compassionate care, and their privacy and dignity were respected.
Right Culture: People were supported by care workers who understood best practice in relation to the strengths, impairments and sensitives of people with learning disabilities. People’s quality of life was enhanced by the service’s culture of improvement and inclusivity.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Relatives we spoke to told us they felt people received safe care and support in the service. A person told us, “I do feel good, I am in safe hands.”
The provider had a wide range of audits and checks in place to monitor and keep people safe. The home was clean and well equipped. There were enough care workers available to support people with their care needs throughout the day.
People told us they thought the home was well-led. A relative told us, “The [registered] manager has improved [the home] a lot and is doing a great job.”
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 12 February 2020).
Why we inspected
The inspection was prompted in part by notification of an incident following which a person using the service died. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of assessments. A decision was made for us to inspect and examine those risks.
We found no evidence during this inspection that people were at risk of harm from this concern.
Please see the Safe and Well led sections of this full report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.